The Filing Desk

BrightSpring Health Services vs Quest Diagnostics

BrightSpring Health Services BTSG · Quest Diagnostics DGX · Health Care Services

BrightSpring Health Services reported revenue of $12.9 billion in fiscal 2025, 1.2 times Quest Diagnostics' $11.0 billion in fiscal 2025. BrightSpring Health Services' revenue grew 28.2% in its latest year, and Quest Diagnostics' grew 11.8%. BrightSpring Health Services had an operating margin of 2.3%, against 14.1% at Quest Diagnostics. Free cash flow was $395 million at BrightSpring Health Services and $1.4 billion at Quest Diagnostics.

Side by side

BrightSpring Health ServicesQuest Diagnostics
Latest fiscal yearFY2025, Dec 31, 2025FY2025, Dec 31, 2025
Revenue$12.9B$11.0B
Revenue growth28.2%11.8%
Revenue growth a year, last 5 years—3.2%
Gross margin11.8%33.2%
Operating margin2.3%14.1%
Net margin1.5%9.0%
Free cash flow$395M$1.4B
Free cash flow margin3.1%12.3%
Return on capital5.2%9.5%
Net debt to EBITDA5.3x2.5x
Dividends and buybacks$43M$803M
Change in diluted share count13.9%0.0%
Last close$58.88$242.95
P/E at the last close35.5×24.2×
Insider trades, last 12 monthssold $1.7 billionsold $37.0 million
Piotroski F-score7 of 96 of 9
Amounts in each company's own currency, US$ unless marked (a foreign company may report in another), each company's latest fiscal year from its 10-K, or 20-F or 40-F for a foreign company. Growth rates compare with the year before; the five-year rate is the average a year. Free cash flow is cash from operations minus capital spending; return on capital is after-tax operating income over the money invested in the business; P/E is the last close over the latest earnings per share. Banks are measured differently (return on equity, efficiency ratio), so some rows apply to one company only.

Ten years

Revenue
US$ billions, fiscal years
BrightSpring Health ServicesQuest Diagnostics
Operating margin
Percent of revenue
BrightSpring Health ServicesQuest Diagnostics
Free cash flow
US$ billions. Cash from operations minus capital expenditure.
BrightSpring Health ServicesQuest Diagnostics

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Source: the companies' Form 10-K filings, from SEC EDGAR, and the last close. For information only, not investment advice: the figures describe results, not which company is the better investment. The Filing Desk is not affiliated with either company. Full figures on the BrightSpring Health Services and Quest Diagnostics pages.