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Consolidated Statements of Operations - USD ($)
shares in Thousands, $ in Thousands
 12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Total revenues $ 12,910,564 $ 10,072,214 $ 7,691,016
Cost of goods 10,507,431 8,008,501 5,840,716
Cost of services 885,356 797,286 711,304
Gross profit 1,517,777 1,266,427 1,138,996
Selling, general, and administrative expenses 1,222,525 1,158,473 1,080,871
Operating income 295,252 107,954 58,125
Loss on extinguishment of debt   12,726  
Interest expense, net 157,311 190,546 271,899
Income (loss) from continuing operations before income taxes 137,941 (95,318) (213,774)
Income tax expense (benefit) 33,145 (26,387) (31,508)
Net income (loss) from continuing operations 104,796 (68,931) (182,266)
Income from discontinued operations, net of income taxes 84,317 48,410 25,431
Net income (loss) 189,113 (20,521) (156,835)
Net loss attributable to noncontrolling interests included in continuing operations (1,553) (2,459) (2,232)
Net income (loss) attributable to BrightSpring Health Services, Inc. and subsidiaries $ 190,666 $ (18,062) $ (154,603)
Basic income (loss) per share attributable to common shareholders:      
Continuing operations $ 0.53 $ (0.34) $ (1.53)
Discontinued operations 0.41 0.25 0.22
Net income (loss) per share 0.94 (0.09) (1.31)
Diluted income (loss) per share attributable to common shareholders:      
Continuing operations 0.48 (0.34) (1.53)
Discontinued operations 0.39 0.25 0.22
Net income (loss) per share $ 0.87 $ (0.09) $ (1.31)
Weighted average shares outstanding:      
Basic 202,564 192,997 117,868
Diluted 219,774 192,997 117,868
Products      
Total revenues $ 11,445,777 $ 8,754,282 $ 6,522,450
Services      
Total revenues $ 1,464,787 $ 1,317,932 $ 1,168,566