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 34
  • 5yr Avg ROIC 3.8%
  • Operating Margin Trend -0.13 pp/yr

Capital Efficiency

Weight: 15%
F 7
  • 5yr Avg ROE 0.1%
  • 5yr Share-Count CAGR 6.4%

Growth Quality

Weight: 25%
A+ 98
  • 5yr Revenue CAGR 17.8%
  • 5yr EPS CAGR 31.6%
  • 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+ 44
  • Net Debt / EBITDA 4.81x
  • Interest Coverage (EBIT/Int) 2.59x
  • Altman Z-Score 4.28

Stability

Weight: 5%
C 53
  • EPS Volatility (σ/μ) 0.92
  • Piotroski F-Score 8
  • Negative-Revenue Years (5) 0/5

Guru Flow

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

2 of 2 gurus held; 2 trimmed.

Holders
2
Avg Δ position
-17.8%
New buys
0
Full exits
0
As of Q1 2026