BTSG — BrightSpring Health Services, Inc.

Report date: 2026-05-26  |  Sector: Healthcare  |  Last price: $58.50  |  Horizon: 30d  |  Generated: 2026-05-26T07:04:26.621890Z

Forecast summary

Ensemble point -1.27%
80% CI [-12.03%, +11.36%]
95% CI [-17.00%, +18.81%]
Method dispersion 0.0137
Beats RW baseline YES
MC drift (annual) -15.47%
MC sigma (annual) 51.73%
MC paths 1000
Bull target (90th pct) +20.86% -> $70.70
Base target (50th) -3.27% -> $56.59
Bear target (10th pct) -23.15% -> $44.96
Macro regime risk_on_growth
10y yield 4.56%
3m yield 3.59%
Yield-curve slope +0.97%
VIX level 16.59
VIX z-score (252d) -0.48
Sector ETF XLV
Sector relative (90d) +56.80%

Forecast plot (interactive)

Realised volatility

Yang-Zhang annualized (60d) 51.73%
Close-to-close annualized (60d) 44.85%

Per-method comparison

MethodWeightPoint80% lo80% hi95% lo95% hi
linear 25.0% -1.82% -5.51% +1.83% -7.08% +3.84%
monte_carlo 25.0% -3.27% -23.15% +20.86% -32.27% +35.08%
ar1 25.0% -0.00% -3.19% +3.29% -4.83% +5.07%
random_walk 25.0% +0.00% -16.28% +19.45% -23.80% +31.23%

Factor contributions (interactive waterfall)

Factor contribution table

FactorLoadingTicker valueContribution
value_score +0.0495 -3.0000 -0.1484
quality_score +0.0192 -0.5769 -0.0111
momentum_score +0.0286 +3.0000 +0.0858
lowvol_score +0.0173 -0.7423 -0.0128
revisions_score +0.0236 +3.0000 +0.0709
news_activity_score +0.0402 -0.0517 -0.0021
(intercept) - - -0.0005

Factor decay over horizon

Factor IC over time

Per-factor IC backtest summary

FactorMean ICICIR% positiveCumulative attributionn periods
value_score +0.2563 +2.690 100.0% +0.5383 252
quality_score +0.1105 +1.096 86.5% +0.2401 252
momentum_score +0.1428 +1.354 92.5% +0.2460 252
lowvol_score +0.0878 +0.887 82.1% +0.1870 252
revisions_score +0.1375 +1.319 88.9% +0.2738 252
news_activity_score +0.3540 +3.832 100.0% +1.0893 252

Snapshot — fundamentals + technical

Market cap $11.34B
P/E (trailing) 76.0
P/B 6.1
Forward P/E 27.7
PEG -
Dividend yield -
Beta 1.72
52w high / low $59.65 / $19.01
Distance from 52w high -1.93%
RSI(14) 70.4
SMA50 / SMA200 $48.13 / $37.07
ATR(14) $2.00
Avg volume (20d) 3.15M
Profit margin 2.27%
ROE 9.23%
Revenue growth (YoY) +25.60%
Earnings growth (YoY) +359.80%
Debt/Equity 135.7
Current ratio 1.74
Short ratio 6.56

Forecast accuracy — walk-forward backtest (60d lookback)

Horizonn predictionsDirectional accuracyMAE (return)RMSE80% CI hit ratePearson(pred, real)
1d 521 49.5% 2.03% 2.83% 83.7% -0.055
30d 492 68.1% 15.45% 19.94% 74.8% -0.352
60d 462 76.4% 25.41% 30.90% 67.7% -0.307

Volume momentum (Granville / CGW / Quong-Soudack)

Composite z +0.656
Active signals 7 of 7
MFI(14) 67.49
CMF(20) +0.2696
OBV z (252d) +1.488
VPT z (252d) +1.740
VW-momentum z +1.458
Volume z (60d) -0.758
Relative volume (vs 20d ADV) 0.46x
CMF z (252d) +0.822

Sector rotation & AI-spillover (v6)

Sector ETF XLV
Rel-return 5d / 20d / 60d -2.22% / +15.57% / +42.18%
Sector mom-z 1m / 3m / 6m -0.27 / -1.19 / -0.82
Rotation phase cyclical
AI-factor beta (60d) +0.349
AI spillover score +0.0321
Risk-off corr regime (60d) 0.33 (>0.6 = risk-off; <0.35 = stock-picking)
Sector breadth (% > SMA50) -
Sector dispersion 20d -

Peer comparison (sector-relative valuation & momentum)

Peer signal
EXPENSIVE LEADER
score -0.11 (9 peers)
P/E percentile
100% (100% cheaper than this)
20d momentum percentile
89% (89% lag this)
Market-cap percentile
44%
Peer set (mcap band 0.2x-5x, same sector)
RDY GMED FMS ALGN ELAN RVTY MDGL PODD AXSM
9 peers in Healthcare (mcap band 0.2x-5x); signal=expensive_leader; score=-0.11
Decision input: cheap_leader → nudge bias one bucket toward LONG; expensive_laggard → nudge toward SHORT; cheap_laggard = value-trap (neutralize); expensive_leader = crowding risk (neutralize). Folded into Claude critique and one-line PM summary.

Multi-timeframe technical analysis (1wk / 1d / 1h)

Per-timeframe verdict (TradingView-style aggregate of 17 indicators: RSI, MACD, BBands, ADX, Stoch, %R, OBV, MFI, CMF, ATR, SMA50/200, EMA9/21, Donchian, price-vs-SMA200). Counts = how many indicators fired BUY / SELL / NEUTRAL; net strength is the weight-sum delta. Crosses (golden/death, MACD signal cross, Donchian breakout) and the SMA200 trend filter carry 1.5x weight.
1wk verdict
SELL
3 buy / 6 sell / 8 neutral · net -10.0
1d verdict
NEUTRAL
4 buy / 4 sell / 9 neutral · net +0.5
1h verdict
NEUTRAL
1 buy / 3 sell / 13 neutral · net -1.0

1wk SELL 3/6/8

RSI(14) 87.2
MACD hist +1.3110
Bollinger %b 1.03
ADX(14) 56.6 RISING
ATR % 6.84%
MFI(14) / CMF(20) 76.7 / +0.220
Donchian pos / break 0.95
vs SMA200 BELOW
n_bars122

1d NEUTRAL 4/4/9

RSI(14) 70.4
MACD hist +0.1143
Bollinger %b 0.79
ADX(14) 32.4 RISING
ATR % 3.41%
MFI(14) / CMF(20) 67.5 / +0.270
Donchian pos / break 0.92
vs SMA200 ABOVE
n_bars583

1h NEUTRAL 1/3/13

RSI(14) 53.8
MACD hist -0.1025
Bollinger %b 0.39 SQUEEZE
ADX(14) 16.7
ATR % 1.01%
MFI(14) / CMF(20) 50.9 / -0.172
Donchian pos / break 0.35
vs SMA200 ABOVE
n_bars1729

Cross-timeframe confluence

Confluence LONG (0-1) 0.20
Confluence SHORT (0-1) 0.40
Patterns are intentionally selective (Elder triple-screen, daily/hourly divergence, BB-squeeze+breakout, SMA-alignment, MACD/OBV). Most tickers fire 0-2 patterns on any given day. Below: each pattern with its current state (✓ firing / ✗ not firing).
Long patterns
elder_triple
daily_oversold_hourly_bull
bb_squeeze_break_up
sma_align_long
macd_cross_obv
Short patterns
elder_triple
daily_overbought_hourly_div
bb_squeeze_break_dn
sma_align_short
macd_cross_obv

Intraday nowcast — 1h-bar short-horizon (v6)

Next 24h nowcast
+0.58%
over next 24h on 1h bars
80% band
[-8.64%, +10.73%]
n_bars = 1729 · sigma_1h = 0.0153
Direction vs 30d ensemble
AGREES
1h direction: LONG · 30d direction: SHORT
Source: intraday_forecaster_v10_trained_lgbm.
(trained model: 2026-05-26 (0d old), mean_directional_accuracy=0.523, n_features=17) Decision input only -- the 30d ensemble + factor regression remain the primary call. Conflicts surfaced into the Claude critique as horizon_conflict flag when |1h move| > 1%.

Meta-label gate — AFML Ch.3 secondary classifier (v6)

Verdict
meta-label: ABSTAIN
p_take = 0.38 · threshold 0.60
Bias adjustment
meta-label ABSTAIN with p_take=0.38 -- bias already neutral; no change.
Method: secondary LightGBM trained on (features + primary direction) -> P(primary is right). Source: meta_labeler_v10_trained_lgbm.
(trained model: 2026-05-26 (0d old), roc_auc=0.641, accuracy=0.608, n_train_rows=8,284) When ABSTAIN with p_take < 1-threshold AND bias non-neutral, the bias is demoted one bucket and a meta_abstain flag is added to the critique. See AFML Ch.3.6 (Lopez de Prado 2018).

Implied vol vs realized vol — options-trade gate (v8 W2)

Regime
NEUTRAL
no decisive vol mispricing — delta-1 setup over options
IV / RV ratio
1.06
z-score: n/a (insufficient history)
30d IV vs 30d RV
IV 51.9% (Polygon)
RV 48.9% (yang-zhang)
Provenance: source polygon_options:contracts_call; expiry 2026-06-18 (23d) · strike $60.00 · 1 strike(s) used.
Caveat: 15-min delayed end-of-day quotes; free-tier Polygon (no Greeks, no real-time). Regime is qualitative input only — NOT a numeric factor on the regression.

FMP fundamentals & analyst consensus (v7)

Quality / leverage

ROE 9.2%
ROIC -
FCF yield -
Debt / EBITDA -
Current ratio 1.74

Margins / valuation

Gross margin 12.2%
Operating margin 3.4%
Net margin 2.3%
P/E (TTM) 76.0
EV / EBITDA 25.1

Analyst consensus

Target mean -
Target high / low - / -
Upside vs last close -
Revisions score +0.000

Trade-bias signal — foundation for trade-guidance layer

Bias neutral
Composite z-score -0.444
Conviction 0.17765303445743205
Recommended playbook cash
Suggested position size 0% (no Kelly)
no Kelly: bias=neutral / meta_p_take=0.38 <= 0.5; singleton-proxy: news_activity_z=-0.05 (nonzero=True), wf30d_dir_acc=0.6808943089430894 (>0.55=True)
Strategies on bias side
Cash / no position
Iron condor if IV rank > 50
Wait for next factor refresh
Why this bias
composite_z = -0.44 | bias = neutral | conviction = 0.18 | macro_regime = risk_on_growth | ensemble = -1.27%

Sensitivity (OFAT tornado ±1 sd) and stress scenarios

FactorLoading wiTicker z-value+1 sd impact-1 sd impact
value_score +0.0495 -3.000 +0.0495 -0.0495
news_activity_score +0.0402 -0.052 +0.0402 -0.0402
momentum_score +0.0286 +3.000 +0.0286 -0.0286
revisions_score +0.0236 +3.000 +0.0236 -0.0236
quality_score +0.0192 -0.577 +0.0192 -0.0192
lowvol_score +0.0173 -0.742 +0.0173 -0.0173

Stress scenarios (forecast shift from base point)

ScenarioDescriptionStressed pointDelta vs base
rates_+100bps Yield curve +100bps (lowvol -1sd, value -0.5sd) -6.03% -4.20%
recession_risk_off Recession (momentum -1.5sd, lowvol +1sd, news -1sd) -8.41% -6.58%
quality_flight Quality flight (quality +1sd, revisions +1sd, momentum -0.5sd) +1.03% +2.86%

Multi-source live sentiment (free real-time)

Composite z-score -0.146
Active signals 2 of 3
Sources stocktwits, iv_skew
StockTwits bull 8
StockTwits bear 4
StockTwits net +0.33
Message volume 30
ApeWisdom mentions 0
24h change +0
Reddit rank -
25-delta IV skew +0.0312
IV-skew read bearish

Analyst critique

Agreement with model agree_with_caveats
Confidence 0.55
PM one-liner BTSG Healthcare: quant -1.27%/30d, disp +0.0137, beats RW, macro neutral, 0 catalyst(s).
Sensitivity concern If value_score (the highest-loading factor) is mis-measured by +/-1 stdev, the bias likely flips.

What the model may have missed

Critique flags

Factor contribution methodology — where the numbers come from

Point return formula (linear factor model): r_hat = alpha + sum_i (w_i × f_i) where w_i is the cross-sectional loading for factor i (estimated from the cross-section of US large-cap names) and f_i is the z-scored factor value for this ticker (Grinold-Kahn winsorization at ±3).

Per-factor contribution shown in the waterfall above is exactly w_i × f_i (decimal-return units), so the bars sum (with intercept) to the linear forecast point. The ensemble point combines linear / Monte Carlo / AR(1) / random-walk per per-method-comparison table.

Bias mapping (composite z-score → LONG/NEUTRAL/SHORT): weighted sum of value (1.0), quality (0.7), momentum (1.0), low-vol (0.5), revisions (1.0), news-activity (0.6); thresholds ±1.0 with macro override (risk-off + LONG → reduce to NEUTRAL; risk-on-growth + SHORT → reduce to NEUTRAL). LONG → Playbook A (long-call / call-debit-spread / covered-call); SHORT → Playbook B (long-put / put-debit-spread / bear-call-spread); NEUTRAL → cash.

Sensitivity (one-factor-at-a-time tornado above): impact = w_i × 1sd per factor (MSCI / Two-Sigma Venn convention). Stress scenarios are canned multi-factor shocks (rates +100bps; recession risk-off; quality flight).

Factor decay uses exponential half-life per factor type: catalysts 7d, news 14d, revisions 30d, momentum 45d, value 90d, quality 90d (Tetlock 2007; Cohen-Malloy-Pomorski 2012). The heatmap above shows contribution × exp(-ln(2) × t / half_life) on a 5-day grid.

Factor IC backtest: Spearman rank correlation between each factor's cross-sectional ranking on day t and the realized h-day-forward return, aggregated across the panel (Grinold-Kahn 2000 ch.4 fundamental law of active management). Source for this report: synthetic_panel_252d_100tickers_seed42 (parallel runner).

Placebo audit (v6, GT-Score): GT-score = 0.55 SPURIOUS — setup likely lacks real signal . Computed from 3 seed(s) across placebo kinds: shuffled, gaussian_iid, garch. Method: real directional accuracy = 49.5%; max placebo accuracy = 54.2%; AMG = -0.047. Source: placebo_audit_v6_ar1_runner. Provenance: arXiv 2604.15531 "Spurious Predictability in Financial ML" (Paper #3). Risk-flag spurious_predictability_audit_failed added to narrative.

Catalysts in window (30d)

No catalysts within the forecast window.

Analyst narrative

Bull case

BTSG ensemble forecast is -1.27% with 80% band [-12.03%, +11.36%] over 30 days. Positive drivers: momentum_score, revisions_score. 0 catalyst(s) in the window provide event-driven upside potential.

Bear case

Inter-method dispersion (+0.0137) and beats random-walk argue caution. Negative drivers: value_score. Macro regime risk_on_growth historically caps single-name conviction.

Synthesis

Weight the ensemble's -1.27% center against +0.0137 method dispersion. Risk On Growth regime + 0 catalyst(s) define the setup. Treat the 80% band as the working trade-sizing envelope.

Risk flags