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Side-by-side financial comparison of Addus HomeCare Corp (ADUS) and BrightSpring Health Services, Inc. (BTSG). Click either name above to swap in a different company.

BrightSpring Health Services, Inc. is the larger business by last-quarter revenue ($3.6B vs $373.1M, roughly 9.5× Addus HomeCare Corp). Addus HomeCare Corp runs the higher net margin — 8.0% vs 2.2%, a 5.8% gap on every dollar of revenue. On growth, Addus HomeCare Corp posted the faster year-over-year revenue change (25.6% vs 16.3%). BrightSpring Health Services, Inc. produced more free cash flow last quarter ($193.9M vs $16.1M). Over the past eight quarters, BrightSpring Health Services, Inc.'s revenue compounded faster (17.4% CAGR vs 15.3%).

Addus HomeCare Corp is a U.S.-based provider of comprehensive in-home care services, including personal care assistance, home health support, and hospice care. It primarily serves elderly, disabled, and chronically ill clients across multiple U.S. states, partnering with government payers, private insurers, and individual clients to deliver tailored care solutions.

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...

ADUS vs BTSG — Head-to-Head

Bigger by revenue
BTSG
BTSG
9.5× larger
BTSG
$3.6B
$373.1M
ADUS
Growing faster (revenue YoY)
ADUS
ADUS
+9.2% gap
ADUS
25.6%
16.3%
BTSG
Higher net margin
ADUS
ADUS
5.8% more per $
ADUS
8.0%
2.2%
BTSG
More free cash flow
BTSG
BTSG
$177.8M more FCF
BTSG
$193.9M
$16.1M
ADUS
Faster 2-yr revenue CAGR
BTSG
BTSG
Annualised
BTSG
17.4%
15.3%
ADUS

Income Statement — Q4 2025 vs Q4 2025

Metric
ADUS
ADUS
BTSG
BTSG
Revenue
$373.1M
$3.6B
Net Profit
$29.8M
$77.1M
Gross Margin
33.1%
11.6%
Operating Margin
11.3%
3.0%
Net Margin
8.0%
2.2%
Revenue YoY
25.6%
16.3%
Net Profit YoY
52.5%
381.8%
EPS (diluted)
$1.62
$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.

Revenue
ADUS
ADUS
BTSG
BTSG
Q4 25
$373.1M
$3.6B
Q3 25
$362.3M
$3.3B
Q2 25
$349.4M
$3.1B
Q1 25
$337.7M
$2.9B
Q4 24
$297.1M
$3.1B
Q3 24
$289.8M
$2.9B
Q2 24
$286.9M
$2.7B
Q1 24
$280.7M
$2.6B
Net Profit
ADUS
ADUS
BTSG
BTSG
Q4 25
$29.8M
$77.1M
Q3 25
$22.8M
$55.8M
Q2 25
$22.1M
$28.2M
Q1 25
$21.2M
$29.5M
Q4 24
$19.5M
$16.0M
Q3 24
$20.2M
$-8.2M
Q2 24
$18.1M
$19.9M
Q1 24
$15.8M
$-45.8M
Gross Margin
ADUS
ADUS
BTSG
BTSG
Q4 25
33.1%
11.6%
Q3 25
32.2%
11.8%
Q2 25
32.6%
11.9%
Q1 25
31.9%
11.8%
Q4 24
34.2%
13.8%
Q3 24
31.8%
14.0%
Q2 24
32.5%
14.2%
Q1 24
31.4%
14.3%
Operating Margin
ADUS
ADUS
BTSG
BTSG
Q4 25
11.3%
3.0%
Q3 25
9.1%
2.6%
Q2 25
9.4%
1.5%
Q1 25
9.0%
1.8%
Q4 24
9.1%
2.6%
Q3 24
9.0%
2.0%
Q2 24
9.1%
2.3%
Q1 24
8.4%
0.3%
Net Margin
ADUS
ADUS
BTSG
BTSG
Q4 25
8.0%
2.2%
Q3 25
6.3%
1.7%
Q2 25
6.3%
0.9%
Q1 25
6.3%
1.0%
Q4 24
6.6%
0.5%
Q3 24
7.0%
-0.3%
Q2 24
6.3%
0.7%
Q1 24
5.6%
-1.8%
EPS (diluted)
ADUS
ADUS
BTSG
BTSG
Q4 25
$1.62
$0.34
Q3 25
$1.24
$0.26
Q2 25
$1.20
$0.13
Q1 25
$1.16
$0.14
Q4 24
$1.06
$0.11
Q3 24
$1.10
$-0.04
Q2 24
$1.10
$0.10
Q1 24
$0.97
$-0.26

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ADUS
ADUS
BTSG
BTSG
Cash + ST InvestmentsLiquidity on hand
$88.4M
Total DebtLower is stronger
$121.0M
$2.5B
Stockholders' EquityBook value
$1.1B
$1.9B
Total Assets
$1.4B
$6.4B
Debt / EquityLower = less leverage
0.11×
1.34×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ADUS
ADUS
BTSG
BTSG
Q4 25
$88.4M
Q3 25
$140.3M
Q2 25
$70.1M
Q1 25
$97.0M
$52.3M
Q4 24
$98.9M
$61.3M
Q3 24
$222.9M
$36.0M
Q2 24
$173.3M
$25.0M
Q1 24
$76.7M
$58.0M
Total Debt
ADUS
ADUS
BTSG
BTSG
Q4 25
$121.0M
$2.5B
Q3 25
$150.6M
$2.5B
Q2 25
$169.1M
$2.5B
Q1 25
$2.5B
Q4 24
$218.4M
$2.6B
Q3 24
$2.7B
Q2 24
$2.6B
Q1 24
$2.6B
Stockholders' Equity
ADUS
ADUS
BTSG
BTSG
Q4 25
$1.1B
$1.9B
Q3 25
$1.0B
$1.8B
Q2 25
$1.0B
$1.7B
Q1 25
$995.4M
$1.7B
Q4 24
$970.5M
$1.6B
Q3 24
$947.6M
$1.6B
Q2 24
$921.7M
$1.6B
Q1 24
$725.1M
$1.6B
Total Assets
ADUS
ADUS
BTSG
BTSG
Q4 25
$1.4B
$6.4B
Q3 25
$1.4B
$6.0B
Q2 25
$1.4B
$5.9B
Q1 25
$1.4B
$5.8B
Q4 24
$1.4B
$5.9B
Q3 24
$1.2B
$5.8B
Q2 24
$1.1B
$5.6B
Q1 24
$1.0B
$5.7B
Debt / Equity
ADUS
ADUS
BTSG
BTSG
Q4 25
0.11×
1.34×
Q3 25
0.14×
1.38×
Q2 25
0.17×
1.45×
Q1 25
1.50×
Q4 24
0.23×
1.58×
Q3 24
1.65×
Q2 24
1.63×
Q1 24
1.64×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ADUS
ADUS
BTSG
BTSG
Operating Cash FlowLast quarter
$18.8M
$231.6M
Free Cash FlowOCF − Capex
$16.1M
$193.9M
FCF MarginFCF / Revenue
4.3%
5.5%
Capex IntensityCapex / Revenue
0.7%
1.1%
Cash ConversionOCF / Net Profit
0.63×
3.00×
TTM Free Cash FlowTrailing 4 quarters
$103.8M
$394.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ADUS
ADUS
BTSG
BTSG
Q4 25
$18.8M
$231.6M
Q3 25
$51.3M
$107.9M
Q2 25
$22.5M
$49.1M
Q1 25
$18.9M
$101.6M
Q4 24
$10.4M
$90.6M
Q3 24
$48.5M
$27.2M
Q2 24
$18.8M
$-15.2M
Q1 24
$38.7M
$-78.9M
Free Cash Flow
ADUS
ADUS
BTSG
BTSG
Q4 25
$16.1M
$193.9M
Q3 25
$49.3M
$92.2M
Q2 25
$21.3M
$24.7M
Q1 25
$17.1M
$84.0M
Q4 24
$8.7M
$75.3M
Q3 24
$46.6M
$7.2M
Q2 24
$17.7M
$-39.0M
Q1 24
$37.3M
$-100.7M
FCF Margin
ADUS
ADUS
BTSG
BTSG
Q4 25
4.3%
5.5%
Q3 25
13.6%
2.8%
Q2 25
6.1%
0.8%
Q1 25
5.1%
2.9%
Q4 24
2.9%
2.5%
Q3 24
16.1%
0.2%
Q2 24
6.2%
-1.4%
Q1 24
13.3%
-3.9%
Capex Intensity
ADUS
ADUS
BTSG
BTSG
Q4 25
0.7%
1.1%
Q3 25
0.5%
0.5%
Q2 25
0.4%
0.8%
Q1 25
0.6%
0.6%
Q4 24
0.6%
0.5%
Q3 24
0.7%
0.7%
Q2 24
0.4%
0.9%
Q1 24
0.5%
0.8%
Cash Conversion
ADUS
ADUS
BTSG
BTSG
Q4 25
0.63×
3.00×
Q3 25
2.24×
1.93×
Q2 25
1.02×
1.74×
Q1 25
0.89×
3.44×
Q4 24
0.53×
5.66×
Q3 24
2.41×
Q2 24
1.04×
-0.76×
Q1 24
2.44×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

ADUS
ADUS

Personal Care$286.0M77%
Hospice$70.0M19%
Home Health$17.1M5%

BTSG
BTSG

Medicare D$1.1B32%
Commercial Insurance$879.8M25%
Medicare C$641.2M18%
Provider Services$394.2M11%
Medicaid$301.4M8%
Medicare A$150.5M4%
Private And Other$44.0M1%
Medicare B$19.5M1%
Pharmacy Solutions And Provider Services Segments$19.0M1%

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