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Side-by-side financial comparison of BrightSpring Health Services, Inc. (BTSG) and CASEYS GENERAL STORES INC (CASY). Click either name above to swap in a different company.

CASEYS GENERAL STORES INC is the larger business by last-quarter revenue ($4.5B vs $3.6B, roughly 1.3× BrightSpring Health Services, Inc.). CASEYS GENERAL STORES INC runs the higher net margin — 4.6% vs 2.2%, a 2.4% gap on every dollar of revenue. On growth, BrightSpring Health Services, Inc. posted the faster year-over-year revenue change (16.3% vs 14.2%). BrightSpring Health Services, Inc. produced more free cash flow last quarter ($193.9M vs $176.0M). Over the past eight quarters, BrightSpring Health Services, Inc.'s revenue compounded faster (17.4% CAGR vs 16.3%).

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...

Casey's Retail Company is a chain of convenience stores in the Midwestern and Southern United States. The company is headquartered in Ankeny, Iowa, a suburb of Des Moines. As of October 1, 2023, Casey's had 2,500 stores in 16 states. Following 7-Eleven's purchase of Speedway, Casey's is the third-largest convenience store chain in the United States and the largest that is wholly American-owned. It is one of two Iowa-based Fortune 500 companies. Casey's is famous for their pizza, including a b...

BTSG vs CASY — Head-to-Head

Bigger by revenue
CASY
CASY
1.3× larger
CASY
$4.5B
$3.6B
BTSG
Growing faster (revenue YoY)
BTSG
BTSG
+2.1% gap
BTSG
16.3%
14.2%
CASY
Higher net margin
CASY
CASY
2.4% more per $
CASY
4.6%
2.2%
BTSG
More free cash flow
BTSG
BTSG
$17.9M more FCF
BTSG
$193.9M
$176.0M
CASY
Faster 2-yr revenue CAGR
BTSG
BTSG
Annualised
BTSG
17.4%
16.3%
CASY

Income Statement — Q4 FY2025 vs Q2 FY2026

Metric
BTSG
BTSG
CASY
CASY
Revenue
$3.6B
$4.5B
Net Profit
$77.1M
$206.3M
Gross Margin
11.6%
Operating Margin
3.0%
6.1%
Net Margin
2.2%
4.6%
Revenue YoY
16.3%
14.2%
Net Profit YoY
381.8%
14.0%
EPS (diluted)
$0.34
$5.53

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
BTSG
BTSG
CASY
CASY
Q4 25
$3.6B
$4.5B
Q3 25
$3.3B
$4.6B
Q2 25
$3.1B
$4.0B
Q1 25
$2.9B
$3.9B
Q4 24
$3.1B
$3.9B
Q3 24
$2.9B
$4.1B
Q2 24
$2.7B
$3.6B
Q1 24
$2.6B
$3.3B
Net Profit
BTSG
BTSG
CASY
CASY
Q4 25
$77.1M
$206.3M
Q3 25
$55.8M
$215.4M
Q2 25
$28.2M
$98.3M
Q1 25
$29.5M
$87.1M
Q4 24
$16.0M
$180.9M
Q3 24
$-8.2M
$180.2M
Q2 24
$19.9M
$87.0M
Q1 24
$-45.8M
$86.9M
Gross Margin
BTSG
BTSG
CASY
CASY
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%
Q1 24
14.3%
Operating Margin
BTSG
BTSG
CASY
CASY
Q4 25
3.0%
6.1%
Q3 25
2.6%
6.1%
Q2 25
1.5%
Q1 25
1.8%
2.8%
Q4 24
2.6%
6.1%
Q3 24
2.0%
5.8%
Q2 24
2.3%
Q1 24
0.3%
3.4%
Net Margin
BTSG
BTSG
CASY
CASY
Q4 25
2.2%
4.6%
Q3 25
1.7%
4.7%
Q2 25
0.9%
2.5%
Q1 25
1.0%
2.2%
Q4 24
0.5%
4.6%
Q3 24
-0.3%
4.4%
Q2 24
0.7%
2.4%
Q1 24
-1.8%
2.6%
EPS (diluted)
BTSG
BTSG
CASY
CASY
Q4 25
$0.34
$5.53
Q3 25
$0.26
$5.77
Q2 25
$0.13
$2.63
Q1 25
$0.14
$2.33
Q4 24
$0.11
$4.85
Q3 24
$-0.04
$4.83
Q2 24
$0.10
$2.34
Q1 24
$-0.26
$2.33

Balance Sheet & Financial Strength

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

Metric
BTSG
BTSG
CASY
CASY
Cash + ST InvestmentsLiquidity on hand
$88.4M
$492.0M
Total DebtLower is stronger
$2.5B
Stockholders' EquityBook value
$1.9B
$3.8B
Total Assets
$6.4B
$8.6B
Debt / EquityLower = less leverage
1.34×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
BTSG
BTSG
CASY
CASY
Q4 25
$88.4M
$492.0M
Q3 25
$140.3M
$458.1M
Q2 25
$70.1M
$326.7M
Q1 25
$52.3M
$394.8M
Q4 24
$61.3M
$351.7M
Q3 24
$36.0M
$305.0M
Q2 24
$25.0M
$206.5M
Q1 24
$58.0M
$177.9M
Total Debt
BTSG
BTSG
CASY
CASY
Q4 25
$2.5B
Q3 25
$2.5B
Q2 25
$2.5B
$2.4B
Q1 25
$2.5B
Q4 24
$2.6B
Q3 24
$2.7B
Q2 24
$2.6B
$1.6B
Q1 24
$2.6B
Stockholders' Equity
BTSG
BTSG
CASY
CASY
Q4 25
$1.9B
$3.8B
Q3 25
$1.8B
$3.6B
Q2 25
$1.7B
$3.5B
Q1 25
$1.7B
$3.4B
Q4 24
$1.6B
$3.3B
Q3 24
$1.6B
$3.2B
Q2 24
$1.6B
$3.0B
Q1 24
$1.6B
$2.9B
Total Assets
BTSG
BTSG
CASY
CASY
Q4 25
$6.4B
$8.6B
Q3 25
$6.0B
$8.4B
Q2 25
$5.9B
$8.2B
Q1 25
$5.8B
$8.2B
Q4 24
$5.9B
$7.7B
Q3 24
$5.8B
$6.5B
Q2 24
$5.6B
$6.3B
Q1 24
$5.7B
$6.2B
Debt / Equity
BTSG
BTSG
CASY
CASY
Q4 25
1.34×
Q3 25
1.38×
Q2 25
1.45×
0.69×
Q1 25
1.50×
Q4 24
1.58×
Q3 24
1.65×
Q2 24
1.63×
0.52×
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
BTSG
BTSG
CASY
CASY
Operating Cash FlowLast quarter
$231.6M
$347.1M
Free Cash FlowOCF − Capex
$193.9M
$176.0M
FCF MarginFCF / Revenue
5.5%
3.9%
Capex IntensityCapex / Revenue
1.1%
3.8%
Cash ConversionOCF / Net Profit
3.00×
1.68×
TTM Free Cash FlowTrailing 4 quarters
$394.7M
$682.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
BTSG
BTSG
CASY
CASY
Q4 25
$231.6M
$347.1M
Q3 25
$107.9M
$372.4M
Q2 25
$49.1M
$333.9M
Q1 25
$101.6M
$204.9M
Q4 24
$90.6M
$270.7M
Q3 24
$27.2M
$281.4M
Q2 24
$-15.2M
$288.4M
Q1 24
$-78.9M
$122.8M
Free Cash Flow
BTSG
BTSG
CASY
CASY
Q4 25
$193.9M
$176.0M
Q3 25
$92.2M
$262.4M
Q2 25
$24.7M
$153.1M
Q1 25
$84.0M
$90.7M
Q4 24
$75.3M
$160.0M
Q3 24
$7.2M
$180.8M
Q2 24
$-39.0M
$92.1M
Q1 24
$-100.7M
$-27.0M
FCF Margin
BTSG
BTSG
CASY
CASY
Q4 25
5.5%
3.9%
Q3 25
2.8%
5.7%
Q2 25
0.8%
3.8%
Q1 25
2.9%
2.3%
Q4 24
2.5%
4.1%
Q3 24
0.2%
4.4%
Q2 24
-1.4%
2.6%
Q1 24
-3.9%
-0.8%
Capex Intensity
BTSG
BTSG
CASY
CASY
Q4 25
1.1%
3.8%
Q3 25
0.5%
2.4%
Q2 25
0.8%
4.5%
Q1 25
0.6%
2.9%
Q4 24
0.5%
2.8%
Q3 24
0.7%
2.5%
Q2 24
0.9%
5.5%
Q1 24
0.8%
4.5%
Cash Conversion
BTSG
BTSG
CASY
CASY
Q4 25
3.00×
1.68×
Q3 25
1.93×
1.73×
Q2 25
1.74×
3.40×
Q1 25
3.44×
2.35×
Q4 24
5.66×
1.50×
Q3 24
1.56×
Q2 24
-0.76×
3.31×
Q1 24
1.41×

Financial Flow Comparison

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

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%

CASY
CASY

Segment breakdown not available.

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