BrightSpring Health Services
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BrightSpring Health Services (BTSG) investor relations material

BrightSpring Health Services Q3 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q3 2026 earnings summary30 Oct, 2026

Executive summary

  • Q3 continuing-operations revenue was $4.2132B, up 26.4% YoY; gross profit was $518.5M, up 32.3%, and Adjusted EBITDA was $227.8M, up 42.0%.

  • Continuing-operations net income was $100.8M vs. $37.5M; diluted EPS was $0.46 vs. $0.17 and Adjusted EPS was $0.54 vs. $0.30.

  • Both segments grew; specialty and infusion pharmacy volume and the Amedisys and LHC branches acquisition contributed to performance. Pharmacy Solutions represented 88.6% of Q3 revenue.

Financial highlights

  • Q3 operating income increased 82.7% to $160.5M; cash flow from operations was $204M.

  • 9M revenue was $11.700B, up 25.0%; continuing-operations net income was $261.7M vs. $55.2M and Adjusted EBITDA was $623.0M vs. $434.0M.

  • 9M diluted EPS was $1.18 vs. $0.26; Adjusted EPS was $1.37 vs. $0.69.

Outlook and guidance

  • FY26 revenue guidance increased to $15.9B–$16.125B, including Pharmacy Solutions of $14.0B–$14.2B and Provider Services of $1.9B–$1.925B.

  • FY26 Adjusted EBITDA guidance increased to $850M–$860M, implying 37.6%–39.3% growth; includes $35M from the Amedisys and LHC branches acquisition.

  • FY27 organic Adjusted EBITDA growth expected at least 15%–20% on a higher FY26 base, with growth in each quarter and H2 slightly higher than H1.

  • FY26 operating cash flow expected above $700M excluding Community Living transaction-related impacts; EBITDA-to-operating-cash conversion expected near 80%.

  • Selective footprint expansion, de novo locations, integrated care and added value-based care capabilities are planned across pharmacy and provider services.

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Frequently asked questions

BrightSpring Health Services Inc. is a provider of diversified home and community-based health services, catering to complex populations that require specialized and chronic care. The company for delivers comprehensive care solutions, including supportive care, and clinical and pharmacy solutions. Their services span home health care, hospice, home care for seniors, long-term specialty care for behavioral and neurorehabilitation populations, and pharmacy therapy management across various settings. The company is headquartered in Louisville, Kentucky, and its shares are listed on the Nasdaq.