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Addus HomeCare vs BrightSpring Health Services: revenue, profit, margins and growth compared

Addus HomeCare brought in $1.4B of revenue in fiscal 2025, BrightSpring Health Services $12.9B in fiscal 2025. Revenue changed by +23.2% at Addus HomeCare and +28.2% at BrightSpring Health Services on the year before, so BrightSpring Health Services grew faster. Addus HomeCare kept 6.7% of its revenue as net profit, BrightSpring Health Services 1.5%. Free cash flow was $103.8M at Addus HomeCare and $394.7M at BrightSpring Health Services.

Side by side, latest fiscal year

ADUSBTSGU
Fiscal year endedFY2025 (December 31, 2025)FY2025 (December 31, 2025)
Revenue$1.4B$12.9B
Revenue growth+23.2%+28.2%
Net income$95.9M$190.7M
Net margin6.7%1.5%
Free cash flow$103.8M$394.7M
Free cash flow margin7.3%3.1%
Earnings per share (diluted)$5.22$0.87
Cash$81.6M$88.4M
Debt$121M$2.5B
Price to earnings21.7211.8
Market value$2.1B$36.5B
Dividend yieldn/an/a
Rank by revenue in sector#127 of 523 · Health care#38 of 523 · Health care

Over the years

Revenue
ADUS FY2018: $516.6MADUS FY2019: $648.8MADUS FY2020: $764.8MADUS FY2021: $864.5MADUS FY2022: $951.1MADUS FY2023: $1.1BADUS FY2024: $1.2BADUS FY2025: $1.4BBTSGU FY2022: $7.7BBTSGU FY2024: $7.7BBTSGU FY2024: $10.1BBTSGU FY2025: $12.9BFY18FY19FY20FY21FY22FY23FY24FY25
ADUS $1.4BBTSGU $12.9B
Net income
ADUS FY2018: $16.4MADUS FY2019: $25.2MADUS FY2020: $33.1MADUS FY2021: $45.1MADUS FY2022: $46MADUS FY2023: $62.5MADUS FY2024: $73.6MADUS FY2025: $95.9MBTSGU FY2022: -$53.9MBTSGU FY2024: -$154.6MBTSGU FY2024: -$18.1MBTSGU FY2025: $190.7MFY18FY19FY20FY21FY22FY23FY24FY25
ADUS $95.9MBTSGU $190.7M
Net margin
ADUS FY2018: 3.2%ADUS FY2019: 3.9%ADUS FY2020: 4.3%ADUS FY2021: 5.2%ADUS FY2022: 4.8%ADUS FY2023: 5.9%ADUS FY2024: 6.4%ADUS FY2025: 6.7%BTSGU FY2022: -0.7%BTSGU FY2024: -2.0%BTSGU FY2024: -0.2%BTSGU FY2025: 1.5%FY18FY19FY20FY21FY22FY23FY24FY25
ADUS 6.7%BTSGU 1.5%
Revenue growth
ADUS FY2019: +25.6%ADUS FY2020: +17.9%ADUS FY2021: +13.0%ADUS FY2022: +10.0%ADUS FY2023: +11.3%ADUS FY2024: +9.1%ADUS FY2025: +23.2%BTSGU FY2024: -0.4%BTSGU FY2024: +31.0%BTSGU FY2025: +28.2%FY19FY20FY21FY22FY23FY24FY25
ADUS +23.2%BTSGU +28.2%
Free cash flow
ADUS FY2018: $27.9MADUS FY2019: $7.4MADUS FY2020: $102.6MADUS FY2021: $34.8MADUS FY2022: $96.8MADUS FY2023: $102.8MADUS FY2024: $110.4MADUS FY2025: $103.8MBTSGU FY2022: -$74.8MBTSGU FY2024: $137.3MBTSGU FY2024: -$57.1MBTSGU FY2025: $394.7MFY18FY19FY20FY21FY22FY23FY24FY25
ADUS $103.8MBTSGU $394.7M

Fiscal years as each company reports them; the two may end in different months.

Questions about Addus HomeCare and BrightSpring Health Services

Which is bigger by revenue, Addus HomeCare or BrightSpring Health Services?

BrightSpring Health Services is bigger by revenue: $12.9B in fiscal 2025, against $1.4B for Addus HomeCare in fiscal 2025.

Which keeps more of its revenue as profit, Addus HomeCare or BrightSpring Health Services?

Addus HomeCare had a net margin of 6.7% in fiscal 2025; BrightSpring Health Services had 1.5% in fiscal 2025.

Which grew revenue faster, Addus HomeCare or BrightSpring Health Services?

In their latest fiscal years revenue changed by +23.2% at Addus HomeCare and +28.2% at BrightSpring Health Services.

Where do these numbers come from?

From the annual reports each company files with the SEC (10-K, or 20-F and 40-F for foreign companies), read from their XBRL data. Margins and growth are simple arithmetic on those figures. Nothing here is a recommendation.

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