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Healthcare Facilities & Managed Care "2Q26 Post-Acute Care and Other..."
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Healthcare Facilities & Managed Care "2Q26 Post-Acute Care and Other..."
Healthcare Facilities & Managed Care UBS Research
post-acute care 2Q preview
Company Specific Thoughts Entering 2Q Earnings
Specialty Providers
BrightSpring (BTSG)
BTSG had a strong start to the year, with the 1Q outperformance driven by stronger than
projected revenues in both the pharmacy and provider segments. Specialty and infusion
grew ~36% Y/Y in the quarter, which management said was driven by limited
distribution drugs (LDDs) coming on better than expected, while branded conversions
were favorable and fee-for-service also came in better. In terms of the provider segment,
all sub-segments saw strong growth in 1Q. The company continues to work on
executing on additional efficiency gains across the enterprise, which should drive
additional earnings growth this year. There were some concerns earlier this year around
a potential slowdown in Specialty drugs noted by some manufacturers and also pressure
from PBMs in the infusion market (as seen with OPCH). However, BTSG has not seen any
impact on the specialty front, while the company's comparatively smaller size in the
chronic infusion book makes it view the market as a market share growth opportunity
versus a risk. We continue to look for BTSG to generate strong cash flow generation this
year, which should allow it to look for additional M&A opportunities. We continue to
appreciate BTSG's earnings growth trajectory (one of the highest in the post-acute
sector) and cash flow generation and reiterate our Buy rating on BTSG.
Model Forecasts
Heading into 2Q results, we forecast $3,633 mln in revenues for the quarter and $195
mln in adjusted EBITDA. This compares to consensus revenue and adj. EBITDA estimates
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