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Side-by-side financial comparison of American Tower (AMT) 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 $2.7B, roughly 1.3× American Tower). American Tower runs the higher net margin — 110.1% vs 2.2%, a 107.9% gap on every dollar of revenue. American Tower produced more free cash flow last quarter ($941.0M vs $193.9M). Over the past eight quarters, BrightSpring Health Services, Inc.'s revenue compounded faster (17.4% CAGR vs 3.7%).

American Tower Corporation, one of the largest global REITs, is a leading independent owner, operator and developer of multitenant communications real estate with a portfolio of approximately 219,000 communications sites. For more information about American Tower, please visit the Earnings Materials and Investor Presentations sections of our investor relations website at www.americantower.com.

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...

AMT vs BTSG — Head-to-Head

Bigger by revenue
BTSG
BTSG
1.3× larger
BTSG
$3.6B
$2.7B
AMT
Higher net margin
AMT
AMT
107.9% more per $
AMT
110.1%
2.2%
BTSG
More free cash flow
AMT
AMT
$747.1M more FCF
AMT
$941.0M
$193.9M
BTSG
Faster 2-yr revenue CAGR
BTSG
BTSG
Annualised
BTSG
17.4%
3.7%
AMT

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
AMT
AMT
BTSG
BTSG
Revenue
$2.7B
$3.6B
Net Profit
$3.0B
$77.1M
Gross Margin
11.6%
Operating Margin
0.0%
3.0%
Net Margin
110.1%
2.2%
Revenue YoY
16.3%
Net Profit YoY
381.8%
EPS (diluted)
$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
AMT
AMT
BTSG
BTSG
Q1 26
$2.7B
Q4 25
$2.7B
$3.6B
Q3 25
$2.7B
$3.3B
Q2 25
$2.6B
$3.1B
Q1 25
$2.6B
$2.9B
Q4 24
$2.5B
$3.1B
Q3 24
$2.5B
$2.9B
Q2 24
$2.5B
$2.7B
Net Profit
AMT
AMT
BTSG
BTSG
Q1 26
$3.0B
Q4 25
$836.8M
$77.1M
Q3 25
$912.6M
$55.8M
Q2 25
$380.5M
$28.2M
Q1 25
$498.6M
$29.5M
Q4 24
$1.2B
$16.0M
Q3 24
$-780.4M
$-8.2M
Q2 24
$908.4M
$19.9M
Gross Margin
AMT
AMT
BTSG
BTSG
Q1 26
Q4 25
11.6%
Q3 25
11.8%
Q2 25
11.9%
Q1 25
11.8%
Q4 24
13.8%
Q3 24
14.0%
Q2 24
14.2%
Operating Margin
AMT
AMT
BTSG
BTSG
Q1 26
0.0%
Q4 25
42.4%
3.0%
Q3 25
45.4%
2.6%
Q2 25
45.6%
1.5%
Q1 25
48.9%
1.8%
Q4 24
42.4%
2.6%
Q3 24
45.2%
2.0%
Q2 24
45.4%
2.3%
Net Margin
AMT
AMT
BTSG
BTSG
Q1 26
110.1%
Q4 25
30.6%
2.2%
Q3 25
33.6%
1.7%
Q2 25
14.5%
0.9%
Q1 25
19.5%
1.0%
Q4 24
48.3%
0.5%
Q3 24
-30.9%
-0.3%
Q2 24
35.7%
0.7%
EPS (diluted)
AMT
AMT
BTSG
BTSG
Q1 26
Q4 25
$1.76
$0.34
Q3 25
$1.82
$0.26
Q2 25
$0.78
$0.13
Q1 25
$1.04
$0.14
Q4 24
$2.63
$0.11
Q3 24
$-1.69
$-0.04
Q2 24
$1.92
$0.10

Balance Sheet & Financial Strength

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

Metric
AMT
AMT
BTSG
BTSG
Cash + ST InvestmentsLiquidity on hand
$1.6B
$88.4M
Total DebtLower is stronger
$2.5B
Stockholders' EquityBook value
$10.2B
$1.9B
Total Assets
$6.4B
Debt / EquityLower = less leverage
1.34×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AMT
AMT
BTSG
BTSG
Q1 26
$1.6B
Q4 25
$1.5B
$88.4M
Q3 25
$2.0B
$140.3M
Q2 25
$2.1B
$70.1M
Q1 25
$2.1B
$52.3M
Q4 24
$2.0B
$61.3M
Q3 24
$2.2B
$36.0M
Q2 24
$2.2B
$25.0M
Total Debt
AMT
AMT
BTSG
BTSG
Q1 26
Q4 25
$33.8B
$2.5B
Q3 25
$34.9B
$2.5B
Q2 25
$35.2B
$2.5B
Q1 25
$34.0B
$2.5B
Q4 24
$32.8B
$2.6B
Q3 24
$33.4B
$2.7B
Q2 24
$35.6B
$2.6B
Stockholders' Equity
AMT
AMT
BTSG
BTSG
Q1 26
$10.2B
Q4 25
$3.7B
$1.9B
Q3 25
$4.0B
$1.8B
Q2 25
$3.7B
$1.7B
Q1 25
$3.5B
$1.7B
Q4 24
$3.4B
$1.6B
Q3 24
$3.6B
$1.6B
Q2 24
$3.9B
$1.6B
Total Assets
AMT
AMT
BTSG
BTSG
Q1 26
Q4 25
$63.2B
$6.4B
Q3 25
$63.9B
$6.0B
Q2 25
$63.8B
$5.9B
Q1 25
$62.1B
$5.8B
Q4 24
$61.1B
$5.9B
Q3 24
$62.8B
$5.8B
Q2 24
$65.8B
$5.6B
Debt / Equity
AMT
AMT
BTSG
BTSG
Q1 26
Q4 25
9.26×
1.34×
Q3 25
8.82×
1.38×
Q2 25
9.48×
1.45×
Q1 25
9.63×
1.50×
Q4 24
9.70×
1.58×
Q3 24
9.16×
1.65×
Q2 24
9.24×
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
AMT
AMT
BTSG
BTSG
Operating Cash FlowLast quarter
$231.6M
Free Cash FlowOCF − Capex
$941.0M
$193.9M
FCF MarginFCF / Revenue
34.4%
5.5%
Capex IntensityCapex / Revenue
16.8%
1.1%
Cash ConversionOCF / Net Profit
3.00×
TTM Free Cash FlowTrailing 4 quarters
$6.7B
$394.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AMT
AMT
BTSG
BTSG
Q1 26
Q4 25
$5.5B
$231.6M
Q3 25
$1.5B
$107.9M
Q2 25
$1.3B
$49.1M
Q1 25
$1.3B
$101.6M
Q4 24
$5.3B
$90.6M
Q3 24
$1.5B
$27.2M
Q2 24
$1.3B
$-15.2M
Free Cash Flow
AMT
AMT
BTSG
BTSG
Q1 26
$941.0M
Q4 25
$3.8B
$193.9M
Q3 25
$994.5M
$92.2M
Q2 25
$976.9M
$24.7M
Q1 25
$963.9M
$84.0M
Q4 24
$3.7B
$75.3M
Q3 24
$1.0B
$7.2M
Q2 24
$1.0B
$-39.0M
FCF Margin
AMT
AMT
BTSG
BTSG
Q1 26
34.4%
Q4 25
138.2%
5.5%
Q3 25
36.6%
2.8%
Q2 25
37.2%
0.8%
Q1 25
37.6%
2.9%
Q4 24
145.3%
2.5%
Q3 24
41.4%
0.2%
Q2 24
39.8%
-1.4%
Capex Intensity
AMT
AMT
BTSG
BTSG
Q1 26
16.8%
Q4 25
61.4%
1.1%
Q3 25
17.1%
0.5%
Q2 25
11.6%
0.8%
Q1 25
12.9%
0.6%
Q4 24
62.4%
0.5%
Q3 24
16.8%
0.7%
Q2 24
12.8%
0.9%
Cash Conversion
AMT
AMT
BTSG
BTSG
Q1 26
Q4 25
6.53×
3.00×
Q3 25
1.60×
1.93×
Q2 25
3.37×
1.74×
Q1 25
2.60×
3.44×
Q4 24
4.30×
5.66×
Q3 24
Q2 24
1.47×
-0.76×

Financial Flow Comparison

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

Revenue Breakdown by Segment

AMT
AMT

Segment breakdown not available.

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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