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Consolidated Statements of Comprehensive Loss - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Statement of Comprehensive Income [Abstract]      
Net income (loss) $ 189,113 $ (20,521) $ (156,835)
Other comprehensive loss, net of tax:      
Foreign currency translation adjustments 206 (309) 131
Cash flow hedges:      
Net change in fair value, net of tax [1] 3,198 15,826 14,948
Amounts reclassified to earnings, net of tax [2] (11,513) (26,643) (23,727)
Total other comprehensive loss (8,109) (11,126) (8,648)
Total comprehensive income (loss) 181,004 (31,647) (165,483)
Comprehensive loss attributable to redeemable noncontrolling interests (1,143) (1,789) (2,167)
Comprehensive loss attributable to noncontrolling interest (410) (670) (65)
Comprehensive income (loss) attributable to BrightSpring Health Services, Inc. and subsidiaries $ 182,557 $ (29,188) $ (163,251)
[1] The income tax effects of the net change in fair value were $(1,038), $(5,149), and $(4,591) for the years ended December 31, 2025, 2024, and 2023, respectively.
[2] The income tax effects of amounts reclassified to earnings were $3,736, $8,646, and $7,683 for the years ended December 31, 2025, 2024, and 2023, respectively.