The chart below shows how BTSG performed 10 days before and after its earnings report, based on data from the past quarters. Typically, BTSG sees a +6.49% change in stock price 10 days leading up to the earnings, and a +3.66% change 10 days following the report. On the earnings day itself, the stock moves by -0.74%. This data can give you a slight idea of what to expect for the next quarter's release.
Positive
Earnings Per Share Beat: BrightSpring Health Services, Inc. reported an EPS of $0.22, exceeding expectations of $0.19.
Strong Revenue Growth: Total revenue growth of 29% year-over-year in Q4 2024, with full year revenue reaching $11.3 billion, representing 28% growth year-over-year.
Pharmacy Solutions Revenue Growth: Pharmacy Solutions revenue grew by 34% year-over-year, totaling $8.8 billion for the full year 2024.
Provider Services Revenue Growth: Provider Services segment revenue grew by 9% year-over-year, totaling $2.5 billion for the full year 2024.
Adjusted EBITDA Growth: Adjusted EBITDA for full year 2024 was $588 million, reflecting a 16% growth year-over-year.
Customer Satisfaction Excellence: The company achieved high customer satisfaction scores, with Net Promoter Scores of 98 and 100 for Onco360 and CareMed, respectively.
High-Quality Home Health Services: 85% of home health branches achieved a CMS star rating of 4 or 5 out of 5, indicating high-quality service.
Procurement and Automation Initiatives: The company has implemented over 100 procurement and automation programs to drive efficiency and cost savings.
Infusion Revenue Surge: Infusion and Specialty revenue grew by 42% year-over-year in Q4, driven by strong script growth.
Pharmacy Revenue Growth: Home and Community Pharmacy revenue grew by 17% year-over-year in Q4, indicating strong market demand.
EBITDA Margin Expansion: Provider Services segment adjusted EBITDA margin expanded by 70 basis points year-over-year to 15.2% in Q4.
Revenue and EBITDA Guidance Increase: The company is increasing its revenue and adjusted EBITDA guidance for 2025, reflecting confidence in continued growth.
Negative
Gross Profit vs. Revenue Growth: Total company gross profit growth of only 14% in Q4 compared to 29% revenue growth, indicating potential margin pressure.
Pharmacy Solutions Margin Analysis: Adjusted EBITDA margin for Pharmacy Solutions was only 4.7%, which may suggest inefficiencies in that segment despite revenue growth.
High Debt Leverage Ratio: Net debt outstanding is approximately $2.7 billion with a leverage ratio of 4.16x, indicating a high level of debt relative to earnings.
Interest Expense Impact: The company is facing significant interest expenses, projected at approximately $43 million per quarter, which could impact profitability.
Divestiture Impacts on Operations: The divestiture of the community living business, while expected to streamline operations, may also indicate challenges in that segment's performance.
Provider Services Growth Analysis: Despite overall revenue growth, the Provider Services segment only achieved 11% growth, which is lower than the growth rates of other segments, suggesting potential weaknesses in that area.
BrightSpring Health Services, Inc. Common Stock (NASDAQ:BTSG) Q4 2024 Earnings Call Transcript
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