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Side-by-side financial comparison of BrightSpring Health Services, Inc. (BTSG) and COMMUNITY HEALTH SYSTEMS INC (CYH). 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 $3.1B, roughly 1.1× COMMUNITY HEALTH SYSTEMS INC). COMMUNITY HEALTH SYSTEMS INC runs the higher net margin — 3.5% vs 2.2%, a 1.4% gap on every dollar of revenue. On growth, BrightSpring Health Services, Inc. posted the faster year-over-year revenue change (16.3% vs -4.8%). BrightSpring Health Services, Inc. produced more free cash flow last quarter ($193.9M vs $172.0M). Over the past eight quarters, BrightSpring Health Services, Inc.'s revenue compounded faster (17.4% CAGR vs -0.5%).
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...
Community Health Systems (CHS) is a Fortune 500 company based in Franklin, Tennessee. It was the largest provider of general hospital healthcare services in the United States in terms of number of acute care facilities. In 2014, CHS had around 200 hospitals, but the number had declined to around 85 in 2021.
BTSG vs CYH — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $3.6B | $3.1B |
| Net Profit | $77.1M | $110.0M |
| Gross Margin | 11.6% | 85.6% |
| Operating Margin | 3.0% | 14.5% |
| Net Margin | 2.2% | 3.5% |
| Revenue YoY | 16.3% | -4.8% |
| Net Profit YoY | 381.8% | 254.9% |
| EPS (diluted) | $0.34 | $0.82 |
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.
| Q4 25 | $3.6B | $3.1B | ||
| Q3 25 | $3.3B | $3.1B | ||
| Q2 25 | $3.1B | $3.1B | ||
| Q1 25 | $2.9B | $3.2B | ||
| Q4 24 | $3.1B | $3.3B | ||
| Q3 24 | $2.9B | $3.1B | ||
| Q2 24 | $2.7B | $3.1B | ||
| Q1 24 | $2.6B | $3.1B |
| Q4 25 | $77.1M | $110.0M | ||
| Q3 25 | $55.8M | $130.0M | ||
| Q2 25 | $28.2M | $282.0M | ||
| Q1 25 | $29.5M | $-13.0M | ||
| Q4 24 | $16.0M | $-71.0M | ||
| Q3 24 | $-8.2M | $-391.0M | ||
| Q2 24 | $19.9M | $-13.0M | ||
| Q1 24 | $-45.8M | $-41.0M |
| Q4 25 | 11.6% | 85.6% | ||
| Q3 25 | 11.8% | 85.1% | ||
| Q2 25 | 11.9% | 85.0% | ||
| Q1 25 | 11.8% | 84.5% | ||
| Q4 24 | 13.8% | 84.5% | ||
| Q3 24 | 14.0% | 84.8% | ||
| Q2 24 | 14.2% | 84.6% | ||
| Q1 24 | 14.3% | 84.5% |
| Q4 25 | 3.0% | 14.5% | ||
| Q3 25 | 2.6% | 7.9% | ||
| Q2 25 | 1.5% | 16.3% | ||
| Q1 25 | 1.8% | 9.0% | ||
| Q4 24 | 2.6% | 8.5% | ||
| Q3 24 | 2.0% | -6.6% | ||
| Q2 24 | 2.3% | 7.6% | ||
| Q1 24 | 0.3% | 7.4% |
| Q4 25 | 2.2% | 3.5% | ||
| Q3 25 | 1.7% | 4.2% | ||
| Q2 25 | 0.9% | 9.0% | ||
| Q1 25 | 1.0% | -0.4% | ||
| Q4 24 | 0.5% | -2.2% | ||
| Q3 24 | -0.3% | -12.7% | ||
| Q2 24 | 0.7% | -0.4% | ||
| Q1 24 | -1.8% | -1.3% |
| Q4 25 | $0.34 | $0.82 | ||
| Q3 25 | $0.26 | $0.96 | ||
| Q2 25 | $0.13 | $2.09 | ||
| Q1 25 | $0.14 | $-0.10 | ||
| Q4 24 | $0.11 | $-0.53 | ||
| Q3 24 | $-0.04 | $-2.95 | ||
| Q2 24 | $0.10 | $-0.10 | ||
| Q1 24 | $-0.26 | $-0.32 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $88.4M | $260.0M |
| Total DebtLower is stronger | $2.5B | $10.4B |
| Stockholders' EquityBook value | $1.9B | $-1.4B |
| Total Assets | $6.4B | $13.2B |
| Debt / EquityLower = less leverage | 1.34× | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $88.4M | $260.0M | ||
| Q3 25 | $140.3M | $123.0M | ||
| Q2 25 | $70.1M | $456.0M | ||
| Q1 25 | $52.3M | $431.0M | ||
| Q4 24 | $61.3M | $37.0M | ||
| Q3 24 | $36.0M | $33.0M | ||
| Q2 24 | $25.0M | $39.0M | ||
| Q1 24 | $58.0M | $48.0M |
| Q4 25 | $2.5B | $10.4B | ||
| Q3 25 | $2.5B | — | ||
| Q2 25 | $2.5B | — | ||
| Q1 25 | $2.5B | — | ||
| Q4 24 | $2.6B | $11.5B | ||
| Q3 24 | $2.7B | — | ||
| Q2 24 | $2.6B | — | ||
| Q1 24 | $2.6B | — |
| Q4 25 | $1.9B | $-1.4B | ||
| Q3 25 | $1.8B | $-1.5B | ||
| Q2 25 | $1.7B | $-1.6B | ||
| Q1 25 | $1.7B | $-1.9B | ||
| Q4 24 | $1.6B | $-1.9B | ||
| Q3 24 | $1.6B | $-1.8B | ||
| Q2 24 | $1.6B | $-1.4B | ||
| Q1 24 | $1.6B | $-1.4B |
| Q4 25 | $6.4B | $13.2B | ||
| Q3 25 | $6.0B | $13.2B | ||
| Q2 25 | $5.9B | $13.6B | ||
| Q1 25 | $5.8B | $13.9B | ||
| Q4 24 | $5.9B | $14.1B | ||
| Q3 24 | $5.8B | $13.9B | ||
| Q2 24 | $5.6B | $14.4B | ||
| Q1 24 | $5.7B | $14.4B |
| Q4 25 | 1.34× | — | ||
| Q3 25 | 1.38× | — | ||
| Q2 25 | 1.45× | — | ||
| Q1 25 | 1.50× | — | ||
| Q4 24 | 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 | | |
|---|---|---|
| Operating Cash FlowLast quarter | $231.6M | $266.0M |
| Free Cash FlowOCF − Capex | $193.9M | $172.0M |
| FCF MarginFCF / Revenue | 5.5% | 5.5% |
| Capex IntensityCapex / Revenue | 1.1% | 3.0% |
| Cash ConversionOCF / Net Profit | 3.00× | 2.42× |
| TTM Free Cash FlowTrailing 4 quarters | $394.7M | $208.0M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $231.6M | $266.0M | ||
| Q3 25 | $107.9M | $69.0M | ||
| Q2 25 | $49.1M | $88.0M | ||
| Q1 25 | $101.6M | $120.0M | ||
| Q4 24 | $90.6M | $216.0M | ||
| Q3 24 | $27.2M | $67.0M | ||
| Q2 24 | $-15.2M | $101.0M | ||
| Q1 24 | $-78.9M | $96.0M |
| Q4 25 | $193.9M | $172.0M | ||
| Q3 25 | $92.2M | $4.0M | ||
| Q2 25 | $24.7M | $-3.0M | ||
| Q1 25 | $84.0M | $35.0M | ||
| Q4 24 | $75.3M | $107.0M | ||
| Q3 24 | $7.2M | $-3.0M | ||
| Q2 24 | $-39.0M | $13.0M | ||
| Q1 24 | $-100.7M | $3.0M |
| Q4 25 | 5.5% | 5.5% | ||
| Q3 25 | 2.8% | 0.1% | ||
| Q2 25 | 0.8% | -0.1% | ||
| Q1 25 | 2.9% | 1.1% | ||
| Q4 24 | 2.5% | 3.3% | ||
| Q3 24 | 0.2% | -0.1% | ||
| Q2 24 | -1.4% | 0.4% | ||
| Q1 24 | -3.9% | 0.1% |
| Q4 25 | 1.1% | 3.0% | ||
| Q3 25 | 0.5% | 2.1% | ||
| Q2 25 | 0.8% | 2.9% | ||
| Q1 25 | 0.6% | 2.7% | ||
| Q4 24 | 0.5% | 3.3% | ||
| Q3 24 | 0.7% | 2.3% | ||
| Q2 24 | 0.9% | 2.8% | ||
| Q1 24 | 0.8% | 3.0% |
| Q4 25 | 3.00× | 2.42× | ||
| Q3 25 | 1.93× | 0.53× | ||
| Q2 25 | 1.74× | 0.31× | ||
| Q1 25 | 3.44× | — | ||
| Q4 24 | 5.66× | — | ||
| Q3 24 | — | — | ||
| Q2 24 | -0.76× | — | ||
| Q1 24 | — | — |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
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% |
CYH
| Managed Care And Other Third Party Payors | $1.5B | 49% |
| Medicare Managed Care | $570.0M | 18% |
| Medicare | $512.0M | 16% |
| Medicaid | $464.0M | 15% |
| Self Pay Revenue | $34.0M | 1% |
