BrightSpring Health Services, Inc. Segments Disclosure
17. Segment Information
The Company's CODM is its , who evaluates the performance of our segments and allocates resources based on segment EBITDA. Segment EBITDA is used as the key profitability measure when we set our annual operating plan for each segment, is the metric with which our CODM assesses segment results, and is a key component of our annual variable compensation plans. Segment EBITDA is commonly used as an analytical indicator within the health care industry and is utilized in the evaluation of segment operating performance as it is a profit measure that is generally within the control of the operating segments.
For all segments, the CODM uses segment EBITDA in the annual budgeting and monthly forecasting process. The CODM considers actual-to budget and actual-to current forecast variances for segment EBITDA on a monthly basis for evaluating performance of each segment and making decisions about allocating capital and other resources to each segment.
Segment amounts exclude certain expenses not specifically identifiable to the segments for functions performed in a centralized manner, which include accounting, finance, human resources, legal, information technology, corporate office support, and overall corporate management. Segment assets and capital expenditures are not provided to the Company’s CODM and, therefore, are not disclosed.
The following tables set forth information about the Company’s reportable segments, along with the items necessary to reconcile the segment information to the totals reported in the Company’s consolidated statements of operations as follows (in thousands):
|
For the Year Ended December 31, 2025 |
|
|||||||||
|
Pharmacy Solutions |
|
|
Provider Services |
|
|
Total Segments |
|
|||
Product revenue |
$ |
11,445,777 |
|
|
$ |
— |
|
|
$ |
11,445,777 |
|
Service revenue |
|
— |
|
|
|
1,464,787 |
|
|
|
1,464,787 |
|
Cost of drugs |
|
9,782,109 |
|
|
|
— |
|
|
|
9,782,109 |
|
Cost of services |
|
— |
|
|
|
885,356 |
|
|
|
885,356 |
|
Other direct costs (1) |
|
725,322 |
|
|
|
— |
|
|
|
725,322 |
|
Segment selling, general, and administrative expenses (2) |
|
502,042 |
|
|
|
374,256 |
|
|
|
876,298 |
|
Segment depreciation and amortization expense (3) |
|
107,198 |
|
|
|
27,479 |
|
|
|
134,677 |
|
Segment EBITDA |
$ |
543,502 |
|
|
$ |
232,654 |
|
|
$ |
776,156 |
|
|
For the Year Ended December 31, 2024 |
|
|||||||||
|
Pharmacy Solutions |
|
|
Provider Services |
|
|
Total Segments |
|
|||
Product revenue |
$ |
8,754,282 |
|
|
$ |
— |
|
|
$ |
8,754,282 |
|
Service revenue |
|
— |
|
|
|
1,317,932 |
|
|
|
1,317,932 |
|
Cost of drugs |
|
7,368,426 |
|
|
|
— |
|
|
|
7,368,426 |
|
Cost of services |
|
— |
|
|
|
797,286 |
|
|
|
797,286 |
|
Other direct costs (1) |
|
640,075 |
|
|
|
— |
|
|
|
640,075 |
|
Segment selling, general, and administrative expenses (2) |
|
462,219 |
|
|
|
340,034 |
|
|
|
802,253 |
|
Segment depreciation and amortization expense (3) |
|
111,103 |
|
|
|
24,675 |
|
|
|
135,778 |
|
Segment EBITDA |
$ |
394,665 |
|
|
$ |
205,287 |
|
|
$ |
599,952 |
|
|
For the Year Ended December 31, 2023 |
|
|||||||||
|
Pharmacy Solutions |
|
|
Provider Services |
|
|
Total Segments |
|
|||
Product revenue |
$ |
6,522,450 |
|
|
$ |
— |
|
|
$ |
6,522,450 |
|
Service revenue |
|
— |
|
|
|
1,168,566 |
|
|
|
1,168,566 |
|
Cost of drugs |
|
5,291,630 |
|
|
|
— |
|
|
|
5,291,630 |
|
Cost of services |
|
— |
|
|
|
711,304 |
|
|
|
711,304 |
|
Other direct costs (1) |
|
549,086 |
|
|
|
— |
|
|
|
549,086 |
|
Segment selling, general, and administrative expenses (2) |
|
426,521 |
|
|
|
310,747 |
|
|
|
737,268 |
|
Segment depreciation and amortization expense (3) |
|
115,749 |
|
|
|
22,897 |
|
|
|
138,646 |
|
Segment EBITDA |
$ |
370,962 |
|
|
$ |
169,412 |
|
|
$ |
540,374 |
|
|
|
For the Years Ended December 31, |
|
|||||||||
|
|
2025 |
|
|
2024 |
|
|
2023 |
|
|||
Reconciliation of income or loss: |
|
|
|
|
|
|
|
|
|
|||
Total Segment EBITDA |
|
$ |
776,156 |
|
|
$ |
599,952 |
|
|
$ |
540,374 |
|
Segment depreciation and amortization |
|
|
134,677 |
|
|
|
135,778 |
|
|
|
138,646 |
|
Expenses not allocated at segment level: |
|
|
|
|
|
|
|
|
|
|||
Selling, general, and administrative expenses |
|
|
317,956 |
|
|
|
329,854 |
|
|
|
321,692 |
|
Depreciation and amortization |
|
|
28,271 |
|
|
|
26,366 |
|
|
|
21,911 |
|
Loss on extinguishment of debt |
|
|
— |
|
|
|
12,726 |
|
|
|
— |
|
Interest expense, net |
|
|
157,311 |
|
|
|
190,546 |
|
|
|
271,899 |
|
Income tax expense (benefit) |
|
|
33,145 |
|
|
|
(26,387 |
) |
|
|
(31,508 |
) |
Net income (loss) from continuing operations |
|
$ |
104,796 |
|
|
$ |
(68,931 |
) |
|
$ |
(182,266 |
) |
Historical Timeline
| Fiscal Year | Filed | |
|---|---|---|
| 2025 | Feb 27, 2026 | Showing above |
| 2024 | Mar 6, 2025 | |
About Segments Disclosures
Segment disclosures break a company into its reportable operating units, revealing revenue, profit, and asset allocation that consolidated financial statements obscure. Under ASC 280, segments must match how the chief operating decision maker views the business, providing a window into internal management structure and resource allocation priorities.
Key signals: compare segment margins to identify which units drive profitability and which destroy value. Watch for changes in the number of reportable segments — segment aggregation or disaggregation often coincides with strategic shifts or attempts to obscure declining performance. Intersegment elimination patterns reveal internal pricing practices. The reconciliation between segment totals and consolidated figures exposes corporate overhead allocation and unallocated items. Geographic revenue concentration highlights regulatory and currency exposure. Compare segment-level capital expenditure against segment revenue to assess where management is investing for future growth versus harvesting existing assets.