0001865782false00018657822024-08-022024-08-020001865782us-gaap:CommonStockMember2024-08-022024-08-020001865782btsg:SixPointSevenFivePercentageTangibleEquityUnitsMember2024-08-022024-08-02
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
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Date of Report (Date of earliest event reported): August 02, 2024 |
BrightSpring Health Services, Inc.
(Exact name of Registrant as Specified in Its Charter)
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Delaware |
001-41938 |
82-2956404 |
(State or Other Jurisdiction
of Incorporation) |
(Commission File Number) |
(IRS Employer
Identification No.) |
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805 N. Whittington Parkway |
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Louisville, Kentucky |
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40222 |
(Address of Principal Executive Offices) |
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(Zip Code) |
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Registrant’s Telephone Number, Including Area Code: 502 394-2100 |
(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:
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Title of each class
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Trading
Symbol(s) |
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Name of each exchange on which registered
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Common Stock, par value $0.01 per share |
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BTSG |
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The Nasdaq Stock Market LLC |
6.75% Tangible Equity Units |
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BTSGU |
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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 August 2, 2024, BrightSpring Health Services, Inc. issued a press release announcing its financial results for the quarter ended June 30, 2024. 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.
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.
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BRIGHTSPRING HEALTH SERVICES, INC. |
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Date: |
August 2, 2024 |
By: |
/s/ Jennifer Phipps |
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Name: Title: |
Jennifer Phipps
Chief Accounting Officer |
BrightSpring Health Services, Inc. Reports Second Quarter 2024 Financial Results and Increases Full Year 2024 Guidance
LOUISVILLE, Ky., August 2, 2024 — 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, 2024, and increases 2024 revenue and Adjusted EBITDA1 guidance.
Financial Highlights
•Net Revenue of $2,730 million, up 26.0% compared to $2,167 million in the second quarter of 2023.
•Net income of $19.4 million, compared to net income of $2.8 million in the second quarter of 2023.
•Adjusted EBITDA1 of $139 million, down 6.9% versus $149 million in the second quarter of 2023
oWhen excluding a certain $30 million Quality Incentive Payment in 2023, Adjusted EBITDA1 was up 16.7% compared to $119 million in the second quarter of 2023. This certain vendor Quality Incentive Payment (QIP) program has reached its conclusion, as previously disclosed.
•Increased 2024 Revenue and Adjusted EBITDA Guidance:
oRevenue: $10,450 - $10,900 million
oAdjusted EBITDA1: $570 - $580 million
“We are very pleased to report another quarter of strong revenue and earnings growth across both segments,” said Jon Rousseau, Chairman, President and Chief Executive Officer of the Company. “Our Pharmacy Solutions business delivered impressive growth, while our Provider Services business saw margin expansion and revenue growth afforded by our operational excellence, scale, and efficiencies. We remain very confident in our ability execute on driving the most compassionate, low-cost, and efficient care right to our patients, and believe that BrightSpring remains in a great position for the remainder of the year and as we enter 2025.”
Second Quarter 2024 Financial Results
Net revenue of $2,730 million, up 26.0% compared to $2,167 million in the second quarter of 2023. Net revenue growth was driven by broad-based strength across both segments, with particular strength in Specialty and Infusion Pharmacy.
Gross profit of $389 million, up 4.6% compared to $372 million in the second quarter of 2023. Excluding a certain $30 million receipt of QIP in 2023, gross profit growth rate was 13.8%.
Net income of $19.4 million, compared to net income of $2.8 million in the second quarter of 2023.
Adjusted EBITDA1 of $139 million, down 6.9% compared to $149 million in the second quarter of 2023.
•When excluding a certain $30 million Quality Incentive Payment in 2023, Adjusted EBITDA1 was up 16.7% compared to $119 million in the second quarter of 2023. This certain vendor Quality Incentive Payment program has reached its conclusion, as previously disclosed.
1Adjusted EBITDA is a non-GAAP financial measure. Please see “Non-GAAP Financial Information” and the end of this press release for a reconciliation of Adjusted EBITDA to net income (loss), the most directly comparable financial measure prepared in accordance with GAAP.
Key Financials:
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Three Months Ended |
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June 30, (Unaudited) |
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2024 |
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2023 |
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% |
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($ in millions) |
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Pharmacy Solutions Revenue |
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$ |
2,114 |
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$ |
1,597 |
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32% |
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Provider Services Revenue |
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616 |
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570 |
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8% |
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Total Revenue |
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$ |
2,730 |
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$ |
2,167 |
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26% |
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Three Months Ended |
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June 30, (Unaudited) |
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2024 |
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2023 |
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% |
($ in millions) |
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Pharmacy Solutions segment EBITDA |
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$ |
94 |
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$ |
110 |
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(14%) |
Provider Services segment EBITDA |
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86 |
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74 |
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16% |
Total Segment Adjusted EBITDA |
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$ |
180 |
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$ |
184 |
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(2%) |
Corporate Costs |
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(41) |
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(35) |
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- |
Total Company Adjusted EBITDA |
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$ |
139 |
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$ |
149 |
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(7%) |
Full Year 2024 Financial Guidance
For the full year 2024, BrightSpring is increasing guidance, which excludes the effects of any future closed acquisitions.
•Net revenue of $10,450 million to $10,900 million, or 18.4% to 23.5% growth over 2023
oPharmacy Segment Revenue of $8,000 million to $8,400 million, or 22.7% to 28.8% growth over full year 2023
oProvider Segment Revenue of $2,450 million to $2,500 million, or 6.3% to 8.5% growth over full year 2023
•Adjusted EBITDA2 of $570 million to $580 million, or 12.2% to 14.2% growth over full year 2023, excluding the impact from a certain QIP in 2023
A copy of the Company’s second quarter earnings presentation is available on the company’s investor relations website, https://ir.brightspringhealth.com/
2 A reconciliation of the foregoing guidance for the non-GAAP metric of Adjusted EBITDA to GAAP net (loss) income 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
BrightSpring will host a conference call today, August 2, 2024, 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 financial information on the second quarter 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 is the parent company of leading healthcare service lines that provide complementary home- and community-based pharmacy and provider health solutions for complex populations in need of specialized and/or chronic care. Through the Company’s high-quality and impactful pharmacy, primary care and home health care, and rehabilitation and behavioral health services, and through its skilled and dedicated employees, we provide comprehensive care and clinical solutions in all 50 states to over 400,000 customers, clients and patients daily. For more information, visit www.brightspringhealth.com.
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, and other 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 including adverse impacts from the cyber attack of Change Healthcare, one of the largest providers of healthcare payment systems in the United States;
•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, including the ongoing effects of COVID-19;
•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
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” and “Adjusted EBITDA,” 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 and Adjusted EBITDA 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 and Adjusted EBITDA 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 and Adjusted EBITDA are not GAAP measures of our financial performance and should not be considered as an alternative to net income (loss) 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 (loss) before income tax benefit, interest expense, 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, restructuring and divestiture-related and other costs, goodwill impairment, legal costs associated with certain historical matters for PharMerica and settlement costs, significant projects, management fees, and unreimbursed COVID-19 related 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
Gilmartin Group LLC
ir@brightspringhealth.com
Media Contact:
Leigh White
leigh.white@brightspringhealth.com
502.630.7412
BrightSpring Health Services, Inc. and Subsidiaries
Condensed Consolidated Balance Sheets
June 30, 2024 and December 31, 2023
(In thousands, except share and per share data)
(Unaudited)
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June 30, 2024 |
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December 31, 2023 |
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(unaudited) |
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Assets |
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Current assets: |
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Cash and cash equivalents |
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$ |
25,027 |
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$ |
13,071 |
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Accounts receivable, net of allowance for credit losses |
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|
984,758 |
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|
|
881,627 |
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Inventories |
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374,289 |
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|
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402,776 |
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Prepaid expenses and other current assets |
|
|
137,805 |
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|
|
159,167 |
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Total current assets |
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1,521,879 |
|
|
|
1,456,641 |
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Property and equipment, net of accumulated depreciation of $406,233 and $368,089 at
June 30, 2024 and December 31, 2023, respectively |
|
|
245,569 |
|
|
|
245,908 |
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Goodwill |
|
|
2,626,353 |
|
|
|
2,608,412 |
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Intangible assets, net of accumulated amortization |
|
|
851,297 |
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|
|
881,476 |
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Operating lease right-of-use assets, net |
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|
258,647 |
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|
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267,446 |
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Deferred income taxes, net |
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22,000 |
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|
|
— |
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Other assets |
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79,336 |
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|
|
72,838 |
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Total assets |
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$ |
5,605,081 |
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$ |
5,532,721 |
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Liabilities, Redeemable Noncontrolling Interests, and Equity |
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Current liabilities: |
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|
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|
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Trade accounts payable |
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$ |
669,401 |
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$ |
641,607 |
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Accrued expenses |
|
|
346,740 |
|
|
|
492,363 |
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Current portion of obligations under operating leases |
|
|
68,253 |
|
|
|
71,053 |
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Current portion of obligations under financing leases |
|
|
11,972 |
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|
|
11,141 |
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Current portion of long-term debt |
|
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48,670 |
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|
|
32,273 |
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Total current liabilities |
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1,145,036 |
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|
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1,248,437 |
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Obligations under operating leases, net of current portion |
|
|
195,507 |
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201,655 |
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Obligations under financing leases, net of current portion |
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24,160 |
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|
|
22,528 |
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Long-term debt, net of current portion |
|
|
2,563,536 |
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|
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3,331,941 |
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Deferred income taxes, net |
|
|
— |
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23,668 |
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Long-term liabilities |
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70,973 |
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|
91,943 |
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Total liabilities |
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3,999,212 |
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4,920,172 |
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Redeemable noncontrolling interests |
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|
5,936 |
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27,139 |
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Shareholders' equity: |
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Common stock, $0.01 par value, 1,500,000,000 and 137,398,625 shares authorized,
171,397,030 and 117,857,055 shares issued and outstanding at June 30, 2024 and
December 31, 2023, respectively |
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|
1,714 |
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1,179 |
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Preferred stock, $0.01 par value, 250,000,000 authorized, no shares issued and
outstanding at June 30, 2024; no shares authorized, issued or outstanding at
December 31, 2023 |
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— |
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— |
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Additional paid-in capital |
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1,804,965 |
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|
|
771,336 |
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Accumulated deficit |
|
|
(226,150 |
) |
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|
(200,319 |
) |
Accumulated other comprehensive income |
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19,025 |
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|
|
12,544 |
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Total shareholders' equity |
|
|
1,599,554 |
|
|
|
584,740 |
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Noncontrolling interest |
|
|
379 |
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|
|
670 |
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Total equity |
|
|
1,599,933 |
|
|
|
585,410 |
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Total liabilities, redeemable noncontrolling interests, and equity |
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$ |
5,605,081 |
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$ |
5,532,721 |
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BrightSpring Health Services, Inc. and Subsidiaries
Condensed Consolidated Statements of Operations
For the three months and six months ended June 30, 2024 and 2023
(In thousands, except per share amounts)
(Unaudited)
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For the Three Months Ended |
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For the Six Months Ended |
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June 30, |
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June 30, |
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2024 |
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2023 |
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2024 |
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2023 |
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Revenues: |
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|
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Products |
|
$ |
2,114,491 |
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$ |
1,596,839 |
|
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$ |
4,091,526 |
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$ |
3,063,841 |
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Services |
|
|
615,719 |
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|
|
569,885 |
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|
|
1,215,322 |
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|
|
1,131,261 |
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Total revenues |
|
|
2,730,210 |
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|
|
2,166,724 |
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|
|
5,306,848 |
|
|
|
4,195,102 |
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Cost of goods |
|
|
1,931,760 |
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|
|
1,409,249 |
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|
|
3,738,860 |
|
|
|
2,716,230 |
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Cost of services |
|
|
409,417 |
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|
|
385,405 |
|
|
|
809,564 |
|
|
|
772,089 |
|
Gross profit |
|
|
389,033 |
|
|
|
372,070 |
|
|
|
758,424 |
|
|
|
706,783 |
|
Selling, general, and administrative expenses |
|
|
326,619 |
|
|
|
292,454 |
|
|
|
687,943 |
|
|
|
575,612 |
|
Operating income |
|
|
62,414 |
|
|
|
79,616 |
|
|
|
70,481 |
|
|
|
131,171 |
|
Loss on extinguishment of debt |
|
|
— |
|
|
|
— |
|
|
|
12,726 |
|
|
|
— |
|
Interest expense, net |
|
|
52,439 |
|
|
|
79,684 |
|
|
|
117,459 |
|
|
|
157,861 |
|
Income (loss) before income taxes |
|
|
9,975 |
|
|
|
(68 |
) |
|
|
(59,704 |
) |
|
|
(26,690 |
) |
Income tax benefit |
|
|
(9,466 |
) |
|
|
(2,834 |
) |
|
|
(32,760 |
) |
|
|
(7,180 |
) |
Net income (loss) |
|
|
19,441 |
|
|
|
2,766 |
|
|
|
(26,944 |
) |
|
|
(19,510 |
) |
Net loss attributable to noncontrolling interests |
|
|
(478 |
) |
|
|
(1,222 |
) |
|
|
(1,113 |
) |
|
|
(2,116 |
) |
Net income (loss) attributable to BrightSpring Health Services,
Inc. and subsidiaries |
|
$ |
19,919 |
|
|
$ |
3,988 |
|
|
$ |
(25,831 |
) |
|
$ |
(17,394 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) per common share: |
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) per share - basic |
|
$ |
0.10 |
|
|
$ |
0.03 |
|
|
$ |
(0.14 |
) |
|
$ |
(0.15 |
) |
Income (loss) per share - diluted |
|
$ |
0.10 |
|
|
$ |
0.03 |
|
|
$ |
(0.14 |
) |
|
$ |
(0.15 |
) |
Weighted average shares outstanding: |
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
|
197,515 |
|
|
|
117,883 |
|
|
|
186,523 |
|
|
|
117,875 |
|
Diluted |
|
|
208,987 |
|
|
|
126,449 |
|
|
|
186,523 |
|
|
|
117,875 |
|
BrightSpring Health Services, Inc. and Subsidiaries
Condensed Consolidated Statements of Cash Flows
For the three months and six months ended June 30, 2024 and 2023
(In thousands)
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Three Months Ended |
|
|
For the Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2024 |
|
|
2023 |
|
|
2024 |
|
|
2023 |
|
Operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) |
|
$ |
19,441 |
|
|
$ |
2,766 |
|
|
$ |
(26,944 |
) |
|
$ |
(19,510 |
) |
Adjustments to reconcile net income (loss) to cash (used in) provided by operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization |
|
|
50,071 |
|
|
|
50,205 |
|
|
|
98,993 |
|
|
|
100,550 |
|
Impairment of long-lived assets |
|
|
211 |
|
|
|
3,905 |
|
|
|
1,980 |
|
|
|
6,114 |
|
Provision for credit losses |
|
|
6,496 |
|
|
|
5,958 |
|
|
|
13,118 |
|
|
|
12,174 |
|
Amortization of deferred debt issuance costs |
|
|
2,490 |
|
|
|
5,312 |
|
|
|
6,937 |
|
|
|
10,509 |
|
Share-based compensation |
|
|
15,136 |
|
|
|
825 |
|
|
|
39,984 |
|
|
|
1,275 |
|
Deferred income taxes, net |
|
|
(17,528 |
) |
|
|
(12,434 |
) |
|
|
(49,260 |
) |
|
|
(25,755 |
) |
Loss on extinguishment of debt |
|
|
— |
|
|
|
— |
|
|
|
12,726 |
|
|
|
— |
|
(Gain) loss on disposition of fixed assets |
|
|
(98 |
) |
|
|
(19 |
) |
|
|
24 |
|
|
|
519 |
|
Other |
|
|
(1,126 |
) |
|
|
(235 |
) |
|
|
(1,438 |
) |
|
|
372 |
|
Change in operating assets and liabilities, net of acquisitions and dispositions: |
|
|
|
|
|
|
|
|
|
|
|
|
Accounts receivable |
|
|
3,054 |
|
|
|
(51,367 |
) |
|
|
(112,522 |
) |
|
|
(105,402 |
) |
Prepaid expenses and other current assets |
|
|
12,821 |
|
|
|
(8,966 |
) |
|
|
21,737 |
|
|
|
22,110 |
|
Inventories |
|
|
(765 |
) |
|
|
(32,505 |
) |
|
|
29,720 |
|
|
|
36,708 |
|
Trade accounts payable |
|
|
19,724 |
|
|
|
(22,700 |
) |
|
|
41,329 |
|
|
|
(89,666 |
) |
Accrued expenses |
|
|
(110,462 |
) |
|
|
35,711 |
|
|
|
(153,892 |
) |
|
|
69,682 |
|
Other assets and liabilities |
|
|
(14,690 |
) |
|
|
(1,660 |
) |
|
|
(16,576 |
) |
|
|
(4,988 |
) |
Net cash (used in) provided by operating activities |
|
$ |
(15,225 |
) |
|
$ |
(25,204 |
) |
|
$ |
(94,084 |
) |
|
$ |
14,692 |
|
Investing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
Purchases of property and equipment |
|
$ |
(23,743 |
) |
|
$ |
(20,948 |
) |
|
$ |
(45,559 |
) |
|
$ |
(38,794 |
) |
Acquisitions of businesses, net of cash acquired |
|
|
(34,217 |
) |
|
|
(25,464 |
) |
|
|
(43,611 |
) |
|
|
(25,464 |
) |
Other |
|
|
268 |
|
|
|
1,111 |
|
|
|
540 |
|
|
|
1,494 |
|
Net cash used in investing activities |
|
$ |
(57,692 |
) |
|
$ |
(45,301 |
) |
|
$ |
(88,630 |
) |
|
$ |
(62,764 |
) |
Financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
Long-term debt borrowings |
|
$ |
— |
|
|
$ |
— |
|
|
$ |
2,566,000 |
|
|
$ |
— |
|
Long-term debt repayments |
|
|
(11,617 |
) |
|
|
(7,536 |
) |
|
|
(3,370,970 |
) |
|
|
(15,321 |
) |
Proceeds from issuance of common stock on initial public offering, net |
|
|
— |
|
|
|
— |
|
|
|
656,485 |
|
|
|
— |
|
Proceeds from issuance of tangible equity units, net |
|
|
— |
|
|
|
— |
|
|
|
389,000 |
|
|
|
— |
|
Borrowings of the Revolving Credit Facility, net |
|
|
55,800 |
|
|
|
80,900 |
|
|
|
5,100 |
|
|
|
66,600 |
|
Payment of debt issuance costs |
|
|
(225 |
) |
|
|
— |
|
|
|
(43,188 |
) |
|
|
— |
|
Repurchase of shares of common stock |
|
|
(325 |
) |
|
|
— |
|
|
|
(650 |
) |
|
|
— |
|
Shares issued under share-based compensation plan, including tax effects |
|
|
404 |
|
|
|
56 |
|
|
|
404 |
|
|
|
145 |
|
Shares issued for payment of acquisition |
|
|
1,081 |
|
|
|
— |
|
|
|
1,081 |
|
|
|
— |
|
Payment of acquisition earn-outs |
|
|
(2,656 |
) |
|
|
— |
|
|
|
(2,656 |
) |
|
|
— |
|
Purchase of redeemable noncontrolling interest |
|
|
— |
|
|
|
— |
|
|
|
(300 |
) |
|
|
— |
|
Payment of financing lease obligations |
|
|
(2,555 |
) |
|
|
(2,839 |
) |
|
|
(5,636 |
) |
|
|
(5,724 |
) |
Net cash provided by financing activities |
|
$ |
39,907 |
|
|
$ |
70,581 |
|
|
$ |
194,670 |
|
|
$ |
45,700 |
|
Net (decrease) increase in cash and cash equivalents |
|
|
(33,010 |
) |
|
|
76 |
|
|
|
11,956 |
|
|
|
(2,372 |
) |
Cash and cash equivalents at beginning of year |
|
|
58,037 |
|
|
|
11,180 |
|
|
|
13,071 |
|
|
|
13,628 |
|
Cash and cash equivalents at end of year |
|
$ |
25,027 |
|
|
$ |
11,256 |
|
|
$ |
25,027 |
|
|
$ |
11,256 |
|
BrightSpring Health Services, Inc. and Subsidiaries
Reconciliation of EBITDA and Adjusted EBITDA
For the three months and six months ended June 30, 2024 and 2023
(Unaudited)
The following table reconciles net income (loss) to EBITDA and Adjusted EBITDA:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
($ in thousands) |
|
For the Three Months Ended |
|
|
For the Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2024 |
|
|
2023 |
|
|
2024 |
|
|
2023 |
|
Net income (loss) |
|
$ |
19,441 |
|
|
$ |
2,766 |
|
|
$ |
(26,944 |
) |
|
$ |
(19,510 |
) |
Income tax benefit |
|
|
(9,466 |
) |
|
|
(2,834 |
) |
|
|
(32,760 |
) |
|
|
(7,180 |
) |
Interest expense, net |
|
|
52,439 |
|
|
|
79,684 |
|
|
|
117,459 |
|
|
|
157,861 |
|
Depreciation and amortization |
|
|
50,071 |
|
|
|
50,205 |
|
|
|
98,993 |
|
|
|
100,550 |
|
EBITDA |
|
$ |
112,485 |
|
|
$ |
129,821 |
|
|
$ |
156,748 |
|
|
$ |
231,721 |
|
Non-cash share-based compensation (1) |
|
|
15,136 |
|
|
|
825 |
|
|
|
39,984 |
|
|
|
1,275 |
|
Acquisition, integration, and transaction-related costs (2) |
|
|
5,022 |
|
|
|
5,789 |
|
|
|
13,564 |
|
|
|
7,435 |
|
Restructuring and divestiture-related and other costs (3) |
|
|
3,562 |
|
|
|
7,419 |
|
|
|
21,393 |
|
|
|
11,644 |
|
Legal costs and settlements (4) |
|
|
2,493 |
|
|
|
2,626 |
|
|
|
12,966 |
|
|
|
4,664 |
|
Significant projects (5) |
|
|
444 |
|
|
|
1,248 |
|
|
|
1,604 |
|
|
|
4,964 |
|
Management fee (6) |
|
|
— |
|
|
|
1,432 |
|
|
|
23,381 |
|
|
|
2,865 |
|
Unreimbursed COVID-19 related costs |
|
|
— |
|
|
|
266 |
|
|
|
— |
|
|
|
136 |
|
Total adjustments |
|
$ |
26,657 |
|
|
$ |
19,606 |
|
|
$ |
112,892 |
|
|
$ |
32,984 |
|
Adjusted EBITDA |
|
$ |
139,142 |
|
|
$ |
149,427 |
|
|
$ |
269,640 |
|
|
$ |
264,705 |
|
(1)Represents non-cash share-based compensation to certain members of our management and full-time employees. The three and six months ended June 30, 2024 includes $13.3 million and $21.4 million of costs, respectively, related to new equity awards granted upon the completion of our IPO under the 2024 Equity Incentive Plan. The six months ended June 30, 2024 includes $15.0 million of previously unrecognized share-based compensation expense related to performance-vesting options under the 2017 Stock Plan, which vested upon completion of the IPO.
(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, and integration costs incurred including any facility consolidation, integration travel, or severance associated with the integration of an acquisition. These costs also included $1.1 million and $5.5 million of costs related to the IPO Offerings which were not capitalizable for the three and six months ended June 30, 2024, respectively, compared to $0.0 million and $0.2 million for the three and six months ended June 30, 2023, respectively; and system implementation costs associated with the integration of acquisitions of $0.1 million and $0.2 million for the three and six months ended June 30, 2024, respectively, compared to $0.5 million and $1.5 million for the three and six months ended June 30, 2023, respectively.
(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. These costs included $12.7 million of unamortized debt issuance costs associated with the extinguishment of our Second Lien Facility in the six months ended June 30, 2024. These costs also included $0.1 million and $1.9 million of intangible asset and other investment impairment for the three and six months ended June 30, 2024, respectively, as compared to $3.8 million and $6.0 million for the three and six months ended June 30, 2023, respectively.
(4)Represents settlement and defense costs associated with certain PharMerica litigation matters associated with two historical cases, which includes the Silver matter. For the six months ended June 30, 2024, these costs included $5.0 million associated with the settlement of the Silver matter due to a change in estimate. See Note 10 within the unaudited condensed consolidated financial statements and related notes in this Quarterly Report on Form 10-Q for additional information.
(5)Represents costs associated with certain transformational projects and for the periods presented. General ledger system migration and related business intelligence system implementation costs, which were capitalized as development costs and are subsequently amortized in accordance with ASC 350-40, Internal Use Software, were $0.2 million and $0.7 million for the three and six months ended June 30, 2024, respectively, compared to $0.5 million and $1.0 million for the three and six month ended June 30, 2023, respectively. The general ledger system migration and related business intelligence system project costs were completed during the second fiscal quarter of 2024. Pharmacy billing system implementation costs were $0.1 million and $0.7 million for the three and six months ended June 30, 2024, respectively, compared to $0.7 million and $1.1 million for the three and six months ended June 30, 2023, respectively. The pharmacy billing system project costs were completed in the second
fiscal quarter of 2024. Ransomware attack response costs associated with the ransomware attack in the first half of 2023 were $0.5 million and $2.5 million for the three and six months ended June 30, 2023.
(6)Represents annual management fees payable to the Managers under the Monitoring Agreement through the date of the IPO, and $22.7 million of termination fees resulting from the Monitoring Agreement being terminated upon completion of the IPO Offerings. All management fees have ceased following the completion of the IPO.
BrightSpring Health Services, Inc. and Subsidiaries
Reconciliation of Adjusted EPS
For the three months and six months ended June 30, 2024 and 2023
(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, |
|
|
June 30, |
|
|
|
2024 |
|
|
2023 |
|
|
2024 |
|
|
2023 |
|
Diluted EPS |
|
$ |
0.10 |
|
|
$ |
0.03 |
|
|
$ |
(0.14 |
) |
|
$ |
(0.15 |
) |
Non-cash share-based compensation (1) |
|
|
0.07 |
|
|
|
0.01 |
|
|
|
0.20 |
|
|
|
0.01 |
|
Acquisition, integration, and transaction-related costs (1) |
|
|
0.02 |
|
|
|
0.05 |
|
|
|
0.07 |
|
|
|
0.06 |
|
Restructuring and divestiture-related and other costs (1) |
|
|
0.02 |
|
|
|
0.06 |
|
|
|
0.11 |
|
|
|
0.09 |
|
Legal costs and settlements (1) |
|
|
0.01 |
|
|
|
0.02 |
|
|
|
0.07 |
|
|
|
0.04 |
|
Significant projects (1) |
|
0.00 |
|
|
|
0.01 |
|
|
|
0.01 |
|
|
|
0.04 |
|
Management fee (1) |
|
|
— |
|
|
|
0.01 |
|
|
|
0.12 |
|
|
|
0.02 |
|
Unreimbursed COVID-19 related costs (1) |
|
|
— |
|
|
0.00 |
|
|
|
— |
|
|
0.00 |
|
Income tax impact on adjustments (2)(3) |
|
|
(0.12 |
) |
|
|
(0.04 |
) |
|
|
(0.22 |
) |
|
|
(0.07 |
) |
Adjusted EPS |
|
$ |
0.10 |
|
|
$ |
0.15 |
|
|
$ |
0.22 |
|
|
$ |
0.04 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average common shares outstanding used in calculating
diluted U.S. GAAP net income (loss) per common share |
|
|
208,987 |
|
|
|
126,449 |
|
|
|
186,523 |
|
|
|
117,875 |
|
Weighted average common shares outstanding used in calculating
diluted Non-GAAP net income (loss) per common share |
|
|
208,987 |
|
|
|
126,449 |
|
|
|
197,360 |
|
|
|
126,485 |
|
(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.
(3)For the three and six months ended June 30, 2024, the income tax impact on adjustments is inclusive of a discrete tax benefit related to the Silver matter that was finalized in connection with the signing of the settlement agreement during the second fiscal quarter of 2024.
Document And Entity Information
|
Aug. 02, 2024 |
| Document Information [Line Items] |
|
| Document Type |
8-K
|
| Amendment Flag |
false
|
| Document Period End Date |
Aug. 02, 2024
|
| Entity Registrant Name |
BrightSpring Health Services, Inc.
|
| Entity Central Index Key |
0001865782
|
| Entity Emerging Growth Company |
false
|
| Entity File Number |
001-41938
|
| Entity Incorporation, State or Country Code |
DE
|
| Entity Tax Identification Number |
82-2956404
|
| Entity Address, Address Line One |
805 N. Whittington Parkway
|
| Entity Address, City or Town |
Louisville
|
| Entity Address, State or Province |
KY
|
| Entity Address, Postal Zip Code |
40222
|
| City Area Code |
502
|
| Local Phone Number |
394-2100
|
| Entity Information, Former Legal or Registered Name |
Not Applicable
|
| Written Communications |
false
|
| Soliciting Material |
false
|
| Pre-commencement Tender Offer |
false
|
| Pre-commencement Issuer Tender Offer |
false
|
| Common Stock [Member] |
|
| Document Information [Line Items] |
|
| Title of 12(b) Security |
Common Stock, par value $0.01 per share
|
| Trading Symbol |
BTSG
|
| Security Exchange Name |
NASDAQ
|
| Six Point Seven Five Percentage Tangible Equity Units [Member] |
|
| Document Information [Line Items] |
|
| Title of 12(b) Security |
6.75% Tangible Equity Units
|
| Trading Symbol |
BTSGU
|
| Security Exchange Name |
NASDAQ
|
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dei_EntityAddressCityOrTown |
| Namespace Prefix: |
dei_ |
| Data Type: |
xbrli:normalizedStringItemType |
| Balance Type: |
na |
| Period Type: |
duration |
|
| X |
- DefinitionCode for the postal or zip code
| Name: |
dei_EntityAddressPostalZipCode |
| Namespace Prefix: |
dei_ |
| Data Type: |
xbrli:normalizedStringItemType |
| Balance Type: |
na |
| Period Type: |
duration |
|
| X |
- DefinitionName of the state or province.
| Name: |
dei_EntityAddressStateOrProvince |
| Namespace Prefix: |
dei_ |
| Data Type: |
dei:stateOrProvinceItemType |
| Balance Type: |
na |
| Period Type: |
duration |
|
| X |
- DefinitionA unique 10-digit SEC-issued value to identify entities that have filed disclosures with the SEC. It is commonly abbreviated as CIK. Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher SEC
-Name Exchange Act
-Number 240
-Section 12
-Subsection b-2
| Name: |
dei_EntityCentralIndexKey |
| Namespace Prefix: |
dei_ |
| Data Type: |
dei:centralIndexKeyItemType |
| Balance Type: |
na |
| Period Type: |
duration |
|
| X |
- DefinitionIndicate if registrant meets the emerging growth company criteria. Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher SEC
-Name Exchange Act
-Number 240
-Section 12
-Subsection b-2
| Name: |
dei_EntityEmergingGrowthCompany |
| Namespace Prefix: |
dei_ |
| Data Type: |
xbrli:booleanItemType |
| Balance Type: |
na |
| Period Type: |
duration |
|
| X |
- DefinitionCommission file number. The field allows up to 17 characters. The prefix may contain 1-3 digits, the sequence number may contain 1-8 digits, the optional suffix may contain 1-4 characters, and the fields are separated with a hyphen.
| Name: |
dei_EntityFileNumber |
| Namespace Prefix: |
dei_ |
| Data Type: |
dei:fileNumberItemType |
| Balance Type: |
na |
| Period Type: |
duration |
|
| X |
- DefinitionTwo-character EDGAR code representing the state or country of incorporation.
| Name: |
dei_EntityIncorporationStateCountryCode |
| Namespace Prefix: |
dei_ |
| Data Type: |
dei:edgarStateCountryItemType |
| Balance Type: |
na |
| Period Type: |
duration |
|
| X |
- DefinitionThe exact name of the entity filing the report as specified in its charter, which is required by forms filed with the SEC. Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher SEC
-Name Exchange Act
-Number 240
-Section 12
-Subsection b-2
| Name: |
dei_EntityRegistrantName |
| Namespace Prefix: |
dei_ |
| Data Type: |
xbrli:normalizedStringItemType |
| Balance Type: |
na |
| Period Type: |
duration |
|
| X |
- DefinitionThe Tax Identification Number (TIN), also known as an Employer Identification Number (EIN), is a unique 9-digit value assigned by the IRS. Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher SEC
-Name Exchange Act
-Number 240
-Section 12
-Subsection b-2
| Name: |
dei_EntityTaxIdentificationNumber |
| Namespace Prefix: |
dei_ |
| Data Type: |
dei:employerIdItemType |
| Balance Type: |
na |
| Period Type: |
duration |
|
| X |
- DefinitionLocal phone number for entity.
| Name: |
dei_LocalPhoneNumber |
| Namespace Prefix: |
dei_ |
| Data Type: |
xbrli:normalizedStringItemType |
| Balance Type: |
na |
| Period Type: |
duration |
|
| X |
- DefinitionBoolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act. Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher SEC
-Name Exchange Act
-Number 240
-Section 13e
-Subsection 4c
| Name: |
dei_PreCommencementIssuerTenderOffer |
| Namespace Prefix: |
dei_ |
| Data Type: |
xbrli:booleanItemType |
| Balance Type: |
na |
| Period Type: |
duration |
|
| X |
- DefinitionBoolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act. Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher SEC
-Name Exchange Act
-Number 240
-Section 14d
-Subsection 2b
| Name: |
dei_PreCommencementTenderOffer |
| Namespace Prefix: |
dei_ |
| Data Type: |
xbrli:booleanItemType |
| Balance Type: |
na |
| Period Type: |
duration |
|
| X |
- DefinitionTitle of a 12(b) registered security. Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher SEC
-Name Exchange Act
-Number 240
-Section 12
-Subsection b
| Name: |
dei_Security12bTitle |
| Namespace Prefix: |
dei_ |
| Data Type: |
dei:securityTitleItemType |
| Balance Type: |
na |
| Period Type: |
duration |
|
| X |
- DefinitionName of the Exchange on which a security is registered. Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher SEC
-Name Exchange Act
-Number 240
-Section 12
-Subsection d1-1
| Name: |
dei_SecurityExchangeName |
| Namespace Prefix: |
dei_ |
| Data Type: |
dei:edgarExchangeCodeItemType |
| Balance Type: |
na |
| Period Type: |
duration |
|
| X |
- DefinitionBoolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as soliciting material pursuant to Rule 14a-12 under the Exchange Act. Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher SEC
-Name Exchange Act
-Number 240
-Section 14a
-Subsection 12
| Name: |
dei_SolicitingMaterial |
| Namespace Prefix: |
dei_ |
| Data Type: |
xbrli:booleanItemType |
| Balance Type: |
na |
| Period Type: |
duration |
|
| X |
- DefinitionTrading symbol of an instrument as listed on an exchange.
| Name: |
dei_TradingSymbol |
| Namespace Prefix: |
dei_ |
| Data Type: |
dei:tradingSymbolItemType |
| Balance Type: |
na |
| Period Type: |
duration |
|
| X |
- DefinitionBoolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as written communications pursuant to Rule 425 under the Securities Act. Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher SEC
-Name Securities Act
-Number 230
-Section 425
| Name: |
dei_WrittenCommunications |
| Namespace Prefix: |
dei_ |
| Data Type: |
xbrli:booleanItemType |
| Balance Type: |
na |
| Period Type: |
duration |
|
| X |
- Details
| Name: |
us-gaap_StatementClassOfStockAxis=us-gaap_CommonStockMember |
| Namespace Prefix: |
|
| Data Type: |
na |
| Balance Type: |
|
| Period Type: |
|
|
| X |
- Details
| Name: |
us-gaap_StatementClassOfStockAxis=btsg_SixPointSevenFivePercentageTangibleEquityUnitsMember |
| Namespace Prefix: |
|
| Data Type: |
na |
| Balance Type: |
|
| Period Type: |
|
|
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