Option Care Health
OPCH Nasdaq Health Care Facilities Financials FY2016βFY2025
Option Care Health's revenue rose 13.0% to $5.6 billion in fiscal 2025. Its operating margin was 6.0%, down from 6.4% a year earlier. Free cash flow was $217 million, down 24.6%. It paid out $310 million in dividends and buybacks, 143% of free cash flow. The diluted share count fell 5.5%.
What Option Care Health does
No business description yet.
- Legal name
- OPTION CARE HEALTH, INC.
- Fiscal year ends
- December 31, 2025
- Latest annual report
- β
- Accession Β· CIK
- 0001014739-26-000008
0001014739
Revenue and margins
Option Care Health had $5.6B of revenue in fiscal 2025, up 13.0% on the year before.
Net income and earnings per share
Loss periods are shown in red.
Returns on capital
After-tax operating income as a share of the money invested in the business: debt plus equity, minus cash.
Cash flow
Free cash flow was $217M in fiscal 2025, 3.8% of revenue. Cash from operations minus capital spending.
Dividends, buybacks and share count
Option Care Health returned $310M to shareholders in fiscal 2025, 143% of free cash flow. The diluted share count fell 5.5%.
Value Option Care Health yourself
Change the assumptions and see what they imply per share. These are models, not forecasts or price targets β the answer depends entirely on what you put in.
Discounted cash flow
Value per share
β
Adds net cash of β$928M and divides by 163.4M diluted shares. Ten years of cash flows plus a terminal value, discounted to today.
Earnings multiple
Value per share
β
Reference multiples: today 24.4x Β· peers 27.5x Β· sector 28.4x.
Balance sheet
Cash, debt and the ratios that show how comfortably Option Care Health can carry it.
| Fiscal year end | FY21 | FY22 | FY23 | FY24 | FY25 |
|---|---|---|---|---|---|
| Cash and short-term investments | $119M | $294M | $344M | $413M | $233M |
| Debt incl. finance leases | $1.1B | $1.1B | $1.1B | $1.1B | $1.2B |
| Net debt / EBITDA | 3.7x | 2.6x | 1.9x | 1.8x | 2.3x |
| Debt / equity | 0.9x | 0.8x | 0.8x | 0.8x | 0.9x |
| Interest coverage | 2.9x | 4.5x | 6.1x | 6.6x | 6.2x |
| Current ratio | 1.6x | 1.8x | 1.8x | 1.7x | 1.5x |
| Quick ratio | 1.2x | 1.4x | 1.3x | 1.2x | 1.0x |
| Total assets | $2.8B | $3.1B | $3.2B | $3.4B | $3.5B |
| Total liabilities | $1.6B | $1.7B | $1.8B | $2.0B | $2.1B |
| Shareholders' equity | $1.2B | $1.4B | $1.4B | $1.4B | $1.3B |
| Net debt (β = net cash) | $947M | $770M | $719M | $699M | $928M |
Insider trades
Open-market purchases and sales by officers, directors and 10% owners, from Form 4 filings. 'Plan' marks trades under a pre-arranged Rule 10b5-1 plan.
Bought, 12 months
$2.9M
4 insiders
Sold, 12 months
$1.2M
2 insiders
Of sales under plans
0%
$0.0M
| Date | Insider | Trade | Shares | Price | Value | Filing |
|---|---|---|---|---|---|---|
| May 7, 2026 | Timothy P SullivanDirector | Bought | 24,154 | $20.69 | $0.5M | Form 4 |
| May 4, 2026 | Harry M Jansen Kraemer JrDirector | Bought | 36,610 | $21.41 | $0.8M | Form 4 |
| May 4, 2026 | John Charles RademacherChief Executive Officer, Director | Bought | 12,500 | $21.18 | $0.3M | Form 4 |
| May 4, 2026 | Meenal SethnaChief Financial Officer | Bought | 16,225 | $20.16 | $0.3M | Form 4 |
| Feb 27, 2026 | Michael BavaroChief Human Resources Officer | Sold | 6,000 | $33.00 | $0.2M | Form 4 |
| Feb 27, 2026 | Pate R CarterDirector | Sold | 30,287 | $32.05 | $1.0M | Form 4 |
| Nov 3, 2025 | Harry M Jansen Kraemer JrDirector | Bought | 38,000 | $25.98 | $1.0M | Form 4 |
Piotroski F-score
Nine pass/fail tests of profitability, funding and efficiency. 8β9 is strong, 0β2 weak.
| Test | FY23 | FY24 | FY25 |
|---|---|---|---|
| Net income is positive | β | β | β |
| Cash from operations is positive | β | β | β |
| Return on assets rose | β | β | β |
| Cash from operations exceeds net income | β | β | β |
| Debt fell relative to assets | β | β | β |
| Current ratio rose | β | β | β |
| Share count didn't rise | β | β | β |
| Gross margin rose | β | β | β |
| Revenue rose relative to assets | β | β | β |
| F-score | 8 / 9 | 6 / 9 | 5 / 9 |
| Accruals ratio | β3.3% | β3.4% | β1.5% |
| Altman Z'' | 2.92 | 3.04 | 2.97 |
Similar companies
Each company's latest fiscal year. Fiscal years end in different months, so periods don't line up exactly.
| Company | Market cap | Growth | Op. margin | FCF margin | ROIC | P/E | F-score | |
|---|---|---|---|---|---|---|---|---|
| Option Care Health OPCH | $4.9B | 13.0% | 6.0% | 3.8% | 11.4% | 24.4x | 5 | |
| Encompass Health EHC | $12.4B | 10.5% | β | 7.4% | 15.8% | 20.2x | 8 | Compare β |
| Ensign Group ENSG | $10.4B | 18.7% | 8.4% | β | 19.7% | 27.5x | 6 | Compare β |
| Acadia Healthcare ACHC | $2.9B | 5.0% | β | β13.3% | β16.0% | β | 4 | Compare β |
| Astrana Health ASTH | $1.9B | 56.4% | 2.5% | 3.3% | 4.2% | 45.1x | 4 | Compare β |
10 years of figures
US$ millions unless stated. Hover a ratio's name for its definition.
| Fiscal year | FY16 | FY17 | FY18 | FY19 | FY20 | FY21 | FY22 | FY23 | FY24 | FY25 |
|---|---|---|---|---|---|---|---|---|---|---|
| Income statement | ||||||||||
| Revenue | $936M | $1.8B | $1.9B | $2.3B | $3.0B | $3.4B | $3.9B | $4.3B | $5.0B | $5.6B |
| Gross profit | $262M | $446M | $422M | $513M | $682M | $780M | $867M | $981M | $1.0B | $1.1B |
| Operating income | β$11.0M | $27.3M | $38.3M | β$0.3M | $111M | $191M | $240M | $315M | $322M | $338M |
| Interest expense | $34.7M | $43.5M | $45.8M | $73.7M | $108M | $67.0M | $53.8M | $51.2M | $49.0M | $54.6M |
| Pretax income | β$34.2M | β$67.4M | β$51.0M | β$78.2M | β$5.2M | $117M | $206M | $359M | $284M | $283M |
| Income tax | $2.0M | β$18.6M | β$2.7M | β$2.3M | $2.8M | β$23.4M | $55.2M | $91.7M | $71.8M | $75.3M |
| Net income | β$42.8M | $3.9M | β$6.1M | β$75.9M | β$8.1M | $140M | $151M | $267M | $212M | $208M |
| Diluted EPS | β$0.55 | $0.03 | β$0.04 | β$0.49 | β$0.04 | $0.77 | $0.83 | $1.48 | $1.23 | $1.27 |
| Diluted shares | 0.09B | 0.14B | 0.14B | 0.16B | 0.18B | 0.18B | 0.18B | 0.18B | 0.17B | 0.16B |
| Cash flow | ||||||||||
| Cash from operations | β$42.5M | $37.9M | $24.4M | $39.5M | $127M | $209M | $268M | $371M | $323M | $258M |
| Capital expenditure | β | $25.0M | $26.3M | $28.3M | $26.9M | $25.6M | $35.4M | $41.9M | $35.6M | $41.3M |
| Free cash flow | β | $12.9M | β$1.9M | $11.2M | $101M | $183M | $232M | $329M | $288M | $217M |
| Depreciation and amortization | $22.0M | $34.7M | $38.1M | $53.7M | $71.3M | $63.1M | $60.6M | $59.2M | $60.9M | $67.5M |
| Stock-based compensation | $1.8M | $1.5M | $2.1M | $4.2M | $2.9M | $9.6M | $16.8M | $30.5M | $36.1M | $40.0M |
| Acquisitions | $67.5M | $0.0M | $10.7M | $700M | $0.0M | $85.9M | $87.4M | $12.5M | $0.0M | $117M |
| Share buybacks | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M | $250M | $253M | $310M |
| Dividends paid | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M |
| Dividends and buybacks | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M | $250M | $253M | $310M |
| Balance sheet | ||||||||||
| Cash and short-term investments | $9.6M | $39.5M | $36.4M | $67.1M | $99.3M | $119M | $294M | $344M | $413M | $233M |
| Total debt | $468M | $503M | $539M | $1.3B | $1.1B | $1.1B | $1.1B | $1.1B | $1.1B | $1.2B |
| Finance lease liabilities | $0.0M | $0.0M | $0.0M | $0.7M | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M | $0.0M |
| Current assets | $173M | $187M | $467M | $559M | $657M | $710M | $994M | $1.1B | $1.3B | $1.3B |
| Current liabilities | $130M | $105M | $240M | $330M | $434M | $460M | $565M | $618M | $780M | $829M |
| Inventory | $36.2M | $38.0M | $83.3M | $116M | $159M | $183M | $224M | $274M | $388M | $471M |
| Property and equipment, net | $32.7M | $27.0M | $93.1M | $133M | $121M | $112M | $108M | $121M | $127M | $139M |
| Total assets | $605M | $603M | $1.4B | $2.6B | $2.6B | $2.8B | $3.1B | $3.2B | $3.4B | $3.5B |
| Total liabilities | $567M | $606M | $825M | $1.7B | $1.6B | $1.6B | $1.7B | $1.8B | $2.0B | $2.1B |
| Shareholders' equity | $601M | $606M | $603M | $907M | $1.0B | $1.2B | $1.4B | $1.4B | $1.4B | $1.3B |
| Margins | ||||||||||
| Gross margin | 28.0% | 24.4% | 21.8% | 22.2% | 22.5% | 22.7% | 22.0% | 22.8% | 20.3% | 19.3% |
| Operating margin | β1.2% | 1.5% | 2.0% | β0.0% | 3.7% | 5.6% | 6.1% | 7.3% | 6.4% | 6.0% |
| EBITDA margin | 1.2% | 3.4% | 3.9% | 2.3% | 6.0% | 7.4% | 7.6% | 8.7% | 7.7% | 7.2% |
| Net margin | β4.6% | 0.2% | β0.3% | β3.3% | β0.3% | 4.1% | 3.8% | 6.2% | 4.2% | 3.7% |
| FCF margin | β | 0.7% | β0.1% | 0.5% | 3.3% | 5.3% | 5.9% | 7.7% | 5.8% | 3.8% |
| Returns | ||||||||||
| Return on capital | β1.3% | 2.0% | 2.8% | β0.0% | 4.2% | 9.2% | 8.2% | 10.9% | 11.3% | 11.4% |
| Return on capital employed | β2.6% | 5.6% | 4.5% | β0.0% | 5.0% | 8.4% | 9.9% | 12.2% | 12.3% | 12.8% |
| Return on equity | β16.5% | 0.6% | β1.0% | β10.1% | β0.8% | 12.8% | 11.8% | 19.0% | 15.0% | 15.2% |
| Return on assets | β7.5% | 0.6% | β0.6% | β3.8% | β0.3% | 5.1% | 5.1% | 8.4% | 6.4% | 6.0% |
| Growth | ||||||||||
| Revenue growth | β | 95.4% | 6.1% | 19.1% | 31.3% | 13.4% | 14.7% | 9.1% | 16.2% | 13.0% |
| Net income growth | β | β | β257.7% | β | β | β | 7.6% | 77.4% | β20.7% | β2.0% |
| EPS growth | β | β | β233.3% | β | β | β | 7.8% | 78.3% | β16.9% | 3.3% |
| FCF growth | β | β | β114.3% | β | 799.5% | 82.0% | 26.9% | 41.9% | β12.6% | β24.6% |
| Share count change | 36.4% | 52.1% | 0.0% | 9.6% | 15.8% | 0.1% | 0.5% | β0.9% | β4.2% | β5.5% |
| Financial health | ||||||||||
| Net debt / EBITDA | 41.5x | 7.5x | 6.6x | 22.9x | 5.6x | 3.7x | 2.6x | 1.9x | 1.8x | 2.3x |
| Debt / equity | 0.8x | 0.8x | 0.9x | 1.4x | 1.1x | 0.9x | 0.8x | 0.8x | 0.8x | 0.9x |
| Interest coverage | β0.3x | 0.6x | 0.8x | 0.0x | 1.0x | 2.9x | 4.5x | 6.1x | 6.6x | 6.2x |
| Current ratio | 1.3x | 1.8x | 2.0x | 1.7x | 1.5x | 1.6x | 1.8x | 1.8x | 1.7x | 1.5x |
| Quick ratio | 1.1x | 1.4x | 1.6x | 1.3x | 1.2x | 1.2x | 1.4x | 1.3x | 1.2x | 1.0x |
| Capital allocation | ||||||||||
| Capex / revenue | β | 1.4% | 1.4% | 1.2% | 0.9% | 0.8% | 0.9% | 1.0% | 0.7% | 0.7% |
| Stock comp / revenue | 0.2% | 0.1% | 0.1% | 0.2% | 0.1% | 0.3% | 0.4% | 0.7% | 0.7% | 0.7% |
| Payouts / FCF | β | 0.0% | β | 0.0% | 0.0% | 0.0% | 0.0% | 76.0% | 87.8% | 142.7% |
| Quality scores | ||||||||||
| Piotroski F-score | β | 6.0 | 6.0 | 3.0 | 5.0 | 8.0 | 7.0 | 8.0 | 6.0 | 5.0 |
| Altman Z'' | β2.0 | β1.6 | 2.0 | 1.0 | 1.4 | 1.9 | 2.5 | 2.9 | 3.0 | 3.0 |
| Accruals ratio | β0.0% | β5.6% | β3.0% | β5.7% | β5.2% | β2.5% | β4.0% | β3.3% | β3.4% | β1.5% |
Source: SEC EDGAR XBRL filings (CIK 0001014739). Data updated October 16, 2026. Quarterly fourth quarters are the full year minus the first nine months. For information only β not investment advice. Check the original filings before relying on any figure.