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Q1 Senior Health, Home Health & Hospice Earnings: BrightSpring Health Services (NASDAQ:BTSG) Earns Top Marks

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The end of the earnings season is always a good time to take a step back and see who shined (and who didn’t). Let’s take a look at how senior health, home health & hospice stocks fared in Q1, starting with BrightSpring Health Services (NASDAQ: BTSG).

The senior health, home care, and hospice care industries provide essential services to aging populations and patients with chronic or terminal conditions. These companies benefit from stable, recurring revenue driven by relationships with patients and families that can extend many months or even years. However, the labor-intensive nature of the business makes it vulnerable to rising labor costs and staffing shortages, while profitability is constrained by reimbursement rates from Medicare, Medicaid, and private insurers. Looking ahead, the industry is positioned for tailwinds from an aging population, increasing chronic disease prevalence, and a growing preference for personalized in-home care. Advancements in remote monitoring and telehealth are expected to enhance efficiency and care delivery. However, headwinds such as labor shortages, wage inflation, and regulatory uncertainty around reimbursement could pose challenges. Investments in digitization and technology-driven care will be critical for long-term success.

The 7 senior health, home health & hospice stocks we track reported a satisfactory Q1. As a group, revenues beat analysts’ consensus estimates by 0.9%.

Thankfully, share prices of the companies have been resilient as they are up 7.6% on average since the latest earnings results.

Best Q1: BrightSpring Health Services (NASDAQ: BTSG)

Founded in 1974, BrightSpring Health Services (NASDAQ: BTSG) offers home health care, hospice, neuro-rehabilitation, and pharmacy services.

BrightSpring Health Services reported revenues of $3.61 billion, up 25.6% year on year. This print exceeded analysts’ expectations by 6.3%. Overall, it was an exceptional quarter for the company with a beat of analysts’ EPS estimates and full-year EBITDA guidance topping analysts’ expectations.

"We are pleased with the Company’s first quarter results, which reflect the team’s commitment to patients as well as the operating and growth priorities discussed at the Investor Day in March,” said Jon Rousseau, Chairman, President, and Chief Executive Officer of BrightSpring.

BrightSpring Health Services Total Revenue

BrightSpring Health Services achieved the biggest analyst estimate beat and highest full-year guidance raise of the whole group. Unsurprisingly, the stock is up 46.4% since reporting and currently trades at $70.25.

We think BrightSpring Health Services is a good business, but is it a buy today? Read our full report here, it’s free.

Chemed (NYSE: CHE)

With a unique business model combining end-of-life care and household services, Chemed (NYSE: CHE) operates two distinct businesses: VITAS, which provides hospice care for terminally ill patients, and Roto-Rooter, which offers plumbing and water restoration services.

Chemed reported revenues of $657.5 million, up 1.6% year on year, outperforming analysts’ expectations by 1.2%. The business had a strong quarter with a beat of analysts’ EPS estimates.

Chemed Total Revenue

The market seems happy with the results as the stock is up 21.7% since reporting. It currently trades at $465.95.

Is now the time to buy Chemed? Access our full analysis of the earnings results here, it’s free.

Weakest Q1: Option Care Health (NASDAQ: OPCH)

With a nationwide network of 177 locations serving 43 states and a team of over 4,500 clinicians, Option Care Health (NASDAQ: OPCH) is the largest independent provider of home and alternate site infusion services, delivering medications and clinical support to patients across the United States.

Option Care Health reported revenues of $1.35 billion, up 1.3% year on year, falling short of analysts’ expectations by 3.3%. It was a slower quarter as it posted full-year revenue guidance missing analysts’ expectations.

Option Care Health delivered the weakest performance against analyst estimates and weakest full-year guidance update in the group. As expected, the stock is down 22% since the results and currently trades at $20.97.

Read our full analysis of Option Care Health’s results here.

AdaptHealth (NASDAQ: AHCO)

With a network of approximately 680 locations serving patients across all 50 states, AdaptHealth (NASDAQ: AHCO) provides home medical equipment, supplies, and related services to patients with chronic conditions like sleep apnea, diabetes, and respiratory disorders.

AdaptHealth reported revenues of $819.8 million, up 5.4% year on year. This print beat analysts’ expectations by 2.9%. Zooming out, it was a mixed quarter as it also produced full-year revenue guidance meeting analysts’ expectations but a significant miss of analysts’ EPS estimates.

The stock is down 20.1% since reporting and currently trades at $10.42.

Read our full, actionable report on AdaptHealth here, it’s free.

Brookdale (NYSE: BKD)

With a network of over 650 communities serving approximately 59,000 residents across 41 states, Brookdale Senior Living (NYSE: BKD) operates senior living communities across the United States, offering independent living, assisted living, memory care, and continuing care retirement communities.

Brookdale reported revenues of $764.9 million, down 6% year on year. This result missed analysts’ expectations by 0.8%. Aside from that, it was a satisfactory quarter as it recorded a beat of analysts’ EPS estimates.

Brookdale had the slowest revenue growth among its peers. The stock is up 13.4% since reporting and currently trades at $16.09.

Read our full, actionable report on Brookdale here, it’s free.

Market Update

Late in 2025 into early 2026, there was hand-wringing around artificial intelligence. For software companies, the fear was that AI would erode pricing power and compress margins as new tools made it easier to replicate what once required expensive enterprise platforms. Crypto investors had their own version of the same anxiety: if AI agents could trade, allocate capital, and manage wallets autonomously, what exactly was the long-term value of today’s crypto infrastructure?

These concerns triggered a noticeable rotation away from these sectors and into safer havens. But markets rarely dwell on one narrative for long. Spring 2026 came, and the focus shifted abruptly from technological disruption to geopolitical risk. The US’ conflict with Iran became the dominant driver of market psychology, and when geopolitics takes center stage, the script changes quickly. Investors stop debating growth rates and start worrying about oil supply, inflation, and global stability.

Want to invest in winners with rock-solid fundamentals? Check out our Strong Momentum Stocks and add them to your watchlist. These companies are poised for growth regardless of the political or macroeconomic climate.

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