<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0508</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2025-01-25</periodOfReport>

    <issuer>
        <issuerCik>0001865782</issuerCik>
        <issuerName>BrightSpring Health Services, Inc.</issuerName>
        <issuerTradingSymbol>BTSG</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001891179</rptOwnerCik>
            <rptOwnerName>Nalley Lisa A</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O BRIGHTSPRING HEALTH SERVICES, INC.</rptOwnerStreet1>
            <rptOwnerStreet2>805 N. WHITTINGTON PARKWAY</rptOwnerStreet2>
            <rptOwnerCity>LOUISVILLE</rptOwnerCity>
            <rptOwnerState>KY</rptOwnerState>
            <rptOwnerZipCode>40222</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isOfficer>true</isOfficer>
            <officerTitle>See Remarks</officerTitle>
        </reportingOwnerRelationship>
    </reportingOwner>

    <aff10b5One>false</aff10b5One>

    <nonDerivativeTable>
        <nonDerivativeTransaction>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <transactionDate>
                <value>2025-01-25</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>F</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>14501</value>
                    <footnoteId id="F1"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>22.82</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>D</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>85093</value>
                    <footnoteId id="F2"/>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
            </ownershipNature>
        </nonDerivativeTransaction>
    </nonDerivativeTable>

    <footnotes>
        <footnote id="F1">Represents shares of the Issuer's common stock withheld by the Issuer to satisfy withholding taxes due in connection with the vesting of 32,151 restricted stock units (&quot;RSUs&quot;) at a net settlement price equal to the closing stock price on January 24, 2025.</footnote>
        <footnote id="F2">Includes 64,303 shares of the Issuer's common stock underlying RSUs which will vest in two equal annual installments commencing on January 25, 2026. Each RSU represents a contingent right to receive one share of common stock upon settlement.</footnote>
    </footnotes>

    <remarks>Title: Chief of Staff and Senior Vice President, Human Resources</remarks>

    <ownerSignature>
        <signatureName>/s/ Allison L. Brown, as Attorney-in-Fact</signatureName>
        <signatureDate>2025-01-28</signatureDate>
    </ownerSignature>
</ownershipDocument>
