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Side-by-side financial comparison of AECOM (ACM) and BrightSpring Health Services, Inc. (BTSG). Click either name above to swap in a different company.
AECOM is the larger business by last-quarter revenue ($3.8B vs $3.6B, roughly 1.1× BrightSpring Health Services, Inc.). BrightSpring Health Services, Inc. runs the higher net margin — 2.2% vs 1.9%, a 0.2% gap on every dollar of revenue. On growth, BrightSpring Health Services, Inc. posted the faster year-over-year revenue change (16.3% vs 1.6%). BrightSpring Health Services, Inc. produced more free cash flow last quarter ($193.9M vs $41.9M). Over the past eight quarters, BrightSpring Health Services, Inc.'s revenue compounded faster (17.4% CAGR vs -1.4%).
AECOM is an American multinational infrastructure consulting firm headquartered in Dallas, Texas.
Cardinal Health, Inc. is an American multinational health care services company, and the 15th highest revenue generating company in the United States. Headquartered in Dublin, Ohio, the company specializes in the distribution of pharmaceuticals and medical products, serving more than 100,000 locations. The company also manufactures medical and surgical product, including gloves, surgical apparel, and fluid management products. In addition, it operates one of the largest networks of radiopharm...
ACM vs BTSG — Head-to-Head
Income Statement — Q1 FY2026 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $3.8B | $3.6B |
| Net Profit | $74.5M | $77.1M |
| Gross Margin | 7.3% | 11.6% |
| Operating Margin | 5.8% | 3.0% |
| Net Margin | 1.9% | 2.2% |
| Revenue YoY | 1.6% | 16.3% |
| Net Profit YoY | -48.0% | 381.8% |
| EPS (diluted) | $0.56 | $0.34 |
Green = leading value per metric. Periods may differ when fiscal calendars don't align.
8-Quarter Revenue & Profit Trend
Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.
| Q1 26 | $3.8B | — | ||
| Q4 25 | — | $3.6B | ||
| Q3 25 | $4.2B | $3.3B | ||
| Q2 25 | $4.2B | $3.1B | ||
| Q1 25 | $3.8B | $2.9B | ||
| Q4 24 | $4.0B | $3.1B | ||
| Q3 24 | $4.1B | $2.9B | ||
| Q2 24 | $4.2B | $2.7B |
| Q1 26 | $74.5M | — | ||
| Q4 25 | — | $77.1M | ||
| Q3 25 | $120.4M | $55.8M | ||
| Q2 25 | $131.0M | $28.2M | ||
| Q1 25 | $143.4M | $29.5M | ||
| Q4 24 | $167.0M | $16.0M | ||
| Q3 24 | $172.5M | $-8.2M | ||
| Q2 24 | $134.3M | $19.9M |
| Q1 26 | 7.3% | — | ||
| Q4 25 | — | 11.6% | ||
| Q3 25 | 7.9% | 11.8% | ||
| Q2 25 | 7.8% | 11.9% | ||
| Q1 25 | 7.7% | 11.8% | ||
| Q4 24 | 6.7% | 13.8% | ||
| Q3 24 | 7.2% | 14.0% | ||
| Q2 24 | 6.9% | 14.2% |
| Q1 26 | 5.8% | — | ||
| Q4 25 | — | 3.0% | ||
| Q3 25 | 5.7% | 2.6% | ||
| Q2 25 | 7.0% | 1.5% | ||
| Q1 25 | 6.8% | 1.8% | ||
| Q4 24 | 5.9% | 2.6% | ||
| Q3 24 | 5.8% | 2.0% | ||
| Q2 24 | 5.5% | 2.3% |
| Q1 26 | 1.9% | — | ||
| Q4 25 | — | 2.2% | ||
| Q3 25 | 2.9% | 1.7% | ||
| Q2 25 | 3.1% | 0.9% | ||
| Q1 25 | 3.8% | 1.0% | ||
| Q4 24 | 4.2% | 0.5% | ||
| Q3 24 | 4.2% | -0.3% | ||
| Q2 24 | 3.2% | 0.7% |
| Q1 26 | $0.56 | — | ||
| Q4 25 | — | $0.34 | ||
| Q3 25 | $0.90 | $0.26 | ||
| Q2 25 | $0.98 | $0.13 | ||
| Q1 25 | $1.08 | $0.14 | ||
| Q4 24 | $1.25 | $0.11 | ||
| Q3 24 | $1.27 | $-0.04 | ||
| Q2 24 | $0.98 | $0.10 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $1.2B | $88.4M |
| Total DebtLower is stronger | $2.6B | $2.5B |
| Stockholders' EquityBook value | $2.2B | $1.9B |
| Total Assets | $11.9B | $6.4B |
| Debt / EquityLower = less leverage | 1.18× | 1.34× |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | $1.2B | — | ||
| Q4 25 | — | $88.4M | ||
| Q3 25 | $1.6B | $140.3M | ||
| Q2 25 | $1.8B | $70.1M | ||
| Q1 25 | $1.6B | $52.3M | ||
| Q4 24 | $1.6B | $61.3M | ||
| Q3 24 | $1.6B | $36.0M | ||
| Q2 24 | $1.6B | $25.0M |
| Q1 26 | $2.6B | — | ||
| Q4 25 | — | $2.5B | ||
| Q3 25 | $2.6B | $2.5B | ||
| Q2 25 | $2.5B | $2.5B | ||
| Q1 25 | $2.5B | $2.5B | ||
| Q4 24 | $2.5B | $2.6B | ||
| Q3 24 | $2.5B | $2.7B | ||
| Q2 24 | $2.5B | $2.6B |
| Q1 26 | $2.2B | — | ||
| Q4 25 | — | $1.9B | ||
| Q3 25 | $2.5B | $1.8B | ||
| Q2 25 | $2.5B | $1.7B | ||
| Q1 25 | $2.3B | $1.7B | ||
| Q4 24 | $2.2B | $1.6B | ||
| Q3 24 | $2.2B | $1.6B | ||
| Q2 24 | $2.3B | $1.6B |
| Q1 26 | $11.9B | — | ||
| Q4 25 | — | $6.4B | ||
| Q3 25 | $12.2B | $6.0B | ||
| Q2 25 | $12.3B | $5.9B | ||
| Q1 25 | $11.8B | $5.8B | ||
| Q4 24 | $11.8B | $5.9B | ||
| Q3 24 | $12.1B | $5.8B | ||
| Q2 24 | $12.0B | $5.6B |
| Q1 26 | 1.18× | — | ||
| Q4 25 | — | 1.34× | ||
| Q3 25 | 1.06× | 1.38× | ||
| Q2 25 | 0.99× | 1.45× | ||
| Q1 25 | 1.07× | 1.50× | ||
| Q4 24 | 1.11× | 1.58× | ||
| Q3 24 | 1.12× | 1.65× | ||
| Q2 24 | 1.07× | 1.63× |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | $70.2M | $231.6M |
| Free Cash FlowOCF − Capex | $41.9M | $193.9M |
| FCF MarginFCF / Revenue | 1.1% | 5.5% |
| Capex IntensityCapex / Revenue | 0.7% | 1.1% |
| Cash ConversionOCF / Net Profit | 0.94× | 3.00× |
| TTM Free Cash FlowTrailing 4 quarters | $616.0M | $394.7M |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | $70.2M | — | ||
| Q4 25 | — | $231.6M | ||
| Q3 25 | $196.1M | $107.9M | ||
| Q2 25 | $283.7M | $49.1M | ||
| Q1 25 | $190.7M | $101.6M | ||
| Q4 24 | $151.1M | $90.6M | ||
| Q3 24 | $298.8M | $27.2M | ||
| Q2 24 | $291.3M | $-15.2M |
| Q1 26 | $41.9M | — | ||
| Q4 25 | — | $193.9M | ||
| Q3 25 | $134.1M | $92.2M | ||
| Q2 25 | $261.7M | $24.7M | ||
| Q1 25 | $178.3M | $84.0M | ||
| Q4 24 | $110.9M | $75.3M | ||
| Q3 24 | $274.5M | $7.2M | ||
| Q2 24 | $272.8M | $-39.0M |
| Q1 26 | 1.1% | — | ||
| Q4 25 | — | 5.5% | ||
| Q3 25 | 3.2% | 2.8% | ||
| Q2 25 | 6.3% | 0.8% | ||
| Q1 25 | 4.7% | 2.9% | ||
| Q4 24 | 2.8% | 2.5% | ||
| Q3 24 | 6.7% | 0.2% | ||
| Q2 24 | 6.6% | -1.4% |
| Q1 26 | 0.7% | — | ||
| Q4 25 | — | 1.1% | ||
| Q3 25 | 1.5% | 0.5% | ||
| Q2 25 | 0.5% | 0.8% | ||
| Q1 25 | 0.3% | 0.6% | ||
| Q4 24 | 1.0% | 0.5% | ||
| Q3 24 | 0.6% | 0.7% | ||
| Q2 24 | 0.4% | 0.9% |
| Q1 26 | 0.94× | — | ||
| Q4 25 | — | 3.00× | ||
| Q3 25 | 1.63× | 1.93× | ||
| Q2 25 | 2.17× | 1.74× | ||
| Q1 25 | 1.33× | 3.44× | ||
| Q4 24 | 0.90× | 5.66× | ||
| Q3 24 | 1.73× | — | ||
| Q2 24 | 2.17× | -0.76× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
ACM
Segment breakdown not available.
BTSG
| Medicare D | $1.1B | 32% |
| Commercial Insurance | $879.8M | 25% |
| Medicare C | $641.2M | 18% |
| Provider Services | $394.2M | 11% |
| Medicaid | $301.4M | 8% |
| Medicare A | $150.5M | 4% |
| Private And Other | $44.0M | 1% |
| Medicare B | $19.5M | 1% |
| Pharmacy Solutions And Provider Services Segments | $19.0M | 1% |
