Brightspring Health Services Inc's Competitiveness
A competitive positioning analysis and financial ratio benchmarking of Brightspring Health Services Inc (BTSG) against its publicly traded competitors: sales growth, net income, profitability, valuation and market share, plus each peer's market capitalization, revenue, income and employees. Free below: the top 5 peers. Subscriber access adds the full competitor list and CSV downloads.
Key Findings: Brightspring Health Services Inc vs Its Competitors
- TTM: Trailing 12-month revenue of 5,878M vs -M combined for tracked competitors (100.0% combined share).
- Trending: Latest-quarter revenue run-rate is accelerating (+163.6% annualized vs trailing 12 months).
- Scale: Brightspring Health Services Inc ranks #4 of 51 companies by market capitalization in the Healthcare Facilities industry, holding 4.8% of industry market cap.
- Peer revenue share: Brightspring Health Services Inc accounted for 100.0% of combined revenue among its tracked peer group, up from 100.0% a year earlier.
- Peer differentiation: Revenue per employee of $0.25M compares with $0.69M for the peer group (0.4x).
Every figure above is sourced and cited in detail further down this page (Market Structure, Profitability & Cost Structure, Productivity vs Peers).
BTSG Sales vs. its Competitors, Q2 2026
Brightspring Health Services Inc generated 100.00 % of the combined sales of its peer group, up from 100.00 % a year earlier.
For context: the Healthcare Facilities industry grew revenue 14.7% year over year, combined, vs 555.5% for Brightspring Health Services Inc. Brightspring Health Services Inc's share of combined industry revenue moved from 0.57% to 3.28%, a gain of 2.71 percentage points.
Brightspring Health Services Inc's Competitor Quality Breadth
Share of each group, trailing 12 months: profitable (net margin > 0), expanding (revenue growth > 0), growing faster than the industry's own median, and financially distressed (Piotroski F-Score of 2 or below).
| Entity | Profitable | Expanding | Above Industry Growth | Distressed |
|---|---|---|---|---|
| Brightspring Health Services Inc | Yes | Yes | Yes | No |
| Competitors combined (1) | ||||
| High-Confidence Competitors (4) | ||||
| Similar-Size Competitors (8) | ||||
| Similar Growth & Profitability (8) | 62.50 % (5 of 8) | 100.00 % (8 of 8) | 100.00 % (8 of 8) | 28.60 % (2 of 7) |
Source: CSIMarket API, trailing 12 months. Altman Z-Score is not shown here: it is not populated in the underlying data for any company. Percentages are of companies in each group that report the relevant metric, not of the full group size.
BTSG Stock Performance relative to its Competitors
BTSG Stock Performance relative to High-Confidence Competitors
BTSG Stock Performance relative to Similar-Size Competitors
BTSG Stock Performance relative to Similar Growth & Profitability Competitors
5 Best-Performing Tracked Competitors, Trailing 12 Months
| # | Competitor | TTM Share Price Return | vs U.S.A. 500 |
|---|---|---|---|
| 1 | Option Care Health Inc | 282.9% | Outperformed |
TTM share price return and U.S.A. 500 outperformance for Brightspring Health Services Inc's best-performing tracked competitors requires a Commercial License.
Source: CSIMarket API, trailing 12 months.
Brightspring Health Services Inc's Comment on Competition and Industry Peers
Publicly Traded Peers of Brightspring Health Services Inc
Revenue and income for trailing 12 months, in millions of $, except employees| Company | Market Cap | Revenues |
|---|---|---|
| Brightspring Health Services Inc | 12,454.41 | 5,877.92 |
| Option Care Health Inc | 3,622.99 | 5,666.58 |
| SUBTOTAL | 16,077.39 | 11,544.49 |
Sources: Brightspring Health Services Inc's official press releases and regulatory filings; CSIMarket.com's market research; and the financial filings and press releases of the other companies cited.
Updated on:
Focus of this report: publicly traded companies. Ten additional tables on Brightspring Health Services Inc versus competitors, including market share analysis, are in the navigation menu under Competition. To download the tables, please subscribe.
Brightspring Health Services Inc's Competitors Named by the Company
Competitive relationships identified from SEC filings and corroborating sources, each with a basis and confidence.| Competitor | Basis | Confidence |
|---|---|---|
| Option Care Health, Inc. | Named by the company | 85% |
| Coram CVS/specialty infusion services | Named by the company | 85% |
| UnitedHealth Group | Named by the company | 85% |
| Accredo Health Group, Inc. | Named by the company | 85% |
| Optum Specialty Pharmacy | Named by the company | 85% |
| CVS Health | Named by the company | 85% |
| Cigna | Named by the company | 85% |
| OptumRx | Named by the company | 85% |
Filing basis, confidence, active dates and source counts for Brightspring Health Services Inc's named competitors require a Commercial License.
Methodology: relationships are extracted from SEC filings (named-competitor disclosures) and corroborating sources. Named by the company = explicitly disclosed as a competitor; Inferred = derived from corroborating signals. Confidence reflects evidence strength.
Brightspring Health Services Inc's Business Segment Mix vs Peers
Revenue by operating segment or division, as named and reported by each company. Segment names are the filer's own and are not standardized across companies. Do not assume a same-named or similarly-named segment is defined identically between two companies. Shares are of each company's own total revenue and are not required to sum to 100% (intersegment revenue, unallocated items).| Company | Largest Segment |
|---|---|
| Brightspring Health Services Inc | Pharmacy Solutions 87.97 % |
| Option Care Health Inc | Reportable 100.00 % |
Source: operating segment revenue as reported in each company's SEC filings (10-K/10-Q), via the CSIMarket API, leaf-level reportable segments only (parent roll-up segments are excluded where sub-segments are separately disclosed).
Brightspring Health Services Inc's Productivity vs Peers Comparison
Revenue and income per employee, trailing 12 months, in $; market cap in millions of $| Company | Market Cap | Revenue / Employee | Income / Employee |
|---|---|---|---|
| Brightspring Health Services Inc | 12,454 | 250,124 | 15,548 |
| Option Care Health Inc | 3,623 | 685,528 | 24,944 |
| PEERS TOTAL | 3,623 | 685,528 | 24,944 |
Brightspring Health Services Inc's Position in Industry Market Structure
Market-capitalization share and concentration across all 48 companies in Brightspring Health Services Inc's industry classification, broader than the peer set above. Market cap in millions of $.Brightspring Health Services Inc ranks #4 of 48 companies by market capitalization in its industry, holding 4.84 % of total industry market cap. The industry's Herfindahl-Hirschman Index (HHI) is 1,749, indicating a moderately concentrated market structure (U.S. antitrust guidance: below 1,500 unconcentrated, 1,500 to 2,500 moderately concentrated, above 2,500 highly concentrated).
| Rank | Company | Market Cap | Industry Share |
|---|---|---|---|
| 1 | Hca Healthcare Inc | 100,440 | 38.81 % |
| 2 | Tenet Healthcare Corp | 22,258 | 8.60 % |
| 3 | Fresenius Medical Care Ag | 13,424 | 5.19 % |
| 4 | Brightspring Health Services Inc | 12,539 | 4.84 % |
| 5 | Encompass Health Corporation | 1,234 | 5.2% |
| 6 | Davita Inc | 1,234 | 5.2% |
| 7 | Universal Health Services Inc | 1,234 | 5.2% |
| 8 | Ensign Group Inc | 1,234 | 5.2% |
| 9 | Pacs Group Inc | 1,234 | 5.2% |
| 10 | Chemed Corporation | 1,234 | 5.2% |
Market cap and industry share for the rest of Brightspring Health Services Inc's industry peers requires a Commercial License.
Source: CSIMarket API (daily market-structure computation) across CSIMarket's industry classification, market capitalization as of 2026-09-28.
Brightspring Health Services Inc's Same-Size Peers & Stock Performance
Peers chosen by closeness in market-cap rank within the same industry classification (not the named-competitor list above). Trailing 12-month total return, 3-month price momentum, beta and Sharpe ratio vs the broad U.S. market.| Rank | Company | Market Cap | TTM Return |
|---|---|---|---|
| 1 | Hca Healthcare Inc | 100,440 | 6.81 % |
| 2 | Tenet Healthcare Corp | 22,258 | 34.75 % |
| 3 | Fresenius Medical Care Ag | 13,424 | -8.53 % |
| 4 | Brightspring Health Services Inc | 12,539 | 112.01 % |
| 5 | Encompass Health Corporation | 1,234 | 12.3% |
| 6 | Davita Inc | 1,234 | 12.3% |
| 7 | Universal Health Services Inc | 1,234 | 12.3% |
| 8 | Ensign Group Inc | 1,234 | 12.3% |
| 9 | Pacs Group Inc | 1,234 | 12.3% |
Market cap, return, momentum, beta and Sharpe ratio for the rest of Brightspring Health Services Inc's same-size peers requires a Commercial License.
Source: CSIMarket API (daily market-structure computation); returns and risk metrics as of 2026-09-28. Beta and Sharpe ratio are versus the broad U.S. equity market, not this industry.
Brightspring Health Services Inc's Profitability & Cost Structure
Trailing 12-month margins from SEC-filed financials. Operating margin is compared to the Healthcare Facilities industry median; gross margin, EBITDA margin and capital intensity are compared to the live industry average (77 companies).| Metric | Company | Industry | Difference |
|---|---|---|---|
| Gross Margin | 30.27 % | 52.28 % (avg) | -22.0 pp |
| Operating Margin | 7.62 % | industry median | +0.2 pp |
| EBITDA Margin | 10.65 % | 3.22 % (avg) | +7.4 pp |
| Capital Intensity (Capex / Revenue) | 1.77 % | 4.01 % (avg) | -2.2 pp |
Source: CSIMarket API, trailing 12 months. SG&A and R&D as a share of revenue have limited coverage as this data is backfilled and appear only where reported. Higher capital intensity is not inherently negative; it reflects the industry's asset requirements.
Brightspring Health Services Inc's Valuation vs Competitive Position
Valuation multiples vs the Healthcare Facilities industry average (77 companies, excluding loss-making/negative-equity outliers), alongside returns on capital for context on whether a premium or discount lines up with measurably stronger or weaker returns.| Metric | Company | Industry Average | Difference |
|---|---|---|---|
| P/E | 38.6x | 23.5x | +15.1x |
| EV / EBITDA | 25.6x | 15.7x | +9.9x |
| P/B | 7.3x | 3.3x | +4.0x |
| Return on Equity | 18.93 % | industry aggregate | -5.87 % |
| Return on Invested Capital | 6.92 % | 4.91 % (avg) | 2.01 % |
Source: CSIMarket API, trailing 12 months. A valuation premium or discount is not, by itself, a judgment of over- or under-valuation. Compare it against the return and growth context shown elsewhere on this page.
Brightspring Health Services Inc's Strategic Group Map
Every company in Brightspring Health Services Inc's industry and named-competitor list, plotted by trailing 12-month revenue growth and operating margin. Brightspring Health Services Inc is shown in red; its closest peers by combined growth, margin and ROIC (the Similar Growth & Profitability group above) are labeled.
Source: CSIMarket API, trailing 12 months. Extreme outlier values (from near-zero-revenue companies) are excluded from the plotted cloud but never from the highlighted company or its labeled peers.
Brightspring Health Services Inc's BCG Growth-Share Matrix
Relative market share (vs Brightspring Health Services Inc's largest competitor by market cap) against industry revenue growth, using the standard textbook thresholds (1.0x share, 10% growth) a common framework, not a precision instrument.
Brightspring Health Services Inc falls in the Dog quadrant: relative market share of 0.12x vs its largest competitor, in an industry growing revenue 4.2% (median, trailing 12 months).
Source: CSIMarket API (market-cap share and industry revenue growth). The 10% growth and 1.0x share lines are standard textbook thresholds, not derived from this industry's own distribution. A caveat worth reading alongside this chart: Hca Healthcare Inc alone holds 39% of this industry's market cap. In an industry this dominated by one leader, the framework will place nearly every OTHER company in "Dog" or "Question Mark" purely because relative share is measured against that leader, regardless of how strong those other companies actually are on their own fundamentals. Check the Profitability, Valuation and Financial Strength sections above before treating this quadrant label as a verdict.
Brightspring Health Services Inc's Competitive Forces (Porter's Five Forces)
Only the forces this data can support honestly are shown; the other three are marked as such rather than guessed.| Force | Assessment | Basis |
|---|---|---|
| Competitive Rivalry | Moderate | Industry HHI of 1,749 (see Industry Market Structure & Concentration above) |
| Barriers to Entry | Lower than typical for the industry | Capital intensity (capex / revenue) of 1.77 % vs industry average 4.01 % (see Profitability & Cost Structure above) |
| Supplier Power | Not covered on this page | See Brightspring Health Services Inc's dedicated suppliers page for concentration and dependency data |
| Buyer Power | Not covered on this page | See Brightspring Health Services Inc's dedicated customers page for concentration and dependency data |
| Threat of Substitutes | - | No systematic data source for cross-product substitution exists in this system; not estimated |
Note: this is a partial, data-grounded application of the framework, not a complete strategic assessment. Rivalry and barriers-to-entry readings are mechanical translations of the HHI and capital-intensity figures shown elsewhere on this page, not independent judgments.
Brightspring Health Services Inc's Industry Attractiveness & Competitive Strength
A CSIMarket composite, not a standard field: each axis is an equal-weighted average of three factors already shown elsewhere on this page (industry growth, industry profitability and rivalry for attractiveness; relative market share, profitability and growth vs industry for strength). Disclosed as a designed methodology, not a precision measurement.
Brightspring Health Services Inc falls in the Low attractiveness / Medium strength cell: Harvest.
Source: CSIMarket API, trailing 12 months. Each axis score is a simple 1(low)/2(medium)/3(high) average across its three inputs -- a transparent, disclosed simplification, not a validated academic scoring model.
Brightspring Health Services Inc's SWOT
Every point below is a fixed rule applied to a metric already shown elsewhere on this page (Market Structure, Profitability, Valuation, Run-Rate, Stock Performance, Quality Breadth) not an independent strategic assessment. A blank quadrant means no rule was met, not that none apply.Strengths
- Latest-quarter revenue run-rate is accelerating (+163.6% annualized vs trailing 12 months).
- Outperforming the U.S.A. 500 over the trailing 12 months.
Weaknesses
- Return on equity 5.9 points below the industry aggregate.
- Low relative market share vs the industry leader (0.12x).
Opportunities
No rule matched.
Threats
- Industry dominated by Hca Healthcare Inc , holding 38.81 % of industry market cap.
Methodology: mechanical, rule-based SWOT. Each bullet reuses a figure already sourced and cited elsewhere on this page; nothing here is generated narrative or independent analyst judgment.
Brightspring Health Services Inc's Financial Strength vs Peers Comparison
Quick ratio, working capital, debt to equity and asset turnover, trailing 12 months| Company | Quick Ratio | Working Capital | Debt / Equity |
|---|---|---|---|
| Brightspring Health Services Inc | 0.26 | 1.67 | 1.26 |
| Option Care Health Inc | 0.29 | 1.56 | 0.85 |
Quick ratio = cash / current liabilities; working capital ratio = current assets / current liabilities; asset turnover = revenue / total assets. Peers in the Blank Checks industry are excluded.
Brightspring Health Services Inc's Revenue and Income Growth vs Peers
Quarterly revenue and net income growth, year over year and quarter over quarter| Company | Period | Revenue Y/Y | Income Y/Y |
|---|---|---|---|
| Brightspring Health Services Inc | Q2 2026 | +555.5 % | +205.7 % |
| Option Care Health Inc | Q1 2026 | +1.3 % | -3.0 % |
| PEERS TOTAL | +171.5 % | +74.4 % |
Growth is shown only where both periods are positive. Peers in the Blank Checks industry are excluded.
Brightspring Health Services Inc's Peers' Costs of Sales and Capital Expenditures
Context for revenue growth: peer costs and capex, year over year and quarter over quarter| Company | Period | Costs Y/Y | Capex Y/Y |
|---|---|---|---|
| Brightspring Health Services Inc | Q2 2026 | +1,465.0 % | +18.9 % |
| Option Care Health Inc | Q1 2026 | +1.7 % | -3.5 % |
Brightspring Health Services Inc's Returns and Turnover vs Peers
ROA, ROI and ROE (trailing 12 months), receivables and inventory turnover| Company | ROA | ROI | ROE |
|---|---|---|---|
| Brightspring Health Services Inc | 5.93% | 8.05% | 18.93% |
| Option Care Health Inc | 6.02% | 7.82% | 15.28% |
ROA = net income / total assets; ROI = net income / investments; ROE = net income / equity; turnover ratios use trailing 12 month revenue (receivables) and cost of sales (inventory).
Brightspring Health Services Inc's Valuation vs Peers
P/E, price to sales, PEG, price to cash flow and price to book| Company | P/E | Price / Sales |
|---|---|---|
| Brightspring Health Services Inc | 34.27 | 2.12 |
| Option Care Health Inc | 17.89 | 0.64 |
| PEERS AVERAGE | 28.13 | 1.39 |
P/E = price / diluted EPS (trailing 12 months); PEG = P/E divided by EPS growth; the average row divides the peers' combined market cap by their combined income, sales, cash flow and equity.