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OPCHOption Care Health, Inc.
$21.82$3.4B
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Option Care Health, Inc. (OPCH) Financials

30Y historyFree accessUpdated daily

Revenue growth has slowed significantly to 1.3% as of 2026Q1, while gross margins have contracted to 18.3% from 22.0% in 2023Q4 due to persistent procurement cost pressures.

OPCH Income Statement

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly
MetricTTMDec'25Dec'24Dec'23Dec'22Dec'21Dec'20Dec'19Dec'18Dec'17Dec'16Dec'15Dec'14Dec'13Dec'12Dec'11Dec'10Dec'09Dec'08Dec'07Dec'06Dec'05Dec'04Dec'03Dec'02Dec'01Dec'00Dec'99Dec'98Dec'97Dec'96
Sales/Revenue5.67B5.65B5B4.3B3.94B3.44B3.03B2.31B1.94B817.19M935.59M982.22M922.65M696.47M593.45M554.51M430.71M1.33B1.4B1.2B1.15B1.07B630.52M588.77M576.6M456.65M338.17M350.69M451.07M242.3M283.2M
Revenue Growth %9.3%13.03%16.17%9.06%14.72%13.39%31.26%19.11%137.37%-12.65%-4.75%6.46%32.48%17.36%7.02%28.74%-67.6%-5.16%17.05%3.98%7.37%70.16%7.09%2.11%26.27%35.03%-3.57%-22.25%86.16%-14.44%-
Cost of Goods Sold4.65B4.63B3.99B3.32B3.08B2.66B2.35B1.8B1.52B547.95M673.51M722.27M671.9M489.82M397.55M339.09M270.17M1.17B1.26B1.06B1.03B956.52M562.36M520.25M506M403.24M302.99M320.39M420M237.9M277.3M
COGS % of Revenue-81.94%79.73%77.19%78.02%77.33%77.5%77.8%78.23%67.05%71.99%73.53%72.82%70.33%66.99%61.15%62.73%88.13%89.86%88.56%89.75%89.15%89.19%88.36%87.76%88.31%89.6%91.36%93.11%98.18%97.92%
Gross Profit1.02B1.02B1.01B981.22M866.92M779.61M682.26M513M422.21M269.24M262.08M259.95M250.75M206.65M195.9M215.41M160.54M157.82M142.17M137.01M118.06M116.38M68.16M68.52M70.6M53.4M35.18M30.3M31.07M4.4M5.9M
Gross Margin %18%18.06%20.27%22.81%21.98%22.67%22.5%22.2%21.77%32.95%28.01%26.47%27.18%29.67%33.01%38.85%37.27%11.87%10.14%11.44%10.25%10.85%10.81%11.64%12.24%11.69%10.4%8.64%6.89%1.82%2.08%
Gross Profit Growth %-0.73%3.24%13.19%11.2%14.27%33%21.5%56.82%2.73%0.82%3.67%21.34%5.49%-9.06%34.18%1.72%11.01%3.76%16.06%1.44%70.75%-0.53%-2.94%32.2%51.8%16.09%-2.46%606.14%-25.42%-
Operating Expenses684.29M682.45M691.16M666.63M626.69M588.76M571.51M513.32M383.95M332.55M298.25M547.6M250.75M232.9M182.61M215.41M153M142.36M58.65M128.16M101.81M87.17M55.86M52.5M46.45M38.21M35M30.3M24.77M4.4M-27.2M
OpEx % of Revenue-12.08%13.83%15.49%15.89%17.12%18.85%22.22%19.79%40.69%31.88%55.75%27.18%33.44%30.77%38.85%35.52%10.71%4.18%10.7%8.84%8.13%8.86%8.92%8.06%8.37%10.35%8.64%5.49%1.82%-9.6%
Selling, General & Admin684.29M682.45M630.25M607.43M566.12M525.71M500.2M459.63M345.88M39.63M38.8M42.47M49.31M47.9M162.88M167.14M133.38M131.95M125.2M125.27M127.7M109.44M52.84M50.63M45.88M38.49M33.91M28.01M23.1M19.1M38.2M
SG&A % of Revenue-12.08%12.61%14.12%14.35%15.29%16.49%19.89%17.83%4.85%4.15%4.32%5.34%6.88%27.45%30.14%30.97%9.92%8.93%10.46%11.09%10.2%8.38%8.6%7.96%8.43%10.03%7.99%5.12%7.88%13.49%
Research & Development0000000000000000000000000000000
R&D % of Revenue-------------------------------
Other Operating Expenses0060.91M59.2M60.56M63.06M71.31M53.69M38.06M292.92M259.46M505.13M201.44M185M19.73M48.28M19.62M10.41M-66.55M2.9M-25.89M-22.27M3.02M1.86M573K-276K1.09M2.3M1.67M-14.7M-65.4M
Operating Income335.87M337.91M321.83M314.6M240.23M190.84M110.75M-319K38.27M-63.3M-36.17M-287.65M11.94M-26.25M13.29M44.9M7.54M15.47M83.52M8.85M16.24M29.2M12.29M16.02M24.15M15.19M179K-4.8M6.3M-15.8M33.1M
Operating Margin %5.93%5.98%6.44%7.31%6.09%5.55%3.65%-0.01%1.97%-7.75%-3.87%-29.29%1.29%-3.77%2.24%8.1%1.75%1.16%5.96%0.74%1.41%2.72%1.95%2.72%4.19%3.33%0.05%-1.37%1.4%-6.52%11.69%
Operating Income Growth %-4.99%2.3%30.96%25.88%72.31%34819.44%-100.83%160.45%-75.01%87.42%-2508.3%145.5%-297.55%-70.41%495.61%-51.25%-81.48%843.59%-45.5%-44.39%137.54%-23.28%-33.64%58.97%8386.03%103.73%-176.14%139.87%-147.73%-
EBITDA405.84M408.6M385.33M376.8M305.67M259.64M188.65M57.55M79.32M-35.58M-14.15M-264.78M34.89M-6.03M25.61M54.87M15.44M20.5M89.91M15.94M27.09M64.28M17.32M21.11M30.21M21.55M5.05M-1.58M8M-14.7M33.9M
EBITDA Margin %7.16%7.23%7.71%8.76%7.75%7.55%6.22%2.49%4.09%-4.35%-1.51%-26.96%3.78%-0.87%4.32%9.9%3.58%1.54%6.41%1.33%2.35%5.99%2.75%3.58%5.24%4.72%1.49%-0.45%1.77%-6.07%11.97%
EBITDA Growth %2.34%6.04%2.27%23.27%17.72%37.63%227.8%-27.45%322.96%-151.49%94.66%-858.97%679.04%-123.52%-53.32%255.38%-24.68%-77.2%464.02%-41.17%-57.85%271.19%-17.95%-30.14%40.21%326.27%420.55%-119.71%154.42%-143.36%-
D&A (Non-Cash Add-back)69.97M70.69M63.5M62.2M65.43M68.8M77.9M57.87M41.05M27.73M22.02M22.86M22.94M20.23M12.32M9.97M7.9M5.03M6.39M7.09M10.85M35.08M5.02M5.08M6.06M6.36M4.88M3.22M1.7M1.1M800K
EBIT335.87M337.91M332.63M409.99M259.57M183.5M102.53M-4.47M37.06M38.62M31.48M-289.41M-97.81M-44.47M6.35M27.45M4.58M17.24M-83.52M8.85M-16.18M-24.63M12.29M16.02M24.15M15.19M-179K-4.8M6.27M-15.8M-33.1M
Net Interest Income-61.08M-63.2M-60.56M-62.22M-54.9M-55.46M-91.19M-73.39M-46.12M-52.07M-37.57M-37.31M-38.73M-28.2M-26.07M-28.31M-27.65M-1.92M-2.71M-3.27M-3.02M-392K-808K-808K-792K-56K766K0000
Interest Income00000000000000000000000000766K0000
Interest Expense61.08M63.2M60.56M62.22M54.9M55.46M91.19M73.39M46.12M52.07M37.57M37.31M38.73M28.2M26.07M28.31M27.65M1.92M2.71M3.27M3.02M392K808K808K792K56K00000
Other Income/Expense-55.52M-55.01M-38.23M44.15M-34.46M-74.35M-116M-77.88M-47.04M-4.13M2.02M-38.7M-150.67M-44.13M-32.68M-44.89M-26.51M-1.92M-169.75M-3.27M-35.5M-58.8M-808K-808K-792K-56K-1.89M1.01M-6.3M15.8M-33.1M
Pretax Income280.35M282.9M283.6M358.74M205.77M116.49M-5.24M-78.19M-8.77M-67.43M-34.16M-326.35M-138.73M-70.38M-19.39M11K-18.98M13.55M-86.23M5.58M-19.26M-29.59M11.49M15.22M23.36M15.13M-1.71M-3.79M000
Pretax Margin %4.95%5.01%5.67%8.34%5.22%3.39%-0.17%-3.38%-0.45%-8.25%-3.65%-33.23%-15.04%-10.11%-3.27%0%-4.41%1.02%-6.15%0.47%-1.67%-2.76%1.82%2.58%4.05%3.31%-0.51%-1.08%---
Income Tax74.16M75.31M71.78M91.65M55.21M-23.4M2.83M-2.27M-2.65M-4.13M2.02M-21.53M11.19M1.26M-7.12M435K48.7M-40.55M-12.2M2.26M19.03M-5.75M4.45M6.09M4.67M932K110K0000
Effective Tax Rate %26.45%26.62%25.31%25.55%26.83%-20.09%-54.03%2.91%30.26%6.12%-5.9%6.6%-8.07%-1.79%36.7%3954.55%-256.65%-299.37%14.14%40.57%-98.81%19.42%38.77%40%20%6.16%-6.42%0%---
Net Income206.19M207.59M211.82M267.09M150.56M139.9M-8.08M-75.92M-6.12M-64.2M-42.77M-300.13M-147.47M-69.65M64.71M7.87M-69.14M54.1M-74.03M3.32M-38.29M-23.85M7.03M9.13M18.68M14.2M-1.82M-3.79M4.3M-13.5M-31.8M
Net Margin %3.64%3.67%4.24%6.21%3.82%4.07%-0.27%-3.29%-0.32%-7.86%-4.57%-30.56%-15.98%-10%10.9%1.42%-16.05%4.07%-5.28%0.28%-3.32%-2.22%1.12%1.55%3.24%3.11%-0.54%-1.08%0.95%-5.57%-11.23%
Net Income Growth %-3.55%-2%-20.69%77.4%7.62%1832.27%89.36%-1141.54%90.47%-50.11%85.75%-103.52%-111.72%-207.65%721.99%111.39%-227.81%173.08%-2331.9%108.66%-60.56%-439.07%-22.97%-51.14%31.57%879.05%51.84%-188.02%131.85%57.55%-
Net Income (Continuing)206.19M207.59M211.82M267.09M150.56M139.9M-8.08M-75.92M-6.12M-63.3M-36.17M-304.82M-149.92M-71.64M-12.28M-424K-67.67M54.1M-74.03M3.32M-38.29M-23.85M7.03M9.13M18.68M14.2M-1.82M-3.79M4.3M-13.5M-31.8M
Discontinued Operations00000000-101K-893K-6.59M4.69M2.45M1.99M76.98M8.3M-1.47M00000000000000
Minority Interest000000000000000000000000001.11M1.11M1.1M1.1M1.1M
EPS (Diluted)1.301.271.231.480.830.77-0.04-0.49-1.62-2.02-1.77-17.45-8.61-4.324.600.56-5.495.44-7.710.36-4.11-2.791.241.603.162.56-0.36-0.801.04-4.28-13.31
EPS Growth %4.03%3.25%-16.89%78.31%7.79%1826.46%90.9%69.75%19.8%-14.12%89.86%-102.67%-99.31%-193.91%721.43%110.2%-200.92%170.56%-2241.67%108.76%-47.31%-325%-22.5%-49.37%23.44%811.11%55%-176.92%124.3%67.84%-
EPS (Basic)-1.281.231.490.830.78-0.04-0.49-1.62-2.02-1.77-17.45-8.61-4.324.600.56-5.495.56-7.710.36-4.11-2.791.281.643.322.68-0.36-0.801.12-4.28-13.31
Diluted Shares Outstanding158.21M163.37M172.84M180.38M182.07M181.21M180.97M156.28M31.99M30.95M23.43M17.18M17.12M16.14M14.06M13.63M12.59M9.93M9.6M9.62M9.33M8.53M5.68M5.66M5.89M5.55M5.06M4.73M4.13M3.15M2.39M
Basic Shares Outstanding156.65M162.1M171.57M178.97M181.1M179.85M180.97M156.28M31.99M30.95M23.43M17.18M17.12M16.14M14.06M13.63M12.59M9.75M9.6M9.41M9.33M8.53M5.56M5.54M5.65M5.3M5.06M4.73M3.84M3.15M2.39M
Dividend Payout Ratio-------------------------------

Key Metrics

Growth RegimeDecelerating
ProfitabilityStrained
Balance SheetAdequate
Cash FlowStable
Top Statement Risk

Margin compression from labor

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q1)

Revenue Growth Momentum Faces Headwinds

As reported in recent financial filings, Option Care Health's year-over-year revenue growth has decelerated from a peak of 19.7% in 2024Q4 to just 1.3% in 2026Q1, suggesting that the company is struggling to maintain its previous pace of market share capture in the specialty infusion space.

The sharp decline in top-line expansion indicates that the tailwinds from post-acute care shifts may be normalizing or facing saturation. Investors should monitor whether this deceleration reflects a structural limit in referral volumes or if it is a temporary byproduct of the failed Amedisys acquisition attempt.

Structural Margin Compression Remains Evident

Based on the company's reported figures, gross margins have contracted from 22.0% in 2023Q4 to 18.3% in 2026Q1, highlighting the persistent difficulty in maintaining pricing power amidst rising pharmaceutical procurement costs and the inherent constraints of the buy-and-bill reimbursement model within the specialty pharmacy industry.

This downward trend in gross profitability suggests that the company is unable to fully pass through drug cost inflation to payors. The inability to stabilize margins at historical levels warrants further investigation into the payor mix and the potential for increased competition in high-acuity therapy segments.

Operating Efficiency Under Increasing Pressure

According to recent income statements, operating margins have compressed from 7.5% in 2023Q4 to 5.7% in 2026Q1, indicating that the company is failing to achieve meaningful operating leverage as SG&A expenses remain sticky despite the significant slowdown in the underlying revenue growth trajectory.

The lack of scalability in operating income suggests that fixed costs, particularly clinical labor and administrative overhead, are consuming a larger portion of the gross profit pool. This trend appears to undermine the thesis that a shift toward ambulatory infusion suites would drive significant margin expansion.

Sustainability of Current Profitability Levels

Financial data reveals that net income margins have drifted down to 3.4% in 2026Q1 from a high of 5.1% in 2023Q4, raising concerns that the company's core business model may be more vulnerable to wage inflation and reimbursement pressure than the market currently anticipates.

Short-term volatility in stock-based compensation and the absence of R&D spending suggest that the company is operating with limited flexibility to pivot its cost structure. Investors should be wary of the potential for further margin erosion if clinical labor shortages continue to drive up the cost of service delivery.

OPCH — Frequently Asked Questions

Quick answers to the most common questions about buying OPCH stock.

What was Option Care Health, Inc.'s (OPCH) revenue in 2025?

For fiscal year 2025, Option Care Health, Inc. (OPCH) reported total revenue of $5.65B. This represents a 1894.9% increase compared to $283.2M in 1996.

Is Option Care Health, Inc. (OPCH) profitable?

Option Care Health, Inc. (OPCH) is profitable, generating $207.6M in net income for the fiscal year ending 2025 with a net profit margin of 3.7%.

What is Option Care Health, Inc.'s operating profit margin?

Option Care Health, Inc. (OPCH) reported an operating income of $337.9M, resulting in an operating profit margin of 6.0%. This margin reflects the operational efficiency of the business before interest and taxes.

What is Option Care Health, Inc.'s gross profit and gross margin?

Option Care Health, Inc. (OPCH) generated $1.02B in gross profit for the year, representing a gross profit margin of 18.1%. This demonstrates the company's core pricing power and production efficiency.