Lisa A. Nalley - 04 Mar 2026 Form 4 Insider Report for BrightSpring Health Services, Inc. (BTSG)

Role: Title: Chief of Staff and Senior Vice President, Human Resources
Signature: /s/ Jennifer Phipps, as Attorney-in-Fact
Issuer symbol: BTSG
Transactions as of: 04 Mar 2026
Net transactions value: -$1,234,500
Form type: 4
Filing time: 06 Mar 2026, 19:46:04 UTC
Previous filing: 27 Jan 2026
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
Nalley Lisa A	Title: Chief of Staff and Senior Vice President, Human Resources	C/O BRIGHTSPRING HEALTH SERVICES, INC., 805 N. WHITTINGTON PARKWAY, LOUISVILLE	/s/ Jennifer Phipps, as Attorney-in-Fact	06 Mar 2026	0001891179

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	BTSG	Common Stock	Options Exercise		+30,000	+27%	$6.37^*	140,594	04 Mar 2026	Direct
transaction	BTSG	Common Stock	Sale	$1,234,500	-30,000	-21%	$41.15	110,594	04 Mar 2026	Direct	F1
transaction	BTSG	Common Stock	Award		+21,354	+19%	$0.000000^*	131,948	05 Mar 2026	Direct	F2

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	BTSG	Stock Options (Right to Buy)	Award		+35,331	+49%	$0.000000^*	106,909	04 Mar 2026	Common Stock	35,331	$6.37	Direct	F3
transaction	BTSG	Stock Options (Right to Buy)	Award		+3,925	+33%	$0.000000^*	15,702	04 Mar 2026	Common Stock	3,925	$7.01	Direct	F4
transaction	BTSG	Stock Options (Right to Buy)	Options Exercise		-30,000	-28%	$0.000000^*	76,909	04 Mar 2026	Common Stock	30,000	$6.37	Direct	F5
transaction	BTSG	Stock Options (Right to Buy)	Award		+52,344		$0.000000^*	52,344	05 Mar 2026	Common Stock	52,344	$41.77	Direct	F6

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	These shares of the Issuer's common stock were sold by the Reporting Person pursuant to a registered public offering that closed on March 4, 2026, at a price of $41.15, before deducting underwriting discounts and commissions.
F2	On March 5, 2026, the Reporting Person was granted restricted stock units ("RSUs") which vest in three equal annual installments commencing on January 25, 2027. Each RSU represents a contingent right to receive one share of common stock upon settlement.
F3	No new stock options have been awarded. The transaction reported herein reflects vesting of performance-based stock options ("2019 Performance Options") previously awarded to the Reporting Person on September 24, 2019, vesting subject to performance conditions that were subsequently satisfied on March 4, 2026. The 2019 Performance Options are fully vested.
F4	No new stock options have been awarded. The transaction reported herein reflects vesting of performance-based stock options ("2020 Performance Options") previously awarded to the Reporting Person on May 12, 2020, vesting subject to performance conditions that were subsequently satisfied on March 4, 2026. The 2020 Performance Options are fully vested.
F5	These options are fully vested.
F6	Options vest in three equal annual installments commencing on January 25, 2027.

Remarks:

Title: Chief of Staff and Senior Vice President, Human Resources