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Side-by-side financial comparison of BrightSpring Health Services, Inc. (BTSG) and BrightSpring Health Services, Inc. (BTSGU), based on the latest 10-Q / 10-K filings. 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 $3.6B, roughly 1.0× BrightSpring Health Services, Inc.). BrightSpring Health Services, Inc. runs the higher net margin — 2.2% vs 2.2%, a 0.0% gap on every dollar of revenue. On growth, BrightSpring Health Services, Inc. posted the faster year-over-year revenue change (29.3% vs 16.3%). Over the past eight quarters, BrightSpring Health Services, Inc.'s revenue compounded faster (24.6% CAGR vs 17.4%).

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...

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...

BTSG vs BTSGU — Head-to-Head

Growing faster (revenue YoY)
BTSGU
BTSGU
+12.9% gap
BTSGU
29.3%
16.3%
BTSG
Higher net margin
BTSGU
BTSGU
0.0% more per $
BTSGU
2.2%
2.2%
BTSG
Faster 2-yr revenue CAGR
BTSGU
BTSGU
Annualised
BTSGU
24.6%
17.4%
BTSG

Income Statement — Q4 2025 vs Q4 2025

Metric
BTSG
BTSG
BTSGU
BTSGU
Revenue
$3.6B
$3.6B
Net Profit
$77.1M
$77.3M
Gross Margin
11.6%
11.6%
Operating Margin
3.0%
3.0%
Net Margin
2.2%
2.2%
Revenue YoY
16.3%
29.3%
Net Profit YoY
381.8%
401.9%
EPS (diluted)
$0.34
$0.34

Green = leading value per metric. Periods may differ when fiscal calendars don't align — see 8-quarter trend below.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history — bar widths are scaled to the larger of the two companies so you can eyeball the size gap and growth trajectory without doing math. Quarters aligned by calendar period (report date) so offset fiscal years line up.

Revenue
BTSG
BTSG
BTSGU
BTSGU
Q4 25
$3.6B
$3.6B
Q3 25
$3.3B
$3.3B
Q2 25
$3.1B
$3.1B
Q1 25
$2.9B
$2.9B
Q4 24
$3.1B
$2.7B
Q3 24
$2.9B
$2.6B
Q2 24
$2.7B
$2.4B
Q1 24
$2.6B
$2.3B
Net Profit
BTSG
BTSG
BTSGU
BTSGU
Q4 25
$77.1M
$77.3M
Q3 25
$55.8M
$55.8M
Q2 25
$28.2M
$28.2M
Q1 25
$29.5M
$29.5M
Q4 24
$16.0M
$15.4M
Q3 24
$-8.2M
$-8.2M
Q2 24
$19.9M
$19.9M
Q1 24
$-45.8M
$-45.8M
Gross Margin
BTSG
BTSG
BTSGU
BTSGU
Q4 25
11.6%
11.6%
Q3 25
11.8%
11.8%
Q2 25
11.9%
11.9%
Q1 25
11.8%
11.8%
Q4 24
13.8%
12.3%
Q3 24
14.0%
12.4%
Q2 24
14.2%
12.8%
Q1 24
14.3%
12.8%
Operating Margin
BTSG
BTSG
BTSGU
BTSGU
Q4 25
3.0%
3.0%
Q3 25
2.6%
2.6%
Q2 25
1.5%
1.5%
Q1 25
1.8%
1.8%
Q4 24
2.6%
2.0%
Q3 24
2.0%
1.1%
Q2 24
2.3%
1.6%
Q1 24
0.3%
-0.7%
Net Margin
BTSG
BTSG
BTSGU
BTSGU
Q4 25
2.2%
2.2%
Q3 25
1.7%
1.7%
Q2 25
0.9%
0.9%
Q1 25
1.0%
1.0%
Q4 24
0.5%
0.6%
Q3 24
-0.3%
-0.3%
Q2 24
0.7%
0.8%
Q1 24
-1.8%
-2.0%
EPS (diluted)
BTSG
BTSG
BTSGU
BTSGU
Q4 25
$0.34
$0.34
Q3 25
$0.26
$0.26
Q2 25
$0.13
$0.13
Q1 25
$0.14
$0.14
Q4 24
$0.11
$0.11
Q3 24
$-0.04
$-0.04
Q2 24
$0.10
$0.10
Q1 24
$-0.26
$-0.26

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest filing — the kind of financial-strength check premium terminals charge for.

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

8-quarter trend — quarters aligned by calendar period so offset fiscal years match up.

Cash + ST Investments
BTSG
BTSG
BTSGU
BTSGU
Q4 25
$88.4M
$88.4M
Q3 25
$140.3M
$140.3M
Q2 25
$70.1M
$70.1M
Q1 25
$52.3M
$52.3M
Q4 24
$61.3M
$61.0M
Q3 24
$36.0M
$36.0M
Q2 24
$25.0M
$25.0M
Q1 24
$58.0M
$58.0M
Total Debt
BTSG
BTSG
BTSGU
BTSGU
Q4 25
$2.5B
$2.5B
Q3 25
$2.5B
$2.5B
Q2 25
$2.5B
$2.5B
Q1 25
$2.5B
$2.5B
Q4 24
$2.6B
$2.6B
Q3 24
$2.7B
$2.7B
Q2 24
$2.6B
$2.6B
Q1 24
$2.6B
$2.6B
Stockholders' Equity
BTSG
BTSG
BTSGU
BTSGU
Q4 25
$1.9B
$1.9B
Q3 25
$1.8B
$1.8B
Q2 25
$1.7B
$1.7B
Q1 25
$1.7B
$1.7B
Q4 24
$1.6B
$1.6B
Q3 24
$1.6B
$1.6B
Q2 24
$1.6B
$1.6B
Q1 24
$1.6B
$1.6B
Total Assets
BTSG
BTSG
BTSGU
BTSGU
Q4 25
$6.4B
$6.4B
Q3 25
$6.0B
$6.0B
Q2 25
$5.9B
$5.9B
Q1 25
$5.8B
$5.8B
Q4 24
$5.9B
$5.9B
Q3 24
$5.8B
$5.8B
Q2 24
$5.6B
$5.6B
Q1 24
$5.7B
$5.7B
Debt / Equity
BTSG
BTSG
BTSGU
BTSGU
Q4 25
1.34×
1.34×
Q3 25
1.38×
1.38×
Q2 25
1.45×
1.45×
Q1 25
1.50×
1.50×
Q4 24
1.58×
1.58×
Q3 24
1.65×
1.65×
Q2 24
1.63×
1.63×
Q1 24
1.64×
1.64×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Net income can be massaged; cash flow is harder to fake.

Metric
BTSG
BTSG
BTSGU
BTSGU
Operating Cash FlowLast quarter
$231.6M
$231.6M
Free Cash FlowOCF − Capex
$193.9M
$193.9M
FCF MarginFCF / Revenue
5.5%
5.5%
Capex IntensityCapex / Revenue; lower = less reinvestment burden
1.1%
1.1%
Cash ConversionOCF / Net Profit; >1× = earnings back up with cash
3.00×
2.99×
TTM Free Cash FlowTrailing 4 quarters
$394.7M
$394.7M

8-quarter trend — quarters aligned by calendar period so offset fiscal years match up.

Operating Cash Flow
BTSG
BTSG
BTSGU
BTSGU
Q4 25
$231.6M
$231.6M
Q3 25
$107.9M
$107.9M
Q2 25
$49.1M
$49.1M
Q1 25
$101.6M
$101.6M
Q4 24
$90.6M
$90.6M
Q3 24
$27.2M
$27.2M
Q2 24
$-15.2M
$-15.2M
Q1 24
$-78.9M
$-78.9M
Free Cash Flow
BTSG
BTSG
BTSGU
BTSGU
Q4 25
$193.9M
$193.9M
Q3 25
$92.2M
$92.2M
Q2 25
$24.7M
$24.7M
Q1 25
$84.0M
$84.0M
Q4 24
$75.3M
$75.3M
Q3 24
$7.2M
$7.2M
Q2 24
$-39.0M
$-39.0M
Q1 24
$-100.7M
$-100.7M
FCF Margin
BTSG
BTSG
BTSGU
BTSGU
Q4 25
5.5%
5.5%
Q3 25
2.8%
2.8%
Q2 25
0.8%
0.8%
Q1 25
2.9%
2.9%
Q4 24
2.5%
2.7%
Q3 24
0.2%
0.3%
Q2 24
-1.4%
-1.6%
Q1 24
-3.9%
-4.4%
Capex Intensity
BTSG
BTSG
BTSGU
BTSGU
Q4 25
1.1%
1.1%
Q3 25
0.5%
0.5%
Q2 25
0.8%
0.8%
Q1 25
0.6%
0.6%
Q4 24
0.5%
0.6%
Q3 24
0.7%
0.8%
Q2 24
0.9%
1.0%
Q1 24
0.8%
1.0%
Cash Conversion
BTSG
BTSG
BTSGU
BTSGU
Q4 25
3.00×
2.99×
Q3 25
1.93×
1.93×
Q2 25
1.74×
1.74×
Q1 25
3.44×
3.44×
Q4 24
5.66×
5.88×
Q3 24
Q2 24
-0.76×
-0.76×
Q1 24

Financial Flow Comparison

Sankey diagram of revenue → gross profit → operating profit → net profit for each company. Charts shown full-width and stacked so both segment hierarchies are readable side-by-side on desktop and mobile.

Revenue Breakdown by Segment

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%

BTSGU
BTSGU

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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