BTSG (BrightSpring Health Services) Piotroski F-Score: 7 (As of Jun. 24, 2026) — Near Median


BTSG BrightSpring Health Services Inc BTSG
40 GF Score
Price $67.61
! 7 Warning Signs
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What is BrightSpring Health Services Piotroski F-Score?

BrightSpring Health Services BTSG +1.19% 40 Piotroski F-Score is 7 as of Jun. 24, 2026, which is at its 10-year median of 7.00. GuruFocus rates BTSG with a GF Score™ of 40/100. The stock has 7 warning signs investors should review. Among 651 Healthcare Providers & Services companies, BrightSpring Health Services ranks better than 88.63% on this metric.

Good Sign:

Piotroski F-Score is 7, indicates a very healthy situation.

The zones of discrimination were as such:

Good or high score = 7, 8, 9
Bad or low score = 0, 1, 2, 3

BrightSpring Health Services has an F-score of 7. It is a good or high score, which usually indicates a very healthy situation.

The historical rank and industry rank for BrightSpring Health Services's Piotroski F-Score or its related term are showing as below:

BTSG' s Piotroski F-Score Range Over the Past 10 Years
Min: 4   Med: 7   Max: 8
Current: 7

During the past 8 years, the highest Piotroski F-Score of BrightSpring Health Services was 8. The lowest was 4. And the median was 7.

BrightSpring Health Services  (NAS:BTSG) Piotroski F-Score Explanation

The developer of the system is Joseph D. Piotroski is relatively unknown accounting professor who shuns publicity and rarely gives interviews.

He graduated from the University of Illinois with a B.S. in accounting in 1989, received an M.B.A. from Indiana University in 1994. Five years later, in 1999, after earning a Ph.D. in accounting from the University of Michigan, he became an associate professor of accounting at the University of Chicago.

In 2000, he wrote a research paper called "Value Investing: The Use of Historical Financial Statement Information to Separate Winners from Losers" (pdf).

He wanted to see if he can develop a system (using a simple nine-point scoring system) that can increase the returns of a strategy of investing in low price to book (referred to in the paper as high book to market) value companies.

What he found was something that exceeded his most optimistic expectations.

Buying only those companies that scored highest (8 or 9) on his nine-point scale, or F-Score as he called it, over the 20 year period from 1976 to 1996 led to an average out-performance over the market of 13.4%.

Even more impressive were the results of a strategy of investing in the highest F-Score companies (8 or 9) and shorting companies with the lowest F-Score (0 or 1).

Over the same period from 1976 to 1996 (20 years) this strategy led to an average yearly return of 23%, substantially outperforming the average S&P 500 index return of 15.83% over the same period.


BrightSpring Health Services Piotroski F-Score Related Terms


BrightSpring Health Services Piotroski F-Score Historical Data

* Premium members only.

The historical data trend for BrightSpring Health Services's Piotroski F-Score can be seen below:

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

BrightSpring Health Services Piotroski F-Score Chart

BrightSpring Health Services Annual Data
Trend Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
Piotroski F-Score
Get a 7-Day Free Trial N/A N/A 5.00 6.00 7.00

BrightSpring Health Services Quarterly Data
Sep20 Dec20 Jun21 Sep21 Dec21 Sep22 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24 Sep24 Dec24 Mar25 Jun25 Sep25 Dec25 Mar26
Piotroski F-Score Get a 7-Day Free Trial Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only N/A 7.00 8.00 7.00 7.00

BTSG vs TEM, HQY, HNGE: Piotroski F-Score Comparison

For the Health Information Services subindustry, BrightSpring Health Services's Piotroski F-Score, along with its competitors' market caps and Piotroski F-Score data, can be viewed below:

* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.


BrightSpring Health Services Piotroski F-Score vs Healthcare Providers & Services Industry

For the Healthcare Providers & Services industry and Healthcare sector, BrightSpring Health Services's Piotroski F-Score distribution charts can be found below:

* The bar in red indicates where BrightSpring Health Services's Piotroski F-Score falls into.


BTSG
40GF Score
BrightSpring Health Services Inc BTSG
Piotroski F-Score is just one metric. See GF Score™, valuation, warning signs, and more.
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How is the Piotroski F-Score calculated?

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

This Year (Mar26) TTM:Last Year (Mar25) TTM:
Net Income was 28.208 + 55.836 + 77.08 + 148.767 = $310 Mil.
Cash Flow from Operations was 49.076 + 107.936 + 231.559 + 122.943 = $512 Mil.
Revenue was 3147.698 + 3334.106 + 3550.631 + 3613.721 = $13,646 Mil.
Gross Profit was 374.852 + 392.008 + 412.548 + 482.222 = $1,662 Mil.
Average Total Assets from the begining of this year (Mar25)
to the end of this year (Mar26) was
(5846.945 + 5943.597 + 6049.497 + 6413.311 + 6213.314) / 5 = $6093.3328 Mil.
Total Assets at the begining of this year (Mar25) was $5,847 Mil.
Long-Term Debt & Capital Lease Obligation was $2,595 Mil.
Total Current Assets was $2,689 Mil.
Total Current Liabilities was $1,548 Mil.
Net Income was 19.919 + -8.23 + 15.999 + 29.542 = $57 Mil.

Revenue was 2438.254 + 2601.229 + 2746.965 + 2878.129 = $10,665 Mil.
Gross Profit was 312.176 + 323.092 + 338.668 + 338.369 = $1,312 Mil.
Average Total Assets from the begining of last year (Mar24)
to the end of last year (Mar25) was
(5655.555 + 5605.081 + 5785.967 + 5926.14 + 5846.945) / 5 = $5763.9376 Mil.
Total Assets at the begining of last year (Mar24) was $5,656 Mil.
Long-Term Debt & Capital Lease Obligation was $2,626 Mil.
Total Current Assets was $2,528 Mil.
Total Current Liabilities was $1,458 Mil.

*Note: If the latest quarterly/semi-annual/annual total assets data is 0, then we will use previous quarterly/semi-annual/annual data for all the items in the balance sheet.

Profitability

Question 1. Return on Assets (ROA)

Net income before extraordinary items for the year divided by Total Assets at the beginning of the year.

Score 1 if positive, 0 if negative.

BrightSpring Health Services's current Net Income (TTM) was 310. ==> Positive ==> Score 1.

Question 2. Cash Flow Return on Assets (CFROA)

Net cash flow from operating activities (operating cash flow) divided by Total Assets at the beginning of the year.

Score 1 if positive, 0 if negative.

BrightSpring Health Services's current Cash Flow from Operations (TTM) was 512. ==> Positive ==> Score 1.

Question 3. Change in Return on Assets

Compare this year's return on assets (1) to last year's return on assets.

Score 1 if it's higher, 0 if it's lower.

ROA (This Year)=Net Income/Total Assets (Mar25)
=309.891/5846.945
=0.0530005

ROA (Last Year)=Net Income/Total Assets (Mar24)
=57.23/5655.555
=0.01011925

BrightSpring Health Services's return on assets of this year was 0.0530005. BrightSpring Health Services's return on assets of last year was 0.01011925. ==> This year is higher. ==> Score 1.

Question 4. Quality of Earnings (Accrual)

Compare Cash flow return on assets (2) to return on assets (1)

Score 1 if CFROA > ROA, 0 if CFROA <= ROA.

BrightSpring Health Services's current Net Income (TTM) was 310. BrightSpring Health Services's current Cash Flow from Operations (TTM) was 512. ==> 512 > 310 ==> CFROA > ROA ==> Score 1.

Funding

Question 5. Change in Gearing or Leverage

Compare this year's gearing (long-term debt divided by average total assets) to last year's gearing.

Score 0 if this year's gearing is higher, 1 otherwise.

Gearing (This Year: Mar26)=Long-Term Debt & Capital Lease Obligation/Average Total Assets from Mar25 to Mar26
=2594.616/6093.3328
=0.42581229

Gearing (Last Year: Mar25)=Long-Term Debt & Capital Lease Obligation/Average Total Assets from Mar24 to Mar25
=2626.176/5763.9376
=0.45562187

BrightSpring Health Services's gearing of this year was 0.42581229. BrightSpring Health Services's gearing of last year was 0.45562187. ==> This year is lower or equal to last year. ==> Score 1.

Question 6. Change in Working Capital (Liquidity)

Compare this year's current ratio (current assets divided by current liabilities) to last year's current ratio.

Score 1 if this year's current ratio is higher, 0 if it's lower

Current Ratio (This Year: Mar26)=Total Current Assets/Total Current Liabilities
=2689.303/1548.413
=1.73681247

Current Ratio (Last Year: Mar25)=Total Current Assets/Total Current Liabilities
=2528.448/1457.617
=1.73464497

BrightSpring Health Services's current ratio of this year was 1.73681247. BrightSpring Health Services's current ratio of last year was 1.73464497. ==> This year's current ratio is higher. ==> Score 1.

Question 7. Change in Shares in Issue

Compare the number of shares in issue this year, to the number in issue last year.

Score 0 if there is larger number of shares in issue this year, 1 otherwise.

BrightSpring Health Services's number of shares in issue this year was 221.321. BrightSpring Health Services's number of shares in issue last year was 214.927. ==> There is larger number of shares in issue this year. ==> Score 0.

Efficiency

Question 8. Change in Gross Margin

Compare this year's gross margin (Gross Profit divided by sales) to last year's.

Score 1 if this year's gross margin is higher, 0 if it's lower.

Gross Margin (This Year: TTM)=Gross Profit/Revenue
=1661.63/13646.156
=0.12176543

Gross Margin (Last Year: TTM)=Gross Profit/Revenue
=1312.305/10664.577
=0.1230527

BrightSpring Health Services's gross margin of this year was 0.12176543. BrightSpring Health Services's gross margin of last year was 0.1230527. ==> Last year's gross margin is higher ==> Score 0.

Question 9. Change in asset turnover

Compare this year's asset turnover (total sales for the year divided by total assets at the beginning of the year) to last year's asset turnover ratio.

Score 1 if this year's asset turnover ratio is higher, 0 if it's lower

Asset Turnover (This Year)=Revenue/Total Assets at the Beginning of This Year (Mar25)
=13646.156/5846.945
=2.33389505

Asset Turnover (Last Year)=Revenue/Total Assets at the Beginning of Last Year (Mar24)
=10664.577/5655.555
=1.88568178

BrightSpring Health Services's asset turnover of this year was 2.33389505. BrightSpring Health Services's asset turnover of last year was 1.88568178. ==> This year's asset turnover is higher. ==> Score 1.

Evaluation

Piotroski F-Score= Que. 1+ Que. 2+ Que. 3+Que. 4+Que. 5+Que. 6+Que. 7+Que. 8+Que. 9
=1+1+1+1+1+1+0+0+1
=7

Good or high score = 7, 8, 9
Bad or low score = 0, 1, 2, 3

BrightSpring Health Services has an F-score of 7. It is a good or high score, which usually indicates a very healthy situation.

Frequently Asked Questions Learn more about Piotroski F-Score →
What does a Piotroski F-Score of 7 mean?
BrightSpring Health Services (BTSG) has a Piotroski F-Score of 7 as of Jun. 24, 2026. The Piotroski F-score grades a company's business operating strength from 0-9. View historical data on BrightSpring Health Services and its competitors. This is near median its historical median of 7.00. Over the past decade, BrightSpring Health Services' Piotroski F-Score has ranged from 4.00 to 8.00. According to the industry distribution chart, BrightSpring Health Services ranks #74 out of 651 companies in the Healthcare Providers & Services industry, placing it in the top 11.4%.
Is BrightSpring Health Services' Piotroski F-Score too high?
BrightSpring Health Services' current Piotroski F-Score of 7 is near median its 10-year median of 7.00. Over the past 10 years, this metric has ranged from a low of 4.00 to a high of 8.00. The Healthcare Providers & Services industry median Piotroski F-Score is 5.00. BrightSpring Health Services' value of 7 is 40% above this industry median. Based on the distribution chart, BrightSpring Health Services ranks #74 out of 651 companies in the Healthcare Providers & Services industry, which is in the top quartile — a strong position relative to peers. Overall, BrightSpring Health Services has a GF Score™ of 40/100, reflecting its overall financial health beyond just this single metric.
How does BrightSpring Health Services' Piotroski F-Score compare to TEM and HQY?
According to the Healthcare Providers & Services industry distribution chart, BrightSpring Health Services ranks #74 out of 651 companies for Piotroski F-Score. This places BrightSpring Health Services in the top 11% of its industry — outperforming the majority of peers. The industry median Piotroski F-Score is 5.00. BrightSpring Health Services' value of 7 is 40% above this benchmark. Historically, BrightSpring Health Services' own Piotroski F-Score has ranged from 4.00 to 8.00 over the past decade. While the company's 10-year median is 7.00 vs. the industry median of 5.00, BrightSpring Health Services has consistently been above the industry average. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Piotroski F-Score for a Healthcare Providers & Services company?
The median Piotroski F-Score among Healthcare Providers & Services companies is 5.00, based on 651 companies in the industry. Companies in the top quartile (top 25%) have a Piotroski F-Score significantly above this median, while those in the bottom quartile fall well below. However, Piotroski F-Score should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. BrightSpring Health Services's current Piotroski F-Score of 7 is 40% above the industry median. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Piotroski F-Score mean?
A high Piotroski F-Score can signal that a stock is expensive relative to its fundamentals. The Piotroski F-score grades a company's business operating strength from 0-9. View historical data on BrightSpring Health Services and its competitors. For the Healthcare Providers & Services industry, the median Piotroski F-Score is 5.00 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. BrightSpring Health Services's current Piotroski F-Score is 7, which is near median its own 10-year median of 7.00. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is BrightSpring Health Services stock overvalued right now?
BrightSpring Health Services (BTSG) has a current Piotroski F-Score of 7. The current Piotroski F-Score is 7, which is near median its 10-year median of 7.00 and 40% above the Healthcare Providers & Services industry median of 5.00. BrightSpring Health Services' overall GF Score™ is 40/100 with 7 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Piotroski F-Score calculated?
Piotroski F-Score is calculated from a company's financial statements. For BrightSpring Health Services (BTSG), the current Piotroski F-Score is 7 as of Jun. 24, 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.

BrightSpring Health Services Business Description

Address 805 N. Whittington Parkway, Louisville, KY, USA, 40222
BrightSpring Health Services Inc is a home and community-based healthcare services platform, focused on delivering complementary pharmacy and provider services to complex patients. Its platform delivers clinical services and pharmacy solutions across Medicare, Medicaid, and commercially insured populations. Its segments include Pharmacy Solutions, Provider Services, and others. It generates the majority of its revenue from the Pharmacy Solutions segment.
40GF Score

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