BrightSpring Health Services

What BrightSpring Health Services does

BrightSpring Health Services (NASDAQ: BTSG), founded in 1974 as Res-Care, Inc. and headquartered in Louisville, Kentucky, is an integrated provider of home- and community-based clinical, pharmacy, and ancillary care services operating across all 50 U.S. states. The company is organized into two reporting segments: Pharmacy Solutions, which encompasses specialty infusion (Amerita), specialty pharmacy (Onco360, CareMed, ConnectMed360), long-term care pharmacy (PharMerica), at-home medication management (Continue CareRx), and hospice-dedicated pharmacy and PBM (OnePoint Patient Care); and Provider Services, which delivers home health and hospice (Adoration), personal care (All Ways Caring), neurorehabilitation (Rehab Without Walls), behavioral health (SpringHealth, Gateway Pediatric Therapy), and family/youth services (StepStone). A managed care layer (Abode Care Partners and Abilis Health Plan, a Medicare Advantage plan for nursing facility residents) rounds out the platform. Collectively, the company serves more than 465,000 patients and clients daily and dispenses over 40 million prescriptions annually.

The underlying technology stack combines interoperable data systems across pharmacy and provider services with clinical workflow automation and an outcomes measurement engine that has produced 40+ peer-reviewed publications in journals such as JAMDA and JIDR. Reported quality metrics include 91.4% of home health branches at CMS 4+ stars, an 87% hospice CAHPS overall rating, a 44% reduction in hospitalizations with home-based primary services, a 35% reduction in all-cause readmissions, 99.99% pharmacy dispensing accuracy, and 97% on-time pharmacy delivery. BrightSpring's AI footprint is presently operational rather than transformative—an iCIMS-based recruitment platform has reportedly driven a 242% increase in applicant flow, while in-home patient monitoring via AI remains exploratory under the direction of a newly appointed Stanford-affiliated board director specializing in clinical AI.

Revenue is generated primarily through negotiated contracts with managed care organizations (Medicare Advantage, Medicaid managed care, commercial payers), Medicare and Medicaid fee-for-service, and direct relationships with health systems, senior living facilities, and hospice providers. Pharmacy Solutions operates on recurring dispensing economics with specialty pharma partnerships (16-20 limited-distribution drug wins annually in oncology and rare/orphan disease), while Provider Services operates on a managed-services model under multi-year payer contracts and direct referral networks. Following the 2026 divestiture of ResCare Community Living to Sevita for $835 million, the company is concentrating capital on the higher-margin pharmacy and clinical provider core, having simultaneously absorbed $345 million of pro forma revenue from the December 2025 acquisition of 107 home health branches from Amedisys and LHC Group and the September 2024 Haven Hospice acquisition in Florida.

Name

BrightSpring Health Services

Legal name

Res-Care, Inc.

Website

https://brightspringhealth.com

Company type

Public

Founded year

1974

Operating status

Operating

Headcount range

5,001–10,000 employees

Short description

BrightSpring Health Services (NASDAQ: BTSG) is an integrated home- and community-based healthcare platform operating across all 50 U.S. states, providing pharmacy solutions (specialty infusion, specialty and long-term care pharmacy) and provider services (home health, hospice, personal care, neurorehabilitation, behavioral health) to more than 465,000 patients daily.

Ownership category

akta.pro rank

Product category

Home and Community-Based Healthcare Services

NAICS

Home Health Care Services (621610), Pharmacies and Drug Retailers (456110), Individual and Family Services (6241)

SIC

Services-Home Health Care Services (8082), Services-Misc Health & Allied Services, Nec (8090), Retail-Drug Stores And Proprietary Stores (5912)

akta.pro primary industry

Specialty Pharmacies (Complex/High-Cost Therapies) (HLAFALAC)

akta.pro secondary industries

Hospital & Health-System Pharmacies (Inpatient/Outpatient) (HLAFALAB), Injectables & Specialty Medication Support (e.g., insulin, biologics) (HSABALAG)

Keywords

• Home health services
• Specialty pharmacy services
• Hospice care services
• Personal care services
• Neurorehabilitation services

Headquarters

HQ city

Louisville

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Supply Chain, Operations, Infrastructure, Technology or R&D, Marketing or Sales

Revenue model

1. Pharmacy Solutions: Specialty pharmacy, infusion pharmacy, and home and community pharmacy services generating the majority of company revenue. Includes limited distribution drugs in oncology and rare/orphan diseases, with 16-20 LDDs won annually.
2. Provider Services: Home health care, hospice, personal care, and rehabilitation therapy services delivered in home and community settings

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels4 records

Core offering

BrightSpring Health Services is a diversified home- and community-based healthcare platform operating two divisions: Pharmacy Solutions (specialty infusion, oncology, hospice, long-term care, and home/community pharmacies via brands such as PharMerica, Amerita, Onco360, OnePoint Patient Care) and Provider Services (Medicare-certified home health, hospice, personal care, neurorehabilitation, behavioral health, and family/youth services via brands such as Adoration, Rehab Without Walls, All Ways Caring, SpringHealth, and StepStone). The company serves more than 465,000 patients and clients daily across all 50 U.S. states, dispensing 40+ million prescriptions annually under contracts with managed care plans, health systems, and government payers.

Product overview

BrightSpring Health Services is a diversified, integrated health-care platform providing complementary home- and community-based services across all 50 U.S. states, organized into two core divisions: Pharmacy Solutions (specialty infusion, home and community pharmacies) and Provider Services (home health, hospice, personal care, rehabilitation, behavioral health, family and youth services). The company operates a portfolio of branded sub-businesses including PharMerica (pharmacy), Adoration Home Health & Hospice, Rehab Without Walls (neurorehabilitation), All Ways Caring (personal care), SpringHealth (behavioral health), StepStone (family and youth), Gateway Pediatric Therapy (ABA therapy), and Onco360, Amerita, CareMed, OnePoint Patient Care, ConnectMed360, Continue CareRx (specialty pharmacy brands), as well as Abode Care Partners and Abilis Health Plan (managed care). BrightSpring connects pharmacy and provider services to serve complex senior and specialty patients across their care settings, dispensing 40+ million prescriptions annually and serving over 450,000 patients and clients daily. Following the 2026 divestiture of its Community Living (ResCare) business to Sevita, the company is focused on its core clinical and pharmacy operations.

Differentiator

Problem solved

Functional benefit

Brands

• PharMerica: Long-term care and senior living pharmacy services serving complex patients across various settings including hospice, behavioral health, and home infusion.
• Amerita
• Onco360
• OnePoint Patient Care
• Continue CareRx
• CareMed
• ConnectMed360
• Adoration Home Health
• Rehab Without Walls
• All Ways Caring HomeCare
• SpringHealth Behavioral Health
• StepStone Family & Youth Services
• Gateway Pediatric Therapy
• Abode Care Partners
• Abilis Health Plan

Products and services

• Adoration Home Health & Hospice State-licensed, Medicare-certified home health and hospice services delivering interdisciplinary care (nursing, therapy, social work, hospice) to patients in their homes across multiple U.S. states.
• Rehab Without Walls (Neurorehabilitation) Neurorehabilitation program integrating evidence-based therapy protocols with real-life activities for adults and children with brain injuries, spinal cord injuries, strokes, and pediatric conditions including cerebral palsy, autism, and developmental delays.
• All Ways Caring HomeCare Personalized in-home care services ranging from short-term assistance to complex lifelong care, including personal care, Alzheimer's care, daily living assistance, hospital-to-home transitions, respite care, veteran care, therapy, and infusion services.
• SpringHealth Behavioral Health & Integrated Care Behavioral health and integrated care services for children and adults, delivering evidence-based programs and therapies (including ABA) with BHCOE accreditation.
• StepStone Family & Youth Services Services supporting children in need of alternative living environments, including foster care, residential youth services, specialized treatment, respite care, counseling, and independent living arrangements.
• Gateway Pediatric Therapy Pediatric therapy services with a focus on applied behavior analysis (ABA) therapy for children; holds BHCOE two-year accreditation.
• PharMerica Central pharmacy serving senior living, hospice, in-home care, behavioral health, specialty oncology, home infusion, skilled nursing, and hospital pharmacy markets, dispensing medications and providing pharmacy therapy management across care settings.
• OnePoint Patient Care Hospice-dedicated pharmacy and pharmacy benefit management (PBM) services offering local dispensing, mail-order pharmacy, transparent pricing, custom formulary management, and compliant drug reporting for hospice providers.
• Amerita Specialty Infusion Services Specialty infusion company providing complex pharmaceutical products and clinical services to patients outside hospital settings; first infusion pharmacy to earn ACHC/IgNS Distinction in Immunoglobulin Therapy.
• Continue CareRx Comprehensive at-home medication management and support program reducing medication errors and hospital visits, handling insurance coordination with around-the-clock pharmacist support.
• CareMed Specialty Pharmacy Specialty pharmacy focused on chronic condition patients, offering medication delivery, counseling, education, drug therapy monitoring, and financial assistance sourcing.
• Onco360 Oncology Pharmacy Oncology-focused specialty pharmacy with Board-Certified Oncology Pharmacists, offering access to limited distribution oncology medications, financial assistance sourcing, clinical counseling, insurance benefit verification, and digital patient support.
• ConnectMed360 Pharmacy management platform offering consultative solutions for manufacturers, patients, providers, and payors with real-time visibility into each patient's medication journey.
• Abode Care Partners Integrated medical services delivered in home settings including private homes, assisted living facilities, and group homes, providing quality medical care to seniors and individuals with complex conditions.
• Abilis Health Plan Medicare Advantage plan designed for individuals residing in nursing facilities, emphasizing prevention, care coordination, and continuity of care to address complex clinical needs.

Quantifiable outcome

• 44% reduction in hospitalizations with home-based primary services
• +5 more outcomes

Named customers5 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability1 record

Feature2 records

Partnerships

Eight partnerships are on record, tiered strategic, core and minor.

• WellSkystrategicTechnology or Integration · 19 February 2026WellSky expanded its partnership with Adoration Home Health (BrightSpring subsidiary) to extend clinical coding and documentation advisory services to additional Adoration locations. Since beginning their coding partnership in 2023, Adoration has achieved significant improvement in CMS Home Health Star Ratings, with locations achieving a 4-star rating or higher projected to reach 90% in 2026, up from 21.7% in 2023.
• UnitedHealth Group / AmedisyscoreStrategic or Co-development Partner · 1 August 2025BrightSpring acquired 107 home health branches from Amedisys and LHC Group in a $239 million transaction contingent on UnitedHealth's acquisition of Amedisys closing. Acquired locations generated $345 million in full-year pro forma revenue in 2025.
• SevitacoreStrategic or Co-development Partner · 1 January 2025BrightSpring sold its ResCare Community Living business to Sevita for $835 million after FTC approval required Sevita to sell 126 care facilities. Transaction completed March 31, 2026.
• Haven HospicecoreStrategic or Co-development Partner · 1 September 2024BrightSpring completed acquisition of Haven Hospice assets in Florida, expanding hospice services into 18 counties in north central Florida. Total consideration of $60 million involving cash, equity, and seller note.
• Special OlympicsminorOthersBrightSpring partners with Special Olympics as part of its community service and engagement initiatives, investing in communities where patients, clients, and employees live and work.
• American Heart AssociationminorOthersBrightSpring collaborates with American Heart Association on community health initiatives and supporting heart health programs.
• Habitat for HumanityminorOthersBrightSpring partners with Habitat for Humanity as part of its community service commitment and Corporate Community Service Challenge program.
• Community Foundation of LouisvilleminorOthersBrightSpring partners with Community Foundation of Louisville to administer the Brighter Futures Scholarship and Hospice Nursing Scholarship programs, providing educational support to students pursuing healthcare careers.

Scale indicators12 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• Humana Inc. (CenterWell Home Health): Humana's CenterWell division operates one of the largest U.S. home health and primary care networks, serving complex Medicare Advantage seniors. Directly comparable to BrightSpring in home health, hospice, and senior-focused pharmacy services with a similar payer-aligned operating model.
• Encompass Health Corporation: Encompass operates the largest U.S. inpatient rehabilitation facility network. Comparable to BrightSpring's Rehab Without Walls neurorehabilitation business, though Encompass is facility-based while BrightSpring is home- and community-based.
• Enhabit Inc. Pure-play home health and hospice operator spun off from Encompass Health in 2022. Directly comparable to BrightSpring's Adoration Home Health & Hospice, hospice, and home health business lines.
• Option Care Health: Largest independent U.S. provider of home and alternate-site infusion services. Directly comparable to BrightSpring's Amerita infusion pharmacy and specialty pharmacy franchise serving complex patients outside the hospital.
• Addus HomeCare Corporation: Provider of personal care, home health, and hospice services to primarily Medicaid-funded seniors and disabled individuals. Directly comparable to BrightSpring's All Ways Caring personal care and Adoration home health offerings.
• Pennant Group: Operator of home health, hospice, and senior living services across the U.S. Directly comparable to BrightSpring's home health and hospice business lines, with similar operating model and patient mix.
• Aveanna Healthcare Holdings: Provider of private duty nursing, home health, and pediatric medical day services. Directly comparable to BrightSpring's pediatric therapy (Gateway) and home-based clinical services.
• Chemed Corporation (VITAS Healthcare): Operates VITAS Healthcare, the largest U.S. hospice provider, and Roto-Rooter. Directly comparable to BrightSpring's hospice and end-of-life pharmacy services (OnePoint Patient Care).
• Sevita Health: Acquired BrightSpring's ResCare Community Living division for $835M in March 2026. Provides behavioral health, autism, and IDD services — comparable to BrightSpring's historical ResCare operations and adjacent to StepStone and SpringHealth Behavioral Health.

Broad incumbents

• UnitedHealth Group (Optum / Amedisys): Largest U.S. health insurer that acquired Amedisys to scale home health services. Vertical integration and payer scale create a structural competitive threat to BrightSpring's home health and pharmacy segments.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks7 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/brightspring-health-services
• Xx.com/BrightSpringHS

Compliance10 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles17 records

Subsidiaries15 records

Funding overview

Funding rounds6 records

Investors2 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A3 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about BrightSpring Health Services