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ZYBERNO
Stock Report
Updated Aug 29, 2026

BrightSpring Health Services, Inc. (BTSG)

Healthcare • NASDAQ

$59.34
BrightSpring Health Services Inc. is an American provider of home and community-based health services headquartered in Louisville, Kentucky. The company provides pharmacy solutions (home infusion, specialty pharmacy), home health and hospice services, behavioral health, and residential services to medically complex, high-need populations including individuals with disabilities, mental health disorders, and those needing end-of-life care.

Professional Investment Analysis

ZYBERNO SCORE →
Is it a great business? Is it getting better?
59.0/100
AVERAGE BUSINESS
BrightSpring Health Services, Inc. (BTSG) scores 59/100 — decent metrics but limited evidence of durable competitive advantage.
📊 How is the Zyberno Score calculated? +
VALUATION SIGNAL
MARGIN OF SAFETY
Is this stock cheap or expensive relative to what the business has historically generated for owners?
+4.7%
Fairly Valued
Is the market underestimating or overestimating what this business is capable of going forward?
-98.6%
Market Overestimates
↑ UNDER
+50%
Brina Gap
-50%
↓ OVER
← OVERVALUED
-100%
Margin of Safety
UNDERVALUED →
+100%
UNDERESTIMATED
GROWTH
DOUBLE
DISCOUNT
EXPENSIVE
HYPE
VALUE
TRAP
0,0
MoS +4.7%  ·  Gap -98.6%

Two independent signals. One tells you if the stock is cheap relative to what the business has historically generated for owners — the Margin of Safety. The other tells you if the market is underestimating what the business is capable of going forward — the Brina Gap.

They are calculated from completely different data sources and answer completely different questions. The Margin of Safety reads the past. The Brina Gap reads the present economics and compares them against what the current stock price is assuming about the future.

When both point in the same direction simultaneously — DOUBLE DISCOUNT — the probability of genuine mispricing is high. The market is wrong on two independent dimensions at once, which is rare and significant.

The most dangerous scenario is not an overvalued stock — those are easy to avoid. It is a VALUE TRAP: a stock that appears cheap historically but where the market is already pricing in stronger growth than the business fundamentals support. Without the Brina Gap signal this looks identical to a genuine opportunity. The matrix separates them instantly.

The Brina Gap is the more powerful of the two signals. Most investors and analytical tools focus on valuation alone — whether a stock is cheap relative to earnings. Far fewer systematically compare what the business economics structurally support against what the stock price is actually assuming. That gap between fundamental growth potential and market expectations is where the most reliable mispricings live, and where this matrix earns its value.

Use this as your first filter. A stock in DOUBLE DISCOUNT territory is worth investigating. Everything else requires either more caution or a specific reason to act.

GROWTH OVERESTIMATED
BrightSpring Health Services, Inc. (BTSG) is fairly valued historically (Margin of Safety +4.7%) but the Brina Gap (-98.6%) shows the market is pricing in stronger growth than fundamentals support.
🎯 Expected Annual Return →
21.2%
Margin of Safety convergence — your return if the market re-prices to intrinsic value (5-yr annualised)
-50.1%
Brina Gap convergence — your return if the market corrects the growth mispricing the Gap measures
-16.6%
Yield + growth — what the business alone earns you, even if the market never re-rates
💰 How is Margin of Safety calculated? +
📈 How is Brina Gap calculated? +

Critical Financial Health Indicators

Return on Equity (Profitability):GOOD (19.0%)
Debt-to-Equity (Solvency Risk):POOR (1.12x)
Operating Margin (Operational Efficiency):POOR (3.1%)
Return on Capital (Capital Efficiency):AVERAGE (11.2%)
📊 Valuation Trilogy
Three interconnected metrics for complete valuation analysis
💎
Intrinsic Value
DCF Fair Value
$62.24
🛡️
Margin of Safety
Valuation Gap
4.7%
🎯
Expected Return
Projected Annual
21.2%
Click any metric for full methodology and detailed analysis
Zyberno's Verdict

According to Zyberno, BrightSpring Health Services, Inc. (BTSG) is not a buy — AVERAGE BUSINESS (59/100) with a negative Margin of Safety of +4.7% and a Brina Gap of -98.6% showing the market already prices in more growth than the fundamentals support.

According to Zyberno's DCF model, BrightSpring Health Services, Inc. (BTSG) trades at $59.34 against an estimated intrinsic value per share of $62.24 — a +4.7% Margin of Safety based on Owner Earnings of $412.12M TTM, projected at 100.0% growth for 10 years with a 2.5% terminal growth rate. The Brina Gap of -98.6% weakens the case: based on the company's ROIC (11.2%) and reinvestment rate (-749.4%), the business can fundamentally grow at -84.2% — but the current enterprise value implies the market expects 14.3%. This places BTSG in the Expensive Hype quadrant of the Brina Matrix, the most fragile combination — overvalued on cash AND overpriced on growth. Zyberno's model translates this into a 5-year expected return of 21.2% annually.

Over the trailing twelve months, BTSG generated $412.12M in Owner Earnings. Capital was deployed as follows: $60.00M returned via share buybacks, $99.40M invested in capital expenditures. Reinvestment rate: -749.4%. Owner Earnings have grown at 100.0% annually over the trailing five years using log-linear regression.

DIVISION I: EXECUTIVE SUMMARY
A. Market Valuation

Market Price & Capitalization (2)

Current Price:59.34
Market Cap:$12.23B

Valuation Multiples (4)

P/E Ratio:
35.96x
📊 Click to view full BTSG P/E analysis →
P/B Ratio:5.97x
P/S Ratio:0.85x
Peg Ratio:0.04x

Enterprise Metrics (3)

Enterprise Value:$13.87B
Ev Ebitda Ratio:20.50x
Pfcf Ratio:29.67x

Price Action & Momentum (3)

12-1 Momentum:
+253.1% (97th pctile)
📈 Click to view full BTSG Momentum analysis →
Momentum Percentile:97 / 100
% of 52-Week High:80.5%
B. Profitability Assessment

Return Metrics (7)

ROE:
19.0%
📊 Click to view full BTSG ROE analysis →
ROA:5.9%
Roic:
11.2%
📊 Click to view full BTSG ROIC analysis →
Reinvestment Rate:-749.4%
Fundamental Growth Rate (g):-84.2%
Market-Implied Growth Rate:14.3%
Brina Gap:
-98.6%
☷ Click to view full BTSG Brina Gap analysis →

Margin Analysis (3)

Operating Margin Ttm:3.1%
Net Margin Ttm:2.5%
Ebitda Margin:4.7%

TTM Performance (3)

Gross Margin Ttm:12.4%
Operating Margin Ttm:3.1%
Net Margin Ttm:2.5%

Yield Metrics (3)

Earnings Yield:$2.78
Owner Earnings Yield:$3.37
Dividend Yield:0.0%
C. Log-Linear Regression Growth Trends

Revenue Growth (Linear) (1)

Revenue Growth Rate (Linear):18.5%

Earnings Growth (Linear) (1)

Net Income Growth Rate (Linear):100.0%

Cash Flow Growth (Linear) (2)

Free Cash Flow Growth Rate (Linear):100.0%
Operating Cash Flow Growth Rate (Linear):100.0%

Operating Growth (Linear) (1)

Operating Income Growth Rate (Linear):100.0%
D. Financial Stability

Liquidity Ratios (3)

Current Ratio:1.59x
Quick Ratio:1.22x
Cash Ratio:0.35x

Leverage Analysis (3)

Debt To Equity Ttm:1.12x
Debt-to-Equity Ratio:1.12x
Debt To Ebitda:3.24x

Coverage Ratios (2)

Interest Coverage Ratio:1.94x
Times Interest Earned:1.94

Capital Structure (4)

Working Capital:914,340,000.00
Cash And Cash Equivalents:550,381,000.00
Long Term Debt:$2.15B
Net Debt:$1.64B
DIVISION II: FINANCIAL STATEMENTS ANALYSIS
A. Income Statement Analysis

Revenue Components (2)

Revenue TTM: $14.37B
Linear Growth: 18.5%
📊 Click to view full BTSG Revenue analysis & methodology →
Cost Of Revenue Ttm:$9.99B

Profitability Breakdown (2)

Gross profit TTM: $1.78B
Linear Growth: 10.3%
📊 Click to view full BTSG Gross Profit analysis & methodology →
Operating income TTM: $447.80M
Linear Growth: 100.0%
📊 Click to view full BTSG Operating Income analysis & methodology →

Bottom Line Performance (3)

Net income TTM: $365.97M
Linear Growth: 100.0%
📊 Click to view full BTSG Net Income analysis & methodology →
Income Before Tax:$295.53M
Ebitda Ttm:676,496,000.00

Operating Expenses (5)

Operating Expenses:0.00
R And D Expense:0.00
Sga Expense:1,331,728,000.00
Income Tax Expense:$47.61M
Interest Expense:152,264,000.00

Expense Ratios (3)

R And D To Revenue Percentage:0.0%
Sga To Revenue Percentage:34.4%
Ebitda Margin:4.7%
B. Balance Sheet Analysis

Asset Composition (5)

Total Assets:$5.99B
Current Assets:$2.47B
Ppe Net:213,866,000.00
Goodwill:2,535,244,000.00
Intangible Assets:$514.42M

Liability Structure (4)

Total Liabilities:3,927,515,000.00
Current Liabilities:1,555,633,000.00
Long Term Debt:$2.15B
Short Term Debt:$41.45M

Equity & Capital (3)

Equity:$2.05B
Retained Earnings:$38.43M
Common Stock:1,500,000,000.00

Working Capital Items (3)

Accounts Receivable:1,139,420,000.00
Inventory:575,009,000.00
Accounts Payable:1,090,915,000.00

Special Items (2)

Contract Liabilities:13,083,000.00
Stock Based Compensation:3,676,000.00
C. Cash Flow Analysis

Operating Activities (2)

Operating cash flow TTM: $511.51M
Linear Growth: 100.0%
Free cash flow TTM: $412.12M
Linear Growth: 100.0%
📊 Click to view full BTSG Free Cash Flow analysis & methodology →

Investment Activities (2)

Investing Cash Flow:$747.39M
Capital Expenditures Ttm:99,396,000.00

Financing Activities (3)

Financing Cash Flow:-$70.02M
Dividends Paid Ttm:0.00
Stock Repurchase:60,000,000.00

Capital Transactions (3)

Common Stock Issuance:0.00
Long Term Debt Issuance:$2.57B
Long Term Debt Repayments:$12.35M

Non-Cash Items (1)

Depreciation Amortization Ttm:228,700,000.00
DIVISION III: OPERATIONAL METRICS
A. Per Share Analysis

Earnings Per Share (3)

EPS (Basic TTM):1.79
Eps diluted TTM: $1.65
Linear Growth: 100.0%
📊 Click to view full BTSG EPS analysis & methodology →
Earnings Per Share Ttm:$1.78

Revenue & Cash Per Share (3)

Sales Per Share Ttm:69.75
Operating Cash Flow Per Share:$2.38
Fcf Per Share Ttm:2.00

Book Value & Capital (2)

Book Value Per Share:$9.94
Cash Per Share:2.67

Dividend Policy (1)

Dividend Payout Ratio:0.00x
B. Operational Efficiency

Asset Utilization (2)

Asset Turnover Ttm:2.33x
Working Capital Turnover Ttm:15.72x

Receivables Management (2)

Receivables Turnover Ttm:12.61x
Days Sales Outstanding Ttm:28.94

Inventory Management (2)

Inventory Turnover Ttm:17.38x
Days Inventory Outstanding Ttm:21.00

Payables & Cash Cycle (2)

Days Payable Outstanding:39.84
Cash Conversion Cycle:10.10
C. Quality & Risk Metrics

Financial Quality Scores (2)

Financial Strength Score:40.00
Quality Score:75.00

Market Metrics (2)

Beta:0.00x
Volatility Category:unknown
DIVISION IV: INVESTMENT ANALYSIS
A. Value Investment Framework

Owner Earnings Analysis (3)

Owner earnings TTM: $412.12M
Linear Growth: 100.0%
📊 Click to view full BTSG Owner Earnings analysis & methodology →
Owner Earnings Per Share:$2.00
Owner Earnings Yield:$3.37

Growth Assessment (1)

Owner Earnings Growth Rate:$100.00

Damodaran Growth Analysis (4)

Reinvestment Rate:-749.4%
Fundamental Growth Rate (g):-84.2%
Market-Implied Growth Rate:14.3%
Brina Gap:
-98.6%
☷ Click to view full BTSG Brina Gap analysis →

Intrinsic Value Models (1)

Intrinsic Value:
$12.82B
📊 Click to view full BTSG DCF valuation →

Margin of Safety (1)

Margin Of Safety:
4.7%
📊 Click to view full BTSG valuation analysis →

Return Scenarios (2)

Theoretical 5-Year Return:
21.2%
📊 Click to view full BTSG expected return analysis →
Forward Expected Return (Yield + Growth):
-16.6%
📊 Click to view full BTSG expected return analysis →

Investment Assessment (1)

Buffett Assessment:Fair value
B. Log-Linear Regression Growth Analysis

Growth Rates (Log-Linear Regression) (3)

Revenue Growth Rate (Linear):18.5%
Net Income Growth Rate (Linear):100.0%
Operating Income Growth Rate (Linear):100.0%

Cash Flow Growth Rates (2)

Free Cash Flow Growth Rate (Linear):100.0%
Operating Cash Flow Growth Rate (Linear):100.0%

Other Growth Rates (3)

Gross Profit Growth Rate (Linear):10.3%
Book Value Growth Rate (Linear):12.8%
Owner Earnings Growth Rate:$100.00
C. Company Profile & Context

Corporate Information (6)

Symbol:BTSG
Company Name:BrightSpring Health Services, Inc.
Sector:Healthcare
Industry:Services-Home Health Care Services
Exchange:NASDAQ
Country:United States

Market Classification (3)

Market Cap Category:N/A
Price Category:high
Volume Category:N/A

Share Structure (3)

Shares Outstanding:206.04M
Shares Outstanding Basic:206.04M
Shares Outstanding Diluted:220.28M

Data Processing Info (3)

Processing Version:v3.0
Last Updated:2026-08-29 10:18:31 UTC
Data Timestamp:2026-08-29T10:18:31.271565
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