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BrightSpring Health Services vs Option Care Health: revenue, profit, margins and growth compared

BrightSpring Health Services brought in $12.9B of revenue in fiscal 2025, Option Care Health $5.6B in fiscal 2025. Revenue changed by +28.2% at BrightSpring Health Services and +13.0% at Option Care Health on the year before, so BrightSpring Health Services grew faster. BrightSpring Health Services kept 1.5% of its revenue as net profit, Option Care Health 3.7%. Free cash flow was $394.7M at BrightSpring Health Services and $217.1M at Option Care Health.

Side by side, latest fiscal year

BTSGUOPCH
Fiscal year endedFY2025 (December 31, 2025)FY2025 (December 31, 2025)
Revenue$12.9B$5.6B
Revenue growth+28.2%+13.0%
Net income$190.7M$207.6M
Net margin1.5%3.7%
Free cash flow$394.7M$217.1M
Free cash flow margin3.1%3.8%
Earnings per share (diluted)$0.87$1.27
Cash$88.4M$232.6M
Debt$2.5B$1.2B
Price to earnings211.818.2
Market value$36.5B$3.5B
Dividend yieldn/an/a
Rank by revenue in sector#38 of 523 · Health care#58 of 523 · Health care

Over the years

Revenue
BTSGU FY2022: $7.7BBTSGU FY2024: $7.7BBTSGU FY2024: $10.1BBTSGU FY2025: $12.9BOPCH FY2018: $1.9BOPCH FY2019: $2.3BOPCH FY2020: $3BOPCH FY2021: $3.4BOPCH FY2022: $3.9BOPCH FY2023: $4.3BOPCH FY2024: $5BOPCH FY2025: $5.6BFY18FY19FY20FY21FY22FY23FY24FY25
BTSGU $12.9BOPCH $5.6B
Net income
BTSGU FY2022: -$53.9MBTSGU FY2024: -$154.6MBTSGU FY2024: -$18.1MBTSGU FY2025: $190.7MOPCH FY2018: -$6.1MOPCH FY2019: -$75.9MOPCH FY2020: -$8.1MOPCH FY2021: $139.9MOPCH FY2022: $150.6MOPCH FY2023: $267.1MOPCH FY2024: $211.8MOPCH FY2025: $207.6MFY18FY19FY20FY21FY22FY23FY24FY25
BTSGU $190.7MOPCH $207.6M
Net margin
BTSGU FY2022: -0.7%BTSGU FY2024: -2.0%BTSGU FY2024: -0.2%BTSGU FY2025: 1.5%OPCH FY2018: -0.3%OPCH FY2019: -3.3%OPCH FY2020: -0.3%OPCH FY2021: 4.1%OPCH FY2022: 3.8%OPCH FY2023: 6.2%OPCH FY2024: 4.2%OPCH FY2025: 3.7%FY18FY19FY20FY21FY22FY23FY24FY25
BTSGU 1.5%OPCH 3.7%
Revenue growth
BTSGU FY2024: -0.4%BTSGU FY2024: +31.0%BTSGU FY2025: +28.2%OPCH FY2019: +19.1%OPCH FY2020: +31.3%OPCH FY2021: +13.4%OPCH FY2022: +14.7%OPCH FY2023: +9.1%OPCH FY2024: +16.2%OPCH FY2025: +13.0%FY19FY20FY21FY22FY23FY24FY25
BTSGU +28.2%OPCH +13.0%
Free cash flow
BTSGU FY2022: -$74.8MBTSGU FY2024: $137.3MBTSGU FY2024: -$57.1MBTSGU FY2025: $394.7MOPCH FY2018: -$1.8MOPCH FY2019: $11.2MOPCH FY2020: $100.5MOPCH FY2021: $182.9MOPCH FY2022: $232.2MOPCH FY2023: $329.4MOPCH FY2024: $287.8MOPCH FY2025: $217.1MFY18FY19FY20FY21FY22FY23FY24FY25
BTSGU $394.7MOPCH $217.1M

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

Questions about BrightSpring Health Services and Option Care Health

Which is bigger by revenue, BrightSpring Health Services or Option Care Health?

BrightSpring Health Services is bigger by revenue: $12.9B in fiscal 2025, against $5.6B for Option Care Health in fiscal 2025.

Which keeps more of its revenue as profit, BrightSpring Health Services or Option Care Health?

BrightSpring Health Services had a net margin of 1.5% in fiscal 2025; Option Care Health had 3.7% in fiscal 2025.

Which grew revenue faster, BrightSpring Health Services or Option Care Health?

In their latest fiscal years revenue changed by +28.2% at BrightSpring Health Services and +13.0% at Option Care Health.

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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