ROARABLE // PRO
GLOBAL DESKS // NYC --:--:-- NYSE
US TAPE
ROAR ▸

BTSG // BrightSpring Health Services Inc.

DES <GO> NASDAQ CIK 0001865782 ↗
Health Care • Medical/Nursing Services
$60.22 ▲ +0.76 (+1.28%)
MKT CAP: $11.92B • VOL: 3.98M
BTSG // ROARABLE RATING & 5-PILLAR RQD CONFIDENCE 02:00 EST DETERMINISTIC ENGINE
PRIOR: RQD 65/100 [C] (+0 PT) • UNCHANGED
ROARABLE C
RQD CONFIDENCE
65 / 100 +0D
5 X 20-PT QUANT PILLARS
E 0 D 35 C 59 B 70 A 86+
Roarable Hold — Fair / Balanced Risk-Reward
01 MASSIVE / SEC XBRL
Forensic Fundamentals
14 / 20
SOLID
FCF +200% vs NI +200% • ROIC-WACC -1.5% • Z 3.92
02 OPRA GEX + SEC 13F
Whale & Options Flow
[LOCKED] FLAGGED
UNLOCK BELOW TO REVEAL
03 SEC FORM 4 (90D)
Insider Conviction
[LOCKED] FLAGGED
UNLOCK BELOW TO REVEAL
04 FRED 90D r-MATRIX
Macro Regime Fit
16 / 20
STRONG
TAILWIND • r(10Y)=+0.00 (+23bp) • r(OAS)=+0.00
05 10-K REDLINE AUDIT
Forensic 10-K Risk
13 / 20
SOLID
20 BASE - 7 DEDUCT • 0 CRIT / 0 MED • STABLE
ALERT

Why did BTSG's Whale & Options Flow & Insider Conviction sub-score just flash a warning? Enter your email to unlock the full 5-Pillar Rating Breakdown + get instant alerts whenever BTSG is Upgraded or Downgraded.

BTSG // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: +39.44%⚡ TESTING RESISTANCE
2026-10-30O $65.29H $71.12L $64.21C $66.89VOL 5.93M
RES: $67.31SUP: $52.75SMA50: $59.94SMA200: $54.68
$76.52$65.06$53.60$42.14$30.68RES $67.31SUP $52.75$66.892026-04-302026-06-152026-07-312026-09-162026-10-30
BTSG // INSTITUTIONAL BULL VS. BEAR FORENSIC DEBATE
NEUTRAL / PAIR TRADE CONVICTION: 47/100
BEAR 0
100 BULL

BrightSpring Health Services Inc. (BTSG) exhibits 11.8% gross margins and 5.5% return on invested capital within Health Care (Medical/Nursing Services), balanced against a 37.9x enterprise multiple and 6.7% implied options volatility.

▲ INSTITUTIONAL BULL THESIS (LONG)
01. Operating Leverage & Capital Efficiency Moat

Sustained 11.8% gross profitability converts into 2.3% operating margin and 5.5% ROIC, outpacing sector cost of capital.

ROIC: 5.5% // GM: 11.8%
02. Top-Line Expansion & Cash Conversion

YoY revenue trajectory of +28.2% paired with 3.31% free cash flow yield supports self-funded R&D and capital return.

REV YOY: +28.2% // FCF YLD: 3.31%
03. Balance Sheet Solvency & Forensic Quality

Altman Z-Score of 3.92 and Piotroski F-Score of 7/9 indicate low near-term refinancing stress.

ALTMAN Z: 3.92 // F-SCORE: 7/9
▼ INSTITUTIONAL BEAR THESIS (SHORT / RISK)
01. Multiple Compression & Duration Sensitivity

Trading at 63.0x trailing P/E (52.9x Fwd P/E) leaves valuation vulnerable if real 10Y TIPS yields spike.

P/E: 63.0x // EV/EBITDA: 37.9x
02. Options Skew & Event Volatility Risk

Options market prices a ±6.7% implied move with a 0.84 put/call ratio around $59.00 max pain.

IMPL MOVE: ±6.7% // P/C: 0.84
03. Competitive Margin & CapEx Cycle Pressure

Elevated industry capital intensity and customer concentration in Medical/Nursing Services require continuous execution to defend 1.5% net margins.

NET MARGIN: 1.5% // D/E: 1.31x
KEY CATALYST // Upcoming 10-Q/10-K XBRL margin progression, guidance revision vs 52.9x forward consensus, and institutional 13F positioning.
MACRO REGIME // Monitor US 10Y Real Yields (DFII10) and High-Yield Credit Spreads (OAS) for beta-adjusted multiple impact (Beta 0.94).
FORM 4 & 13F FLOW OPEN OWN <GO>
FILER SIDE $ VALUE
INSPECT FULL OWNERSHIP LEDGER IN OWN <GO>
UNUSUAL OPTIONS TAPE OPEN OPT <GO>
STRIKE / EXP TYPE PREMIUM
INSPECT GEX & CHAIN IN OPT <GO>
KEY VALUATION & PROFITABILITY RATIOS XBRL FA <GO>
TRAILING P/E 63.0x
FORWARD P/E 52.9x
EV / EBITDA 37.9x
FCF YIELD 3.31%
GROSS MARGIN 11.8%
OPERATING MARGIN 2.3%
NET MARGIN 1.5%
ROIC % 5.5%
REV GROWTH YOY +28.2%
DILUTED EPS TTM $0.96
DEBT / EQUITY 1.31x
DIVIDEND YIELD 0.00%
RSI-14 MOMENTUM 67.3
5Y EQUITY BETA 0.94
FRED MACRO SENSITIVITY (PEARSON r) ECST <GO>
MACRO CORRELATION CALIBRATION ACTIVE BELOW.
FRED MACRO REGIME STRESS-TEST SIMULATOR // BTSGPEARSON R VARIANCE ENGINE
01 // SELECT FEDERAL RESERVE & CREDIT SHOCK SCENARIO
02 // POSITION NOTIONAL EXPOSURE
HEADLINE STRESS SCORE
75/100SEVERE DRAWDOWN PRESSURE
PRIMARY FACTOR EXPOSURE
DFII10 // -0.61 r
Latest: 2.08%
EST. DIRECTIONAL MOVE
-8.50%
Implied Px: $55.10
EST. DOLLAR VARIANCE
-$4,248
On $50,000 Notional
[LOCKED // MULTI-FACTOR DRAWDOWN HEDGE & MACRO TRIGGER ALERT]

Unblur the exact $50,000 delta-adjusted ETF/options hedge ratio for BTSG & activate live FRED threshold breach alerts.

HEAD-TO-HEAD PEER COMPARISONS COMP <GO>