Assay
Financial-condition grades for SEC filers
Company Report · as of Oct 9, 2026
|
| BrightSpring Health Services, Inc.BTSG · healthcare | |
|---|---|
| Grade |  Bsecond fifth of 371 graded peers; percentile 34.5, sampling error 2.5 points; lower is stronger |
| Rank | 128 of 371 |
| Profitability | C/Dpercentile 60.3 |
| Solvency | Cpercentile 55.4 |
| Growth and financing | Apercentile 11.2 |
| Reliability | 0.94 AUCfailure model, filers with over $2.67B assets; 95% interval 0.88 to 0.97; 61 events, 2020 to 2025 |
| Peer failure rate | 0.52% a yearItem 1.03 bankruptcies, same asset band, 2012 to 2025 |
| Size band | over $2.67B assetstotal assets $6.4B[1] |
| Standard universe | insiderevenue above $1M and assets above $10M[1-2] |
| Warnings | none activenot computable: dilution, distress |
| Inputs computable | 8 of 14 |
| Graded from | filings received through Feb 27, 2026224 days before the rescan; every figure keyed to the SEC receipt date |
| Last close | $63.692026-10-08; market equity $0; iex feed |
| Price used in grade | None |
| Share price, twelve months to the rescansplit-adjusted close; a lollipop at every rescan carries the letter held then; baseline ticks are SEC receipt dates of the inputs; ranges and dragging scroll the full history | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Percentile at every rescan on file, Jan 21, 2012 to Oct 9, 2026; stronger toward the top. Hover for the date. Open this report as it stood on | ||||||||||||||||||||
Each date opens the report as it stood on that rescan. |
Business, in the company's words. Opening of Item 1 of the 10-K received Feb 27, 2026; the document on sec.gov.
We are a leading home and community-based healthcare services platform, focused on delivering complementary pharmacy and provider services to complex patients. We have a differentiated approach to care delivery, with an integrated and scaled model that addresses critical services that the highest-need and highest-cost patients require. With a focus on Senior and Specialty patients, which includes Behavioral populations, our platform provides pharmacy and provider services (both clinical and supportive care in nature) in lower-cost home and community settings largely to Medicare, Medicaid, and commercially-insured populations.
The Fourteen Inputs [top]
Lower percentile is stronger. Source numbers open the SEC filing; a range that spans filings opens the sources table.
| Input | Percentile, 0 to 100 | Value | Source | Peer median | Percentile | Peers | Period end |
|---|---|---|---|---|---|---|---|
| Profitability, sleeve percentile 60.3 | |||||||
| Gross profitability | 23.7% | [1,3] | 32.2% | 57.5 | 372 | 2025-12-31 | |
| Return on invested capital | 5.3% | [4-12] | 9.3% | 61.0 | 74 | 2025-12-31 | |
| Accruals ratio | (4.9%) | [1,13-15] | (6.6%) | 62.3 | 811 | 2025-12-31 | |
| Gross margin stability, five years | not computable | 2.8 pts | |||||
| five annual gross margins are required; found 2 | |||||||
| Solvency, sleeve percentile 55.4 | |||||||
| Twelve-month failure probability | not computable | 0.07% | |||||
| firm-wide XBRL shares cannot be assigned to one ticker class | |||||||
| Altman Z double-prime | 1.78 | [1,4,8,16-19] | (0.31) | 29.5 | 756 | 2025-12-31 | |
| Net debt to EBITDA | 6.59x | [4,7,9,20] | 1.82x | 91.2 | 75 | 2025-12-31 | |
| Interest coverage | 1.88x | [4,21] | (4.51x) | 21.9 | 81 | 2025-12-31 | |
| Current ratio | 1.57x | [16-17] | 2.96x | 79.2 | 839 | 2025-12-31 | |
| Growth and financing, sleeve percentile 11.2 | |||||||
| Revenue growth, three-year compound | not computable | 10.0% | |||||
| four annual observations are required; found 2 | |||||||
| Free cash flow growth, three-year compound | not computable | 10.9% | |||||
| four consecutive annual FCF observations are required; found 2 | |||||||
| Reinvestment rate | 269.3% | [4-6,16-17,20,22-24] | 37.1% | 11.2 | 104 | 2025-12-31 | |
| Asset growth, three years | not computable | 2.1% | |||||
| four annual observations are required; found 2 | |||||||
| Net share issuance, one year | not computable | 2.5% | |||||
| firm-wide XBRL shares cannot be assigned to one ticker class | |||||||
Gross profitability. Revenue less cost of goods sold, over total assets.
Accruals ratio. Net income less operating cash flow, over average assets; lower is stronger.
Gross margin stability, five years. Standard deviation of gross margin; lower is stronger.
Twelve-month failure probability. CHS model; lower is stronger.
Net debt to EBITDA. Lower is stronger.
Net share issuance, one year. Split-adjusted; lower is stronger.
Sleeves are equal-weighted; within a sleeve each computable input carries equal weight. Composite -0.146; sampling error 2.5 percentile points on 371 peers.
Among 371 Peers [top]
Composite score of every graded peer, smoothed. Vertical rules are the letter band edges at the 20th, 40th, 60th and 80th percentiles. Small dots are the six largest peers by market equity.
| Rank | Company | Percentile | Letter | Warnings |
|---|---|---|---|---|
| 123 | CorMedix Inc. (CRMD) CorMedix Inc. (CRMD) Bsecond fifth; percentile 33.0 Nasdaq · Pharmaceutical Preparations market equity $570.6M; last close $7.31 No active warnings; 7 of 14 inputs | 33.0 | B | |
| 124 | InfuSystem Holdings, Inc. (INFU) InfuSystem Holdings, Inc. (INFU) Bsecond fifth; percentile 33.2 NYSE · Surgical & Medical Instruments & Apparatus market equity $267.1M; last close $13.43 No active warnings; 12 of 14 inputs | 33.2 | B | |
| 125 | Chemed Corp. (CHE) Chemed Corp. (CHE) Bsecond fifth; percentile 33.5 NYSE · Services-Home Health Care Services market equity $6.5B; last close $498.81 No active warnings; 11 of 14 inputs | 33.5 | B | |
| 126 | Apyx Medical Corp. (APYX) Apyx Medical Corp. (APYX) Bsecond fifth; percentile 33.8 Nasdaq · Surgical & Medical Instruments & Apparatus market equity $99.4M; last close $2.40 No active warnings; 8 of 14 inputs | 33.8 | B | |
| 127 | Tandem Diabetes Care Inc. (TNDM) Tandem Diabetes Care Inc. (TNDM) Bsecond fifth; percentile 34.1 Nasdaq · Surgical & Medical Instruments & Apparatus market equity $1.1B; last close $15.68 No active warnings; 9 of 14 inputs | 34.1 | B | |
| 128 | BrightSpring Health Services, Inc. (BTSG) BrightSpring Health Services, Inc. (BTSG) Bsecond fifth; percentile 34.5 Nasdaq · Services-Home Health Care Services last close $63.69 No active warnings; 8 of 14 inputs | 34.5 | B | |
| 129 | BrightSpring Health Services, Inc. (BTSGU) BrightSpring Health Services, Inc. (BTSGU) Bsecond fifth; percentile 34.5 Nasdaq · Services-Home Health Care Services last close $185.87 No active warnings; 8 of 14 inputs | 34.5 | B | |
| 130 | Glaukos Corp. (GKOS) Glaukos Corp. (GKOS) Bsecond fifth; percentile 34.9 NYSE · Surgical & Medical Instruments & Apparatus market equity $9.5B; last close $161.17 Warnings: fortress balance sheet; 8 of 14 inputs | 34.9 | B | fortress balance sheet |
| 131 | Fitlife Brands, Inc. (FTLF) Fitlife Brands, Inc. (FTLF) Bsecond fifth; percentile 35.1 Nasdaq · Medicinal Chemicals & Botanical Products market equity $81.7M; last close $8.56 No active warnings; 8 of 14 inputs | 35.1 | B | |
| 132 | Insmed Inc. (INSM) Insmed Inc. (INSM) Bsecond fifth; percentile 35.4 Nasdaq · Pharmaceutical Preparations market equity $21.9B; last close $100.57 No active warnings; 10 of 14 inputs | 35.4 | B | |
| 133 | Establishment Labs Holdings Inc. (ESTA) Establishment Labs Holdings Inc. (ESTA) Bsecond fifth; percentile 35.7 Nasdaq · Orthopedic, Prosthetic & Surgical Appliances & Supplies market equity $1.8B; last close $60.54 Warnings: fortress balance sheet; 8 of 14 inputs | 35.7 | B | fortress balance sheet |
| Peer policy | Letter | Percentile | Peers |
|---|---|---|---|
| all graded filers, equal sleeves | B | 32.8 | 2204 |
| sector peers, equal sleeves (the grade) | B | 34.5 | 371 |
| same exchange, equal sleeves | B | 30.5 | 1219 |
| sector peers, equal inputs | C/D | 61.5 | 371 |
Each letter is one fifth of the 371 graded peers, about 74 companies. A boundary letter (A/B, B/C, C/D, D/E) marks a percentile within one sampling error of a band edge.
What the Price Implies [top]
Market measures at the 2026-10-08 close. None enters the grade. Percentile among graded peers with the same measure.
| Measure | Value | Peer median | Percentile | Reading |
|---|---|---|---|---|
| Twelve-month price change, skipping the latest month | 97.6% | 8.0% | 87 | hotter than 87 of 100 peers |
| Distance from 52-week high | (12.7%) | (31.4%) | 78 | closer to its high than 78 of 100 peers |
| EBIT to enterprise value | not computable | (1.5%) | required accounting or market input is missing | |
| Free cash flow yield | not computable | (1.0%) | required accounting or market input is missing | |
| Book value to price | not computable | 0.28 | required accounting or market input is missing | |
| Sales to price | not computable | 0.31 | required accounting or market input is missing | |
| Composite equity issuance, five years | not computable | 20.3% | required accounting or market input is missing | |
| Relative strength against the sector, log excess return | 0.47 | (0.14) | 87 | ahead of 87 of 100 peers |
Inputs: EBIT $295.3M; free cash flow $394.7M; book equity $2.0B; sales $12.9B; debt $2.2B; cash $550.4M[25].
Diagnostics [top]
Diagnostics do not feed the grade.
| Piotroski F-score: None of 9, period end 2025-12-31 | ||
|---|---|---|
| Return on assets above zero | 3.2% | ✓ pass[13,15] |
| Operating cash flow above zero | $490.2M | ✓ pass[14] |
| Return on assets improved | n/a[13,15,26] | |
| Operating cash flow exceeds net income | $299.5M | ✓ pass[13-14] |
| Long-term leverage fell | n/a[1,15,27-28] | |
| Current ratio improved | 24.0 pts | ✓ pass[16-17,23-24] |
| No new shares issued | n/a | |
| Gross margin improved | (0.8 pts) | ✗ fail[2-3,29-30] |
| Asset turnover improved | n/a[2,15,30] | |
| Cash, filings, liquidity | |
|---|---|
| Cash and equivalents | $550.4M[31] |
| Operating cash flow, four quarters | $506.4M[14,31-35] |
| Months of runway | not finite |
| trailing operating cash flow is nonnegative, so runway is not finite | |
| Late filings, two years | 0 |
| NT 10-K or NT 10-Q | |
| Days since last periodic filing | 70 |
| 10-Q received Jul 31, 2026 | |
| Median daily dollar volume | $141.5M |
| 63 sessions | |
| Days since newest grade input | 224 |
Downloads [top]
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Sources [top]
Every citation on this page. Filing opens the SEC index page for that submission; viewer opens the SEC interactive data for the same filing; series opens the SEC XBRL API record for that tag and company.
| # | Concept | XBRL tag | Value | Period end | Received | Form | Links |
|---|---|---|---|---|---|---|---|
| 1 | assets | us-gaap:Assets | $6.4B | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 2 | revenue | us-gaap:RevenueFromContractWithCustomerExcludingAssessedTax | $12.9B | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 3 | gross profit | us-gaap:GrossProfit | $1.5B | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 4 | operating income | us-gaap:OperatingIncomeLoss | $295.3M | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 5 | pretax income | us-gaap:IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest | $137.9M | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 6 | income tax | us-gaap:IncomeTaxExpenseBenefit | $33.1M | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 7 | total debt | us-gaap:LongTermDebt | $2.5B | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 8 | book equity | us-gaap:StockholdersEquity | $1.9B | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 9 | cash | us-gaap:CashAndCashEquivalentsAtCarryingValue | $88.4M | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 10 | total debt | us-gaap:LongTermDebt | $2.6B | 2024-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 11 | book equity | us-gaap:StockholdersEquity | $1.6B | 2024-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 12 | cash | us-gaap:CashAndCashEquivalentsAtCarryingValue | $61.0M | 2024-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 13 | net income | us-gaap:NetIncomeLoss | $190.7M | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 14 | operating cash flow | us-gaap:NetCashProvidedByUsedInOperatingActivities | $490.2M | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 15 | assets | us-gaap:Assets | $5.9B | 2024-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 16 | current assets | us-gaap:AssetsCurrent | $2.9B | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 17 | current liabilities | us-gaap:LiabilitiesCurrent | $1.8B | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 18 | retained earnings | us-gaap:RetainedEarningsAccumulatedDeficit | -$74.6M | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 19 | liabilities | us-gaap:Liabilities | $4.5B | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 20 | depreciation amortization | us-gaap:Depreciation | $71.8M | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 21 | interest expense | us-gaap:InterestExpense | $157.3M | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 22 | capital expenditure | us-gaap:PaymentsToAcquirePropertyPlantAndEquipment | $95.5M | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 23 | current assets | us-gaap:AssetsCurrent | $1.9B | 2024-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 24 | current liabilities | us-gaap:LiabilitiesCurrent | $1.4B | 2024-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 25 | shares outstanding | dei:EntityCommonStockSharesOutstanding | 197,864,241 | 2026-07-28 | 2026-07-31 | 10-Q | filing · viewer · series |
| 26 | net income | us-gaap:NetIncomeLoss | -$18.1M | 2024-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 27 | long term debt | us-gaap:LongTermDebtNoncurrent | $2.5B | 2025-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 28 | long term debt | us-gaap:LongTermDebtNoncurrent | $2.6B | 2024-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 29 | gross profit | us-gaap:GrossProfit | $1.3B | 2024-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 30 | revenue | us-gaap:RevenueFromContractWithCustomerExcludingAssessedTax | $10.1B | 2024-12-31 | 2026-02-27 | 10-K | filing · viewer · series |
| 31 | cash | us-gaap:CashAndCashEquivalentsAtCarryingValue | $550.4M | 2026-06-30 | 2026-07-31 | 10-Q | filing · viewer · series |
| 32 | operating cash flow | us-gaap:NetCashProvidedByUsedInOperatingActivities | $166.9M | 2026-06-30 | 2026-07-31 | 10-Q | filing · viewer · series |
| 33 | operating cash flow | us-gaap:NetCashProvidedByUsedInOperatingActivities | $122.9M | 2026-03-31 | 2026-05-01 | 10-Q | filing · viewer · series |
| 34 | operating cash flow | us-gaap:NetCashProvidedByUsedInOperatingActivities | $258.6M | 2025-09-30 | 2025-10-28 | 10-Q | filing · viewer · series |
| 35 | operating cash flow | us-gaap:NetCashProvidedByUsedInOperatingActivities | $150.7M | 2025-06-30 | 2026-07-31 | 10-Q | filing · viewer · series |
Limitations [top]
Grade boundary. Percentile 34.5 is 5.5 points from the nearest band edge; sampling error is 2.5 points.
Peer group. Sector assignment from four-digit SIC codes, hand-tuned and published. The grade under three alternative peer policies is tabled above.
Size. Within a sector the letter tracks size. Among graded filers in the smallest asset band, 72% grade E and 0% grade A; in the largest, 13% grade E and 21% grade A. Universe as of Oct 9, 2026.
Failure model. filings 2012-01-01 to 2019-12-31 fit, filings 2020-01-01 to 2025-12-31 test; status post hoc pending confirmation. pre-registered on 2026 filings once their 12-month outcome windows close; supported if the paired per-quintile gain over the pooled model has a lower bound above 0.05.
Input validity. Revenue or total assets at or below $100,000 sets the degenerate-inputs flag. An input whose denominator is at or below $100,000 is left not computable rather than ranked.
Returns. No input on this page has a post-2015 confidence interval on returns that excludes zero. The grade ranks reported financial condition and is not a return forecast.
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