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Side-by-side financial comparison of BrightSpring Health Services, Inc. (BTSG) and Vistra Corp. (VST). Click either name above to swap in a different company.

Vistra Corp. is the larger business by last-quarter revenue ($4.8B vs $3.6B, roughly 1.4× BrightSpring Health Services, Inc.). Vistra Corp. runs the higher net margin — 4.8% vs 2.2%, a 2.7% gap on every dollar of revenue. On growth, Vistra Corp. posted the faster year-over-year revenue change (31.2% vs 16.3%). Vistra Corp. produced more free cash flow last quarter ($596.0M vs $193.9M). Over the past eight quarters, Vistra Corp.'s revenue compounded faster (23.3% 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...

Vistra may refer to either of two companies:Vistra, a corporate services company based in Hong Kong Vistra Corp, an energy company based in Texas

BTSG vs VST — Head-to-Head

Bigger by revenue
VST
VST
1.4× larger
VST
$4.8B
$3.6B
BTSG
Growing faster (revenue YoY)
VST
VST
+14.9% gap
VST
31.2%
16.3%
BTSG
Higher net margin
VST
VST
2.7% more per $
VST
4.8%
2.2%
BTSG
More free cash flow
VST
VST
$402.1M more FCF
VST
$596.0M
$193.9M
BTSG
Faster 2-yr revenue CAGR
VST
VST
Annualised
VST
23.3%
17.4%
BTSG

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
BTSG
BTSG
VST
VST
Revenue
$3.6B
$4.8B
Net Profit
$77.1M
$233.0M
Gross Margin
11.6%
Operating Margin
3.0%
9.9%
Net Margin
2.2%
4.8%
Revenue YoY
16.3%
31.2%
Net Profit YoY
381.8%
-47.2%
EPS (diluted)
$0.34
$0.55

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
VST
VST
Q4 25
$3.6B
$4.8B
Q3 25
$3.3B
$4.8B
Q2 25
$3.1B
$3.8B
Q1 25
$2.9B
$4.3B
Q4 24
$3.1B
$3.7B
Q3 24
$2.9B
$4.3B
Q2 24
$2.7B
$3.6B
Q1 24
$2.6B
$3.2B
Net Profit
BTSG
BTSG
VST
VST
Q4 25
$77.1M
$233.0M
Q3 25
$55.8M
$652.0M
Q2 25
$28.2M
$327.0M
Q1 25
$29.5M
$-268.0M
Q4 24
$16.0M
$441.0M
Q3 24
$-8.2M
$1.9B
Q2 24
$19.9M
$365.0M
Q1 24
$-45.8M
$-35.0M
Gross Margin
BTSG
BTSG
VST
VST
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
VST
VST
Q4 25
3.0%
9.9%
Q3 25
2.6%
21.7%
Q2 25
1.5%
13.7%
Q1 25
1.8%
-2.8%
Q4 24
2.6%
16.4%
Q3 24
2.0%
59.6%
Q2 24
2.3%
22.5%
Q1 24
0.3%
2.7%
Net Margin
BTSG
BTSG
VST
VST
Q4 25
2.2%
4.8%
Q3 25
1.7%
13.6%
Q2 25
0.9%
8.7%
Q1 25
1.0%
-6.3%
Q4 24
0.5%
12.0%
Q3 24
-0.3%
43.5%
Q2 24
0.7%
10.1%
Q1 24
-1.8%
-1.1%
EPS (diluted)
BTSG
BTSG
VST
VST
Q4 25
$0.34
$0.55
Q3 25
$0.26
$1.75
Q2 25
$0.13
$0.81
Q1 25
$0.14
$-0.93
Q4 24
$0.11
$1.09
Q3 24
$-0.04
$5.25
Q2 24
$0.10
$0.90
Q1 24
$-0.26
$-0.24

Balance Sheet & Financial Strength

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

Metric
BTSG
BTSG
VST
VST
Cash + ST InvestmentsLiquidity on hand
$88.4M
$785.0M
Total DebtLower is stronger
$2.5B
$15.8B
Stockholders' EquityBook value
$1.9B
$5.1B
Total Assets
$6.4B
$41.5B
Debt / EquityLower = less leverage
1.34×
3.11×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
BTSG
BTSG
VST
VST
Q4 25
$88.4M
$785.0M
Q3 25
$140.3M
$602.0M
Q2 25
$70.1M
$458.0M
Q1 25
$52.3M
$561.0M
Q4 24
$61.3M
$1.2B
Q3 24
$36.0M
$905.0M
Q2 24
$25.0M
$1.6B
Q1 24
$58.0M
$1.1B
Total Debt
BTSG
BTSG
VST
VST
Q4 25
$2.5B
$15.8B
Q3 25
$2.5B
$15.8B
Q2 25
$2.5B
$15.5B
Q1 25
$2.5B
$15.4B
Q4 24
$2.6B
$15.4B
Q3 24
$2.7B
$13.9B
Q2 24
$2.6B
$13.9B
Q1 24
$2.6B
$14.7B
Stockholders' Equity
BTSG
BTSG
VST
VST
Q4 25
$1.9B
$5.1B
Q3 25
$1.8B
$5.2B
Q2 25
$1.7B
$4.8B
Q1 25
$1.7B
$4.8B
Q4 24
$1.6B
$5.6B
Q3 24
$1.6B
$5.4B
Q2 24
$1.6B
$5.6B
Q1 24
$1.6B
$5.7B
Total Assets
BTSG
BTSG
VST
VST
Q4 25
$6.4B
$41.5B
Q3 25
$6.0B
$38.0B
Q2 25
$5.9B
$38.1B
Q1 25
$5.8B
$38.2B
Q4 24
$5.9B
$37.8B
Q3 24
$5.8B
$37.9B
Q2 24
$5.6B
$39.1B
Q1 24
$5.7B
$38.2B
Debt / Equity
BTSG
BTSG
VST
VST
Q4 25
1.34×
3.11×
Q3 25
1.38×
3.02×
Q2 25
1.45×
3.22×
Q1 25
1.50×
3.20×
Q4 24
1.58×
2.77×
Q3 24
1.65×
2.56×
Q2 24
1.63×
2.49×
Q1 24
1.64×
2.60×

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
VST
VST
Operating Cash FlowLast quarter
$231.6M
$1.4B
Free Cash FlowOCF − Capex
$193.9M
$596.0M
FCF MarginFCF / Revenue
5.5%
12.4%
Capex IntensityCapex / Revenue
1.1%
17.4%
Cash ConversionOCF / Net Profit
3.00×
6.15×
TTM Free Cash FlowTrailing 4 quarters
$394.7M
$1.3B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
BTSG
BTSG
VST
VST
Q4 25
$231.6M
$1.4B
Q3 25
$107.9M
$1.5B
Q2 25
$49.1M
$572.0M
Q1 25
$101.6M
$599.0M
Q4 24
$90.6M
$1.4B
Q3 24
$27.2M
$1.7B
Q2 24
$-15.2M
$1.2B
Q1 24
$-78.9M
$312.0M
Free Cash Flow
BTSG
BTSG
VST
VST
Q4 25
$193.9M
$596.0M
Q3 25
$92.2M
$1.0B
Q2 25
$24.7M
$-118.0M
Q1 25
$84.0M
$-169.0M
Q4 24
$75.3M
$923.0M
Q3 24
$7.2M
$1.0B
Q2 24
$-39.0M
$698.0M
Q1 24
$-100.7M
$-153.0M
FCF Margin
BTSG
BTSG
VST
VST
Q4 25
5.5%
12.4%
Q3 25
2.8%
21.1%
Q2 25
0.8%
-3.1%
Q1 25
2.9%
-4.0%
Q4 24
2.5%
25.2%
Q3 24
0.2%
23.4%
Q2 24
-1.4%
19.4%
Q1 24
-3.9%
-4.8%
Capex Intensity
BTSG
BTSG
VST
VST
Q4 25
1.1%
17.4%
Q3 25
0.5%
9.6%
Q2 25
0.8%
18.4%
Q1 25
0.6%
18.1%
Q4 24
0.5%
11.7%
Q3 24
0.7%
15.8%
Q2 24
0.9%
13.8%
Q1 24
0.8%
14.7%
Cash Conversion
BTSG
BTSG
VST
VST
Q4 25
3.00×
6.15×
Q3 25
1.93×
2.25×
Q2 25
1.74×
1.75×
Q1 25
3.44×
Q4 24
5.66×
3.07×
Q3 24
0.90×
Q2 24
-0.76×
3.28×
Q1 24

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%

VST
VST

Retail Energy Charge In ERCOT$2.1B43%
Retail Energy Charge In Northeast Midwest$1.2B24%
East Segment$1.1B24%
Hedging Revenue Realized$170.0M4%
Revenue From Other Wholesale Contracts$116.0M2%
Transferable Production Tax Credit Revenues$78.0M2%
West Segment$77.0M2%
Intersegment Sales$25.0M1%

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