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Side-by-side financial comparison of BrightSpring Health Services, Inc. (BTSG) and LESAKA TECHNOLOGIES INC (LSAK). 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 $3.0B, roughly 1.2× LESAKA TECHNOLOGIES INC). BrightSpring Health Services, Inc. runs the higher net margin — 2.2% vs 0.0%, a 2.2% gap on every dollar of revenue. On growth, BrightSpring Health Services, Inc. posted the faster year-over-year revenue change (16.3% vs 0.2%). Over the past eight quarters, LESAKA TECHNOLOGIES INC's revenue compounded faster (352.8% 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...

Lesaka Technologies is a South-African financial technology company that is listed on the NASDAQ and Johannesburg Stock Exchange. Lesaka’s primary focus is on financial inclusion, offering financial services to previously underserved communities and merchants.

BTSG vs LSAK — Head-to-Head

Bigger by revenue
BTSG
BTSG
1.2× larger
BTSG
$3.6B
$3.0B
LSAK
Growing faster (revenue YoY)
BTSG
BTSG
+16.1% gap
BTSG
16.3%
0.2%
LSAK
Higher net margin
BTSG
BTSG
2.2% more per $
BTSG
2.2%
0.0%
LSAK
Faster 2-yr revenue CAGR
LSAK
LSAK
Annualised
LSAK
352.8%
17.4%
BTSG

Income Statement — Q4 FY2025 vs Q1 FY2027

Metric
BTSG
BTSG
LSAK
LSAK
Revenue
$3.6B
$3.0B
Net Profit
$77.1M
$437.0K
Gross Margin
11.6%
Operating Margin
3.0%
2.2%
Net Margin
2.2%
0.0%
Revenue YoY
16.3%
0.2%
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
BTSG
BTSG
LSAK
LSAK
Q3 26
$3.0B
Q4 25
$3.6B
$178.7M
Q3 25
$3.3B
$171.4M
Q2 25
$3.1B
$168.5M
Q1 25
$2.9B
$161.4M
Q4 24
$3.1B
$176.2M
Q3 24
$2.9B
$153.6M
Q2 24
$2.7B
$146.0M
Net Profit
BTSG
BTSG
LSAK
LSAK
Q3 26
$437.0K
Q4 25
$77.1M
$3.6M
Q3 25
$55.8M
$-4.3M
Q2 25
$28.2M
$-28.4M
Q1 25
$29.5M
$-22.1M
Q4 24
$16.0M
$-32.5M
Q3 24
$-8.2M
$-4.5M
Q2 24
$19.9M
$-5.0M
Gross Margin
BTSG
BTSG
LSAK
LSAK
Q3 26
Q4 25
11.6%
31.4%
Q3 25
11.8%
30.9%
Q2 25
11.9%
28.9%
Q1 25
11.8%
27.5%
Q4 24
13.8%
25.7%
Q3 24
14.0%
22.6%
Q2 24
14.2%
22.6%
Operating Margin
BTSG
BTSG
LSAK
LSAK
Q3 26
2.2%
Q4 25
3.0%
1.2%
Q3 25
2.6%
0.2%
Q2 25
1.5%
-16.7%
Q1 25
1.8%
0.4%
Q4 24
2.6%
0.3%
Q3 24
2.0%
-0.0%
Q2 24
2.3%
0.2%
Net Margin
BTSG
BTSG
LSAK
LSAK
Q3 26
0.0%
Q4 25
2.2%
2.0%
Q3 25
1.7%
-2.5%
Q2 25
0.9%
-16.9%
Q1 25
1.0%
-13.7%
Q4 24
0.5%
-18.4%
Q3 24
-0.3%
-3.0%
Q2 24
0.7%
-3.4%
EPS (diluted)
BTSG
BTSG
LSAK
LSAK
Q3 26
Q4 25
$0.34
$0.04
Q3 25
$0.26
$-0.05
Q2 25
$0.13
$-0.40
Q1 25
$0.14
$-0.27
Q4 24
$0.11
$-0.40
Q3 24
$-0.04
$-0.07
Q2 24
$0.10
$-0.08

Balance Sheet & Financial Strength

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

Metric
BTSG
BTSG
LSAK
LSAK
Cash + ST InvestmentsLiquidity on hand
$88.4M
$1.5B
Total DebtLower is stronger
$2.5B
$3.2B
Stockholders' EquityBook value
$1.9B
Total Assets
$6.4B
$11.5B
Debt / EquityLower = less leverage
1.34×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
BTSG
BTSG
LSAK
LSAK
Q3 26
$1.5B
Q4 25
$88.4M
$69.5M
Q3 25
$140.3M
$72.2M
Q2 25
$70.1M
$76.5M
Q1 25
$52.3M
$71.0M
Q4 24
$61.3M
$60.6M
Q3 24
$36.0M
$49.7M
Q2 24
$25.0M
$59.1M
Total Debt
BTSG
BTSG
LSAK
LSAK
Q3 26
$3.2B
Q4 25
$2.5B
$216.8M
Q3 25
$2.5B
$208.1M
Q2 25
$2.5B
$200.8M
Q1 25
$2.5B
$194.7M
Q4 24
$2.6B
$148.7M
Q3 24
$2.7B
$148.5M
Q2 24
$2.6B
$143.2M
Stockholders' Equity
BTSG
BTSG
LSAK
LSAK
Q3 26
Q4 25
$1.9B
$180.6M
Q3 25
$1.8B
$170.4M
Q2 25
$1.7B
$161.6M
Q1 25
$1.7B
$185.2M
Q4 24
$1.6B
$193.3M
Q3 24
$1.6B
$184.2M
Q2 24
$1.6B
$175.9M
Total Assets
BTSG
BTSG
LSAK
LSAK
Q3 26
$11.5B
Q4 25
$6.4B
$704.6M
Q3 25
$6.0B
$652.9M
Q2 25
$5.9B
$653.7M
Q1 25
$5.8B
$649.2M
Q4 24
$5.9B
$640.6M
Q3 24
$5.8B
$551.9M
Q2 24
$5.6B
$558.5M
Debt / Equity
BTSG
BTSG
LSAK
LSAK
Q3 26
Q4 25
1.34×
1.20×
Q3 25
1.38×
1.22×
Q2 25
1.45×
1.24×
Q1 25
1.50×
1.05×
Q4 24
1.58×
0.77×
Q3 24
1.65×
0.81×
Q2 24
1.63×
0.81×

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
LSAK
LSAK
Operating Cash FlowLast quarter
$231.6M
Free Cash FlowOCF − Capex
$193.9M
FCF MarginFCF / Revenue
5.5%
Capex IntensityCapex / Revenue
1.1%
Cash ConversionOCF / Net Profit
3.00×
TTM Free Cash FlowTrailing 4 quarters
$394.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
BTSG
BTSG
LSAK
LSAK
Q3 26
Q4 25
$231.6M
$-10.9M
Q3 25
$107.9M
$8.9M
Q2 25
$49.1M
$-9.1M
Q1 25
$101.6M
$10.7M
Q4 24
$90.6M
$-9.2M
Q3 24
$27.2M
$-4.1M
Q2 24
$-15.2M
$5.7M
Free Cash Flow
BTSG
BTSG
LSAK
LSAK
Q3 26
Q4 25
$193.9M
$-14.8M
Q3 25
$92.2M
$4.9M
Q2 25
$24.7M
$-13.2M
Q1 25
$84.0M
$7.8M
Q4 24
$75.3M
$-15.5M
Q3 24
$7.2M
$-8.1M
Q2 24
$-39.0M
$937.0K
FCF Margin
BTSG
BTSG
LSAK
LSAK
Q3 26
Q4 25
5.5%
-8.3%
Q3 25
2.8%
2.9%
Q2 25
0.8%
-7.8%
Q1 25
2.9%
4.9%
Q4 24
2.5%
-8.8%
Q3 24
0.2%
-5.3%
Q2 24
-1.4%
0.6%
Capex Intensity
BTSG
BTSG
LSAK
LSAK
Q3 26
Q4 25
1.1%
2.2%
Q3 25
0.5%
2.3%
Q2 25
0.8%
2.4%
Q1 25
0.6%
1.7%
Q4 24
0.5%
3.6%
Q3 24
0.7%
2.6%
Q2 24
0.9%
3.2%
Cash Conversion
BTSG
BTSG
LSAK
LSAK
Q3 26
Q4 25
3.00×
-2.99×
Q3 25
1.93×
Q2 25
1.74×
Q1 25
3.44×
Q4 24
5.66×
Q3 24
Q2 24
-0.76×

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%

LSAK
LSAK

Segment breakdown not available.

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