Form 8-K

8-K — BrightSpring Health Services, Inc.

Accession: 0001193125-26-326654

Filed: 2026-07-31

Period: 2026-07-31

CIK: 0001865782

SIC: 8082 (SERVICES-HOME HEALTH CARE SERVICES)

Item: Results of Operations and Financial Condition

Item: Financial Statements and Exhibits

Documents

8-K — btsg-20260731.htm (Primary)

EX-99.1 (btsg-ex99_1.htm)

XML — IDEA: XBRL DOCUMENT (R1.htm)

8-K

8-K (Primary)

Filename: btsg-20260731.htm · Sequence: 1

8-K

0001865782false0001865782btsg:SixPointSevenFivePercentageTangibleEquityUnitsMember2026-07-312026-07-310001865782us-gaap:CommonStockMember2026-07-312026-07-3100018657822026-07-312026-07-31

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 8-K

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): July 31, 2026

BrightSpring Health Services, Inc.

(Exact name of Registrant as Specified in Its Charter)

Delaware

001-41938

82-2956404

(State or Other Jurisdiction

of Incorporation)

(Commission File Number)

(IRS Employer

Identification No.)

805 N. Whittington Parkway

Louisville, Kentucky

40222

(Address of Principal Executive Offices)

(Zip Code)

Registrant’s Telephone Number, Including Area Code: 502 394-2100

Not Applicable

(Former Name or Former Address, if Changed Since Last Report)

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

☐Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

☐Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

☐Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

☐Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

Title of each class

Trading

Symbol(s)

Name of each exchange on which registered

Common Stock, par value $0.01 per share

BTSG

The Nasdaq Stock Market LLC

6.75% Tangible Equity Units

BTSGU

The Nasdaq Stock Market LLC

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).

Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Item 2.02 Results of Operations and Financial Condition.

On July 31, 2026, BrightSpring Health Services, Inc. issued a press release announcing its financial results for the quarter ended June 30, 2026. A copy of the press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K and incorporated by reference in this Item 2.02.

The information furnished under this Item 2.02, including Exhibit 99.1, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities under that section and shall not be deemed to be incorporated by reference into any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as otherwise expressly stated by specific reference in any such filing.

Item 9.01 Financial Statements and Exhibits.

(d) Exhibits.

Exhibit

Number

Description

99.1

Press Release of BrightSpring Health Services, Inc., dated July 31, 2026.

104

Cover Page Interactive Data File (embedded within the Inline XBRL document).

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

BRIGHTSPRING HEALTH SERVICES, INC.

Date:

July 31, 2026

By:

/s/ Jennifer Phipps

Name:

Title:

Jennifer Phipps

Executive Vice President and Chief Financial Officer

EX-99.1

Filename: btsg-ex99_1.htm · Sequence: 2

EX-99.1

BrightSpring Health Services, Inc. Reports Second Quarter 2026 Financial Results and Increases Full Year 2026 Guidance

LOUISVILLE, Ky., July 31, 2026 — BrightSpring Health Services, Inc. (“BrightSpring” or the “Company”) (NASDAQ: BTSG), a leading provider of home and community-based health services for complex populations, today announced financial results for the second quarter ended June 30, 2026, and increased full year 2026 Revenue and Adjusted EBITDA1 guidance.

Second Quarter 2026 Financial Highlights

(note: On March 30, 2026, BrightSpring completed the divestiture of the Community Living business and as such, all financial results provided pertain to continuing operations)

•

Net revenue of $3,873 million, up 23.0% compared to $3,148 million in the second quarter of 2025

•

Gross profit of $493 million, up 31.5% compared to $375 million in the second quarter of 2025

•

Net income of $87 million compared to $9 million in the second quarter of 2025

•

Adjusted EBITDA1 of $206 million, up 44.2% compared to $143 million in the second quarter of 2025

•

Leverage of 2.15x as of June 30, 2026, compared to leverage of 2.27x on March 31, 2026

•

$300.0M paydown and concurrent modification of the First Lien Facility, including interest rate refinancings that resulted in interest savings

•

Completion of an underwritten secondary offering of common stock by affiliates of Kohlberg Kravis Roberts & Co. L.P. and certain members of management in June 2026, and a concurrent $60.0 million repurchase of 1,026,465 shares of common stock from the underwriter

"We are pleased with the Company’s second quarter results that reflect our quality focus, service level performance, and dedication to the patients we serve," said Jon Rousseau, Chairman, President, and Chief Executive Officer of BrightSpring. "We remain grounded in disciplined operational execution and delivering high-quality and effective care. Our service lines have significant long-term opportunity to better address the needs of all healthcare stakeholders, and we remain committed to innovation and leadership in our industry to impact more patients in the future."

1Adjusted EBITDA is a non-GAAP financial measure. Please see “Non-GAAP Financial Information” at the end of this press release for a reconciliation of Adjusted EBITDA to net income from continuing operations, the most directly comparable financial measure prepared in accordance with GAAP.

Key Financials3

Three Months Ended

Six Months Ended

June 30, (Unaudited)

2026

2025

2026

2025

($ in millions)

Pharmacy Solutions Revenue

$ 3,407

$ 2,790

22%

$ 6,579

$ 5,322

24%

Provider Services Revenue

466

358

30%

908

704

29%

Total Revenue

$ 3,873

$ 3,148

23%

$ 7,487

$ 6,026

24%

Three Months Ended

Six Months Ended

June 30, (Unaudited)

2026

2025

2026

2025

($ in millions)

Pharmacy Solutions segment EBITDA

$ 180

$ 125

44%

$ 349

$ 240

45%

Provider Services segment EBITDA

33%

141

108

31%

Total Segment Adjusted EBITDA

$ 255

$ 181

41%

$ 490

$ 348

41%

Corporate Costs

(49)

(39)

n.m.

(95)

(74)

n.m.

Total Company Adjusted EBITDA(1)

$ 206

$ 143

44%

$ 395

$ 274

45%

*n.m.: not meaningful

Business Metrics

Three Months Ended

Six Months Ended

June 30, (Unaudited)

2026

2025

2026

2025

Pharmacy Solutions

Prescriptions dispensed

10,844,038

10,851,773

(0%)

21,573,914

21,729,067

(1%)

Revenue per script ($)

314.20

257.11

22%

304.93

244.94

25%

Gross Profit per script ($)

27.50

21.54

28%

27.76

20.14

38%

Provider Services

Home Health Care average daily

census

46,448

30,085

54%

46,258

30,163

53%

Rehab Care persons served

7,755

7,119

7,688

6,909

11%

Personal Care persons served

16,357

16,138

16,219

16,001

1Adjusted EBITDA is a non-GAAP financial measure. Please see “Non-GAAP Financial Information” and the end of this press release for a reconciliation of Adjusted EBITDA to net income from continuing operations, the most directly comparable financial measure prepared in accordance with GAAP.

3Financial tables may not foot due to rounding.

Full Year 2026 Financial Guidance

For the full year 2026, BrightSpring is increasing Revenue and Adjusted EBITDA guidance, which excludes the Community Living business and the effects of any future closed acquisitions. All growth rates are shown as compared to the full year 2025 Revenue and Adjusted EBITDA results, excluding the Community Living business:

•

Revenues of $15,100 million to $15,425 million, or 17.0% to 19.5% growth

Pharmacy Segment Revenue of $13,200 million to $13,500 million, or 15.3% to 17.9% growth

Provider Segment Revenue of $1,900 million to $1,925 million, or 29.7% to 31.4% growth

•

Total Adjusted EBITDA4 of $820 million to $845 million, or 32.8% to 36.8% growth

•

The Amedisys and LHC branches acquisition is expected to contribute approximately $35 million in Adjusted EBITDA in 2026

4A reconciliation of the foregoing guidance for the non-GAAP metric of Adjusted EBITDA to GAAP net income from continuing operations cannot be provided without unreasonable effort because of the inherent difficulty of accurately forecasting the occurrence and financial impact of the various adjusting items necessary for such reconciliation that have not yet occurred, are out of our control, or cannot be reasonably predicted. For the same reasons, the Company is unable to assess the probable significance of the unavailable information, which could have a material impact on its future GAAP financial results.

Webcast and Conference Call Details

The Company will host a conference call today, July 31st at 8:30 a.m. Eastern Time. Investors interested in listening to the conference call are required to register online.

A live and archived webcast of the event will be available on the “Events & Presentations” section of the BrightSpring website at https://ir.brightspringhealth.com/. The Company has posted supplemental information on the second quarter 2026 results that it will reference during the conference call. The supplemental information can be found under the “Events & Presentations” on the Company’s investor relations page.

About BrightSpring Health Services

BrightSpring Health Services provides complementary home- and community-based health solutions for medically complex populations in need of specialized and/or chronic care. Through the Company’s service lines, including pharmacy, home health care, and rehabilitation, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 485,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and industry-leading quality metrics across its services lines, while improving the health and quality of life for high-need individuals and reducing overall healthcare system costs.

Forward-Looking Statements

This press release contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements reflect our current views with respect to, among other things, our operations and financial performance. Forward-looking statements include all statements that are not historical facts. These forward-looking statements may relate to matters which include, but are not limited to, industries, business strategy, goals and expectations concerning our market position, future operations, margins, profitability, capital expenditures, liquidity and capital resources and other financial and operating information. In some cases, we have used words such as “anticipate,” “assume,” “believe,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “plan,” “potential,” “predict,” “project,” “future,” “will,” “seek,” “foreseeable,” “target,” “guidance,” the negative version of these words, or similar terms and phrases to identify these forward-looking statements.

The forward-looking statements are based on management’s current expectations and are not historical facts or guarantees of future performance. The forward-looking statements relate to the future and are therefore subject to various risks, uncertainties, assumptions, or changes in circumstances that are difficult to predict or quantify. Our expectations, beliefs, and projections are expressed in good faith and we believe there is a reasonable basis for them. However, there can be no assurance that management’s expectations, beliefs, and projections will result or be achieved. Actual results may differ materially from these expectations due to changes in global, regional, or local economic, business, competitive, market, regulatory, and other factors,

many of which are beyond our control. We believe that these factors include but are not limited to the following:

•

our operation in a highly competitive industry;

•

our inability to maintain relationships with existing patient referral sources or establish new referral sources;

•

changes to Medicare and Medicaid rates or methods governing Medicare and Medicaid payments for our services;

•

cost containment initiatives of third-party payors, including post-payment audits;

•

the implementation of alternative payment models and the transition of Medicaid and Medicare beneficiaries to managed care organizations may limit our market share and could adversely affect our revenues;

•

changes in the case mix of patients, as well as payor mix and payment methodologies, and decisions and operations of third-party organizations;

•

our reliance on federal and state spending, budget decisions, and continuous governmental operations which may fluctuate under different political conditions;

•

changes in drug utilization and/or pricing, PBM contracts, and Medicare Part D/Medicaid reimbursement, which may negatively impact our profitability;

•

changes in our relationships with pharmaceutical suppliers, including changes in drug availability or pricing;

•

reliance on the continual recruitment and retention of nurses, pharmacists, therapists, caregivers, direct support professionals, and other qualified personnel, including senior management;

•

compliance with or changes to federal, state, and local laws and regulations that govern our employment practices, including minimum wage, living wage, and paid time-off requirements;

•

fluctuation of our results of operations on a quarterly basis;

•

harm caused by labor relation matters;

•

limitations in our ability to control reimbursement rates received for our services if we are unable to maintain or reduce our costs to provide such services;

•

delays in collection or non-collection of our accounts receivable, particularly during the business integration process;

•

failure to manage our growth effectively, which may inhibit our ability to execute our business plan, maintain high levels of service and satisfaction or adequately address competitive challenges;

•

our ability to identify, successfully complete and manage acquisitions, joint ventures, divestitures and other significant transactions and strategic initiatives;

•

our ability to continue to provide consistently high quality of care;

•

maintenance of our corporate reputation or the emergence of adverse publicity, including negative information on social media or changes in public perception of our services;

•

contract continuance, expansion and renewal with our existing customers, including renewals at lower fee levels, customers declining to purchase additional services from us, or reduction in the services received from us pursuant to those contracts;

•

effective investment in, implementation of improvements to and proper maintenance of the uninterrupted operation and data integrity of our information technology and other business systems;

•

security breaches, loss of data, and other disruptions, which could compromise sensitive business or patient information; cause a loss of confidential patient data, employee data or personal information; or prevent access to critical information and thereby expose us to liability, litigation, and federal and state governmental inquiries and damage our reputation and brand;

•

risks related to credit card payments and other payment methods;

•

potential substantial malpractice or other similar claims;

•

various risks related to governmental inquiries, regulatory actions, and whistleblower and other lawsuits, which may not be entirely covered by insurance;

•

our current insurance program, which may expose us to unexpected costs, particularly if we incur losses not covered by our insurance or if claims or losses differ from our estimates;

•

factors outside of our control, including those listed, which have required and could in the future require us to record an asset impairment of goodwill;

•

a pandemic, epidemic, or outbreak of an infectious disease;

•

inclement weather, natural disasters, acts of terrorism, riots, civil insurrection or social unrest, looting, protests, strikes, or street demonstrations;

•

our inability to adequately protect our intellectual property rights;

•

risks related to our compliance with our regulatory framework;

•

the significant interests of KKR Stockholder may conflict with our stockholders’ interests in the future;

•

our substantial indebtedness;

•

significant changes in tax or trade policies, tariffs, or trade relations between the United States and other countries, such as the imposition of unilateral tariffs on imported products, including impacts on imported drug products, which could result in supply chain disruptions and significant increases in costs; and

•

fluctuations in the amount and frequency of repurchases of our common stock.

The forward-looking statements included in this press release are made only as of the date of this press release, and we undertake no obligation to publicly update or revise any forward-looking statement, whether as a result of new information, future developments, or otherwise, except as required by law. These factors should not be construed as exhaustive, and should one or more of these risks or uncertainties materialize, or should any of our assumptions prove incorrect, our actual results may vary in material respects from those projected in these forward-looking statements. Factors or events that could cause our actual results to differ may emerge from time to time, and it is not possible for us to predict all of them. We may not actually achieve the plans, intentions, or expectations disclosed in our forward-looking statements and you should not place undue reliance on our forward-looking statements. Our forward- looking statements do not reflect the potential impact of any future acquisitions, mergers, dispositions, joint ventures, investments, or other strategic transactions we may make.

For additional information on these and other factors that could cause BrightSpring’s actual results to differ materially from expected results, please see our filings with the Securities and Exchange Commission (the “SEC”), which are accessible on the SEC’s website at www.sec.gov.

Non-GAAP Financial Measures

This press release contains “non-GAAP financial measures,” including “EBITDA,” “Adjusted EBITDA,” and “Adjusted EPS,” which are financial measures that either exclude or include amounts that are not excluded or included in the most directly comparable measures calculated and presented in accordance with accounting principles generally accepted in the United States, or GAAP.

EBITDA, Adjusted EBITDA, and Adjusted EPS have been presented in this release as supplemental measures of financial performance that are not required by, or presented in accordance with, GAAP, because we believe they assist investors and analysts in comparing our operating performance across reporting periods on a consistent basis by excluding items that we do not believe are indicative of our core operating performance. Management also believes that these measures are useful to investors in highlighting trends in our operating performance,

while other measures can differ significantly depending on long-term strategic decisions regarding capital structure, the tax jurisdictions in which we operate and capital investments. Management uses EBITDA, Adjusted EBITDA, and Adjusted EPS to supplement GAAP measures of performance in the evaluation of the effectiveness of our business strategies, to make budgeting decisions, to establish and award discretionary annual incentive compensation, and to compare our performance against that of other peer companies using similar measures.

Management supplements GAAP results with non-GAAP financial measures to provide a more complete understanding of the factors and trends affecting the business than GAAP results alone. EBITDA, Adjusted EBITDA, and Adjusted EPS are non-GAAP measures of our financial performance and should not be considered as an alternative to net income as a measure of financial performance or any other performance measures derived in accordance with GAAP. Additionally, these measures are not intended to be a measure of free cash flow available for management’s discretionary use as they do not consider certain cash requirements such as tax payments, debt service requirements, total capital expenditures, and certain other cash costs that may recur in the future.

Management defines EBITDA as net income from continuing operations before income tax expense, interest expense, net and depreciation and amortization. Management also defines Adjusted EBITDA as EBITDA, further adjusted to exclude non-cash share-based compensation, acquisition, integration and transaction-related costs, and restructuring and divestiture-related and other costs.

The presentations of these measures have limitations as analytical tools and should not be considered in isolation, or as a substitute for analysis of our results as reported under GAAP. Because not all companies use identical calculations, the presentations of these measures may not be comparable to other similarly titled measures of other companies and can differ significantly from company to company. Please see the end of this press release for reconciliations of non-GAAP financial measures to the most directly comparable financial measure prepared in accordance with GAAP.

BrightSpring Contact:

Investor Relations:

David Deuchler, CFA

SVP, Strategic Finance & Investor Relations

Executive Director, BrightSpring Health Foundation

IR@brightspringhealth.com

917.209.5605

Media Contact:

Leigh White

Vice President, Communications & PR

leigh.white@brightspringhealth.com

502.630.7412

BrightSpring Health Services, Inc. and Subsidiaries

Condensed Consolidated Balance Sheets

June 30, 2026 and December 31, 2025

(In thousands, except share and per share data)

(Unaudited)

June 30, 2026

December 31, 2025

Assets

Current assets:

Cash and cash equivalents

550,381

88,370

Accounts receivable, net of allowance for credit losses

1,139,420

989,719

Inventories

575,009

815,180

Prepaid expenses and other current assets

205,163

118,592

Current assets held for sale

—

882,189

Total current assets

2,469,973

2,894,050

Property and equipment, net of accumulated depreciation of $438,963 and $404,878 at

June 30, 2026 and December 31, 2025, respectively

213,866

204,689

Goodwill

2,535,244

2,545,673

Intangible assets, net of accumulated amortization

514,424

557,555

Operating lease right-of-use assets, net

166,976

171,632

Other assets

85,234

39,712

Total assets

5,985,717

6,413,311

Liabilities, Redeemable Noncontrolling Interests, and Equity

Current liabilities:

Trade accounts payable

1,090,915

1,217,946

Accrued expenses

371,701

333,024

Current portion of obligations under operating leases

44,663

42,936

Current portion of obligations under financing leases

6,909

6,794

Current portion of long-term debt

41,445

52,340

Current liabilities held for sale

—

195,994

Total current liabilities

1,555,633

1,849,034

Obligations under operating leases, net of current portion

132,046

135,420

Obligations under financing leases, net of current portion

13,273

14,544

Long-term debt, net of current portion

2,149,315

2,455,204

Deferred income taxes, net

636

6,178

Long-term liabilities

76,612

66,565

Total liabilities

3,927,515

4,526,945

Redeemable noncontrolling interests

9,417

11,227

Shareholders’ equity:

Common stock, $0.01 par value, 1,500,000,000 shares authorized, 197,509,491 and

192,124,125 shares issued and outstanding at June 30, 2026 and December 31, 2025,

respectively

1,975

1,921

Preferred stock, $0.01 par value, 250,000,000 authorized, no shares issued and

outstanding at June 30, 2026 and December 31, 2025

—

Additional paid-in capital

2,004,123

1,954,482

Retained earnings (accumulated deficit)

38,434

(74,647

)

Accumulated other comprehensive income (loss)

4,185

(6,691

)

Total shareholders’ equity

2,048,717

1,875,065

Noncontrolling interest

Total equity

2,048,785

1,875,139

Total liabilities, redeemable noncontrolling interests, and equity

5,985,717

6,413,311

BrightSpring Health Services, Inc. and Subsidiaries

Condensed Consolidated Statements of Operations

For the three and six months ended June 30, 2026 and 2025

(In thousands, except per share amounts)

(Unaudited)

For the Three Months Ended

For the Six Months Ended

June 30,

2026

2025

2026

2025

Revenues:

Products

3,407,173

2,790,101

6,578,522

5,322,272

Services

465,967

357,597

908,339

703,555

Total revenues

3,873,140

3,147,698

7,486,861

6,025,827

Cost of goods

3,108,992

2,556,402

5,979,567

4,884,617

Cost of services

271,402

216,444

532,326

427,989

Gross profit

492,746

374,852

974,968

713,221

Selling, general, and administrative expenses

362,355

326,295

723,128

613,925

Operating income

130,391

48,557

251,840

99,296

Interest expense, net

36,879

38,778

75,494

80,541

Income from continuing operations before income taxes

93,512

9,779

176,346

18,755

Income tax expense

6,908

1,238

15,459

998

Income from continuing operations, net of income taxes

86,604

8,541

160,887

17,757

(Loss) income from discontinued operations, net of income taxes

(2,395

)

19,001

71,932

38,795

Net income

84,209

27,542

232,819

56,552

Net loss attributable to noncontrolling interests included in

continuing operations

(81

)

(666

)

(238

)

(1,198

)

Net income attributable to BrightSpring Health Services, Inc. and

subsidiaries

84,290

28,208

233,057

57,750

Net income per common share:

Basic income (loss) per share attributable to common shareholders:

Continuing operations

0.42

0.05

0.78

0.09

Discontinued operations

(0.01

)

0.09

0.35

0.20

Net income per share

0.41

0.14

1.13

0.29

Diluted income (loss) per share attributable to common shareholders:

Continuing operations

0.39

0.04

0.73

0.09

Discontinued operations

(0.01

)

0.09

0.32

0.18

Net income per share

0.38

0.13

1.05

0.27

Weighted average shares outstanding:

Basic

206,042

201,807

205,381

200,516

Diluted

220,276

216,336

221,191

214,963

BrightSpring Health Services, Inc. and Subsidiaries

Condensed Consolidated Statements of Cash Flows

For the three and six months ended June 30, 2026 and 2025

(In thousands)

(Unaudited)

For the Three Months Ended

For the Six Months Ended

June 30,

2026

2025

2026

2025

Operating activities:

Net income

84,209

27,542

232,819

56,552

Adjustments to reconcile net income to cash provided by operating activities:

Depreciation and amortization

41,423

41,839

80,517

84,000

Change in fair value of contingent consideration, net

—

305

—

2,003

Payment of contingent consideration in excess of acquisition date fair value

—

(1,500

)

—

(1,500

)

Provision for credit losses

12,306

32,557

22,865

40,658

Amortization of deferred debt issuance costs

2,948

2,794

5,764

5,543

Share-based compensation

19,493

22,802

23,169

38,483

Deferred income taxes, net

(2,336

)

(139

)

(9,529

)

3,892

Loss (gain) on sale of discontinued operations

1,544

—

(101,868

)

—

Other

1,086

267

1,014

3,186

Change in operating assets and liabilities, net of acquisitions and dispositions:

Accounts receivable

(38,452

)

(33,307

)

(152,577

)

(112,756

)

Prepaid expenses and other current assets

(78,341

)

438

(86,132

)

24,411

Inventories

(14,844

)

(91,827

)

239,989

11,473

Trade accounts payable

(516

)

107,148

(87,503

)

53,277

Accrued expenses

16,921

(52,133

)

27,951

(43,490

)

Other assets and liabilities

(1,525

)

(7,710

)

(29,620

)

(15,058

)

Net cash provided by operating activities

43,916

49,076

166,859

150,674

Investing activities:

Purchases of property and equipment

(29,032

)

(24,425

)

(50,576

)

(42,057

)

Acquisitions of businesses

—

(42,203

)

(6,754

)

Proceeds from sale of discontinued operations

—

810,908

—

Other

834

1,182

1,066

1,377

Net cash (used in) provided by investing activities

(28,198

)

(23,243

)

719,195

(47,434

)

Financing activities:

Long-term debt repayments

(308,138

)

(11,928

)

(320,491

)

(23,720

)

Repayments of the Revolving Credit Facility, net

—

(63,300

)

Payments of debt issuance costs

(3,378

)

—

(3,378

)

—

Repurchases of shares of common stock

(60,000

)

—

(120,000

)

—

Proceeds from shares issued under share-based compensation plan

20,323

8,717

32,415

9,062

Taxes paid related to net share settlement of equity awards

(899

)

(1,749

)

(6,607

)

(4,512

)

Purchase of redeemable noncontrolling interest

(267

)

—

(267

)

(5,100

)

Payments of financing lease obligations

(1,775

)

(3,283

)

(5,822

)

(6,691

)

Net cash used in financing activities

(354,134

)

(8,243

)

(424,150

)

(94,261

)

Net (decrease) increase in cash and cash equivalents

(338,416

)

17,590

461,904

8,979

Cash and cash equivalents at beginning of period

888,797

52,642

88,477

61,253

Cash and cash equivalents at end of period

550,381

70,232

550,381

70,232

Cash and cash equivalents included in assets held for sale at end of period

—

162

—

162

Cash and cash equivalents included in continuing operations at end of period

550,381

70,070

550,381

70,070

BrightSpring Health Services, Inc. and Subsidiaries

Reconciliation of EBITDA and Adjusted EBITDA

For the three and six months ended June 30, 2026 and 2025

(Unaudited)

The following table reconciles net income from continuing operations to EBITDA and Adjusted EBITDA:

($ in thousands)

For the Three Months Ended

For the Six Months Ended

June 30,

2026

2025

2026

2025

Net income from continuing operations

86,604

8,541

160,887

17,757

Income tax expense

6,908

1,238

15,459

998

Interest expense, net

36,879

38,778

75,494

80,541

Depreciation and amortization

41,423

41,839

80,517

82,671

EBITDA

171,814

90,396

332,357

181,967

Non-cash share-based compensation (1)

19,488

19,508

32,604

31,982

Acquisition, integration, and transaction-related costs (2)

6,630

19,828

12,730

29,349

Restructuring and divestiture-related and other costs (3)

7,573

12,785

17,575

30,281

Total adjustments

33,691

52,121

62,909

91,612

Adjusted EBITDA

205,505

142,517

395,266

273,579

(1)

Represents non-cash share-based compensation to certain members of our management and full-time employees.

(2)

Represents transaction costs incurred in connection with planned, completed, or terminated acquisitions, which include investment banking fees, legal diligence and related documentation costs, finance and accounting diligence and documentation; costs associated with the integration of acquisitions, including any facility consolidation, integration travel, or severance; and costs associated with other planned, completed, or terminated non-routine transactions.

(3)

Represents costs associated with restructuring-related activities, including closure, and related license impairment, and severance expenses associated with certain enterprise-wide or significant business line cost-savings measures.

BrightSpring Health Services, Inc. and Subsidiaries

Reconciliation of Adjusted EPS

For the three and six months ended June 30, 2026 and 2025

(Unaudited)

The following table reconciles diluted EPS to Adjusted EPS:

(shares in thousands)

For the Three Months Ended

For the Six Months Ended

June 30,

2026

2025

2026

2025

Diluted EPS

0.39

0.04

0.73

0.09

Non-cash share-based compensation (1)

0.09

0.15

Acquisition, integration, and transaction-related costs (1)

0.03

0.09

0.06

0.14

Restructuring and divestiture-related and other costs (1)

0.03

0.06

0.08

0.14

Income tax impact on adjustments (2)

(0.09

)

(0.06

)

(0.19

)

(0.10

)

Adjusted EPS

0.45

0.22

0.83

0.42

Weighted average common shares outstanding used in calculating

diluted U.S. GAAP net income per share

220,276

216,336

221,191

214,963

Weighted average common shares outstanding used in calculating

diluted Non-GAAP income per share

220,276

216,336

221,191

214,963

(1) This adjustment reflects the per share impact of the adjustment reflected within the definition of Adjusted EBITDA.

(2) The income tax impact of non-GAAP adjustments is calculated using the estimated tax rate for the respective non-GAAP adjustment. For all periods presented, the income tax impact on adjustments is inclusive of a discrete tax benefit related to share-based compensation.

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