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BTSGBrightSpring Health Services, IHold6.4·$69.84
BTSG · Why this verdict

Why BrightSpring Health Services, I (BTSG) is rated HOLD

Updated

Model-generated analysis — not investment advice. Not a registered investment advisor. Past performance does not guarantee future results. How we score · Editorial policy

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Methodology · Editorial policy & full disclaimer

VerdictHOLD
Overall score6.4/10
ConfidenceMEDIUM
MacroRISK_OFF
TrendMatrix Research · core thesis

Engine thesis — one sentence

BTSG combines strong 26% growth, excellent cash conversion and bullish momentum, but thin 9.8% upside to the analyst target, no competitive moat and low profit margins argue for holding rather than adding.

Falsifiable statement — pillar-level invalidators below. Engine-derived; not personalized advice.

Thesis pillars

Business quality is below average (quality score 4.5/10, gross margin and operating margin scores near zero) with no competitive moat.

→Stable
Key risks
Expectation
Margins stay thin and quality scores remain below 5/10.

CounterPeer ranking shows quality and growth in the upper range versus peers, and scale could lift margins over time.

Growth is strong at 26% YoY, with growth scoring 9.6/10 and earnings growth scoring 10.0.

↑Improving
Growth breakdown
Expectation
Revenue and earnings keep growing at double-digit rates over the next 12 months.

CounterThe growth score rests on only two inputs (confidence 0.67) and a forward P/E of 29.4x leaves little room if growth slows.

Cash conversion is excellent at 270% FCF/NI and the Piotroski F-Score is a strong 7/9, so reported profits are backed by cash.

→Stable
Quality breakdown
Expectation
Free cash flow stays well above net income through the next 12 months.

CounterFree cash flow can exceed net income temporarily due to working-capital timing, and net margin is only about 1.3%, so the ratio may be inflated by a small denominator.

At $66.89 the stock is 9.8% below the $73.43 analyst target against 13.2% downside, so reward-to-risk is only 0.74.

↓Deteriorating
Upside pct
Expectation
Upside remains limited unless the analyst target moves materially above $73.43.

CounterAnalysts show 22% upside in the sentiment inputs and the breakout setup with rising volume could carry the price through the target.

Leverage (D/E 1.1) and high volatility (beta 1.88) add risk, and the engine applies a -0.5 leverage penalty.

→Stable
Bear case
Expectation
Debt-to-equity stays around or above 1.0 and beta stays above 1.3.

CounterStrong cash generation can fund debt paydown, and bullish momentum with volume accumulation reduces near-term downside.

Per-dimension breakdown

Value

5.7/10data confidence 100%
ComponentSub-score
P/E2.7
P/S9.7
EV/EBITDA0.0
Fwd P/E4.4
PEG10.0
Analyst target6.0
  • ▸Forward P/E: 28.2x
  • ▸PEG: 0.34

Quality

4.5/10data confidence 100%
ComponentSub-score
ROE5.2
ROA3.6
Gross margin0.0
Op margin1.5
Net margin1.3
Current ratio5.9
FCF quality10.0
Moat5.4
Piotroski F7.8
  • ▸Excellent cash conversion: 270% FCF/NI
  • ▸No competitive moat
  • ▸Strong Piotroski F-Score: 7/9

Growth

9.6/10data confidence 67%
ComponentSub-score
Rev growth9.1
EPS growth10.0
  • ▸Strong growth: 26% YoY

Momentum

8.5/10data confidence 100%
ComponentSub-score
RSI5.0
MACD10.0
OBV10.0
MA position9.0
Volume8.4
  • ▸Volume accumulation (rising OBV)
  • ▸Above 200-day MA

Sentiment

8.2/10data confidence 100%
ComponentSub-score
LLM sentiment8.0
Analyst rating8.8
Price target7.5
  • ▸LLM news sentiment: +0.60 (n=2)

Insider

4.6/10data confidence 75%
ComponentSub-score
materiality5.0
holder change3.9
notable moves5.0
  • ▸Insider selling (low materiality) — $874,383 (0.007% of mkt cap)

Peer rank

5.6/10data confidence 80%
ComponentSub-score
value rank6.8
quality rank7.1
growth rank7.3
  • ▸Superior ROE vs peers

Technical

3.3/10data confidence 100%
ComponentSub-score
bollinger0.0
support resistance1.0
52w position8.9

Risk (lower is worse)

5.1/10data confidence 100%
ComponentSub-score
short interest5.5
days to cover5.9
volatility3.0
put call10.0
implied vol4.4
max pain risk3.0
beta4.1
debt equity4.8
  • ▸Above max pain $45
  • ▸Concentration risks: 2 MED (10-K Item 1A)

Catalyst

6.3/10data confidence 100%
ComponentSub-score
erm5.0
earnings history6.7
earnings timing5.0
surprise avg8.6
news activity6.0
  • ▸Strong earnings: 3B/1M

How the verdict was assembled

Engine trigger

Mixed signals. Hold existing position.

Engine technical detail
verdict_path: L4:PATH_F_HOLD_DEFAULT
Passed (7)
  • MOMENTUM:8.5>=5.5
  • INSIDER:OK
  • 8K:CLEAN
  • NEWS_BOOST:ANALYST:0.60
  • EARNINGS_PROXIMITY:115d clear
  • SEMI_CYCLE_PEAK:CLEAR
  • MATERIALS_CYCLE_PEAK:CLEAR
Failed (1)
  • ASYMMETRY:0.4<1.5@spot
Warning (0)

none

Reward-to-Risk
0.44
Upside
+6.6%
Downside
15.0%
Sizing output
AVOID

SetupBreakout — Golden cross, above all MAs, RSI 66, MACD bullish

EdgeNo clear edge — No clear edge identified

SuitabilityAggressive — Beta 1.78>1.3

Investment implication

The default F-path HOLD fired without any positive-conviction gate triggering — no momentum acceleration, no quality+value crossover, no setup recognition. Highest-clear gate: MOMENTUM:8.5>=5.5. Top dim: Growth at 9.6; weakest: Technical at 3.3. The engine's read is one of pattern absence — no directional conviction in either direction at current asymmetry.

The strongest dimensions are Growth at 9.6, Momentum at 8.5, and Sentiment at 8.2; the weakest are Technical at 3.3, Quality at 4.5, and Insider at 4.6. The V9 engine flagged 1 failed gate, producing an asymmetric reward-to-risk of 0.44 and an engine sizing output of AVOID.

What would invalidate the thesis

Falsifying conditions — when triggered, the corresponding pillar's thesis is invalidated.

  • P1Strong Growth Profile

    Trip ifRevenue growth falls below 10% YoY for 2 consecutive quarters.

  • P2Excellent Cash Conversion

    Trip ifFCF to net income conversion falls below 100% from current 270%.

  • P3Thin Upside To Target

    Trip ifPrice rises above $73.43, exceeding the analyst target.

  • P4Below Average Business Quality

    Trip ifOperating margin rises above 8% for 2 consecutive quarters.

  • P5Leverage And Volatility Risk

    Trip ifDebt-to-equity falls below 0.5 from current 1.1.

Engine reasoning is mechanically derived from pipeline gate outputs. See decision view.

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