BTSG BrightSpring Health Services, Inc. Common Stock
Platform & Compounding FCF
F 30.0 / 100 pillar composite

AlphaQuality composite grade, weighted for platform & compounding fcf businesses.

⚠ 3 of the last 5 fiscal years showed negative net income — AlphaQuality will not grade above F for persistent unprofitability in a platform & compounding fcf business.

Grade overrides the 30.0 pillar composite — hard gates always win.

Profitability

Weight: 25%
D- 31
  • 5yr Avg ROIC 3.6%
  • Operating Margin Trend -0.30 pp/yr

Capital Efficiency

Weight: 15%
F 2
  • 5yr Avg ROE -3.6%
  • 5yr Share-Count CAGR 5.1%

Growth Quality

Weight: 25%
A+ 98
  • 5yr Revenue CAGR 18.3%
  • 5yr EPS CAGR 48.6%
  • Revenue-Growth Years (5) 5/5

Cash Generation

Weight: 20%
C- 46
  • 5yr FCF Margin 1.3%
  • 5yr FCF/NI Conversion 3.15x

Balance Sheet

Weight: 10%
D 36
  • Net Debt / EBITDA 5.70x
  • Interest Coverage (EBIT/Int) 1.88x
  • Altman Z-Score 3.86

Stability

Weight: 5%
C- 50
  • EPS Volatility (σ/μ) 0.92
  • Negative-Revenue Years (5) 0/5
  • Piotroski F-Score 7

Guru Flow

Curated superinvestor sentiment — not part of the AlphaQuality grade.
Accumulating

4 of 4 gurus held; 2 new buys; 1 added; 1 trimmed.

Holders
4 +2
Avg Δ position
+1151.2%
New buys
2
Full exits
0
As of Q2 2026