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.
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 | Dec'04 | Dec'03 | Dec'02 | Dec'01 | Dec'00 | Dec'99 | Dec'98 | Dec'97 | Dec'96 |
|---|
| Sales/Revenue | 5.67B | 5.65B | 5B | 4.3B | 3.94B | 3.44B | 3.03B | 2.31B | 1.94B | 817.19M | 935.59M | 982.22M | 922.65M | 696.47M | 593.45M | 554.51M | 430.71M | 1.33B | 1.4B | 1.2B | 1.15B | 1.07B | 630.52M | 588.77M | 576.6M | 456.65M | 338.17M | 350.69M | 451.07M | 242.3M | 283.2M |
| 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 Sold | 4.65B | 4.63B | 3.99B | 3.32B | 3.08B | 2.66B | 2.35B | 1.8B | 1.52B | 547.95M | 673.51M | 722.27M | 671.9M | 489.82M | 397.55M | 339.09M | 270.17M | 1.17B | 1.26B | 1.06B | 1.03B | 956.52M | 562.36M | 520.25M | 506M | 403.24M | 302.99M | 320.39M | 420M | 237.9M | 277.3M |
| 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 Profit | 1.02B | 1.02B | 1.01B | 981.22M | 866.92M | 779.61M | 682.26M | 513M | 422.21M | 269.24M | 262.08M | 259.95M | 250.75M | 206.65M | 195.9M | 215.41M | 160.54M | 157.82M | 142.17M | 137.01M | 118.06M | 116.38M | 68.16M | 68.52M | 70.6M | 53.4M | 35.18M | 30.3M | 31.07M | 4.4M | 5.9M |
| 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 Expenses | 684.29M | 682.45M | 691.16M | 666.63M | 626.69M | 588.76M | 571.51M | 513.32M | 383.95M | 332.55M | 298.25M | 547.6M | 250.75M | 232.9M | 182.61M | 215.41M | 153M | 142.36M | 58.65M | 128.16M | 101.81M | 87.17M | 55.86M | 52.5M | 46.45M | 38.21M | 35M | 30.3M | 24.77M | 4.4M | -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 & Admin | 684.29M | 682.45M | 630.25M | 607.43M | 566.12M | 525.71M | 500.2M | 459.63M | 345.88M | 39.63M | 38.8M | 42.47M | 49.31M | 47.9M | 162.88M | 167.14M | 133.38M | 131.95M | 125.2M | 125.27M | 127.7M | 109.44M | 52.84M | 50.63M | 45.88M | 38.49M | 33.91M | 28.01M | 23.1M | 19.1M | 38.2M |
| 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 & Development | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| R&D % of Revenue | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Other Operating Expenses | 0 | 0 | 60.91M | 59.2M | 60.56M | 63.06M | 71.31M | 53.69M | 38.06M | 292.92M | 259.46M | 505.13M | 201.44M | 185M | 19.73M | 48.28M | 19.62M | 10.41M | -66.55M | 2.9M | -25.89M | -22.27M | 3.02M | 1.86M | 573K | -276K | 1.09M | 2.3M | 1.67M | -14.7M | -65.4M |
| Operating Income | 335.87M | 337.91M | 321.83M | 314.6M | 240.23M | 190.84M | 110.75M | -319K | 38.27M | -63.3M | -36.17M | -287.65M | 11.94M | -26.25M | 13.29M | 44.9M | 7.54M | 15.47M | 83.52M | 8.85M | 16.24M | 29.2M | 12.29M | 16.02M | 24.15M | 15.19M | 179K | -4.8M | 6.3M | -15.8M | 33.1M |
| 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% | - |
| EBITDA | 405.84M | 408.6M | 385.33M | 376.8M | 305.67M | 259.64M | 188.65M | 57.55M | 79.32M | -35.58M | -14.15M | -264.78M | 34.89M | -6.03M | 25.61M | 54.87M | 15.44M | 20.5M | 89.91M | 15.94M | 27.09M | 64.28M | 17.32M | 21.11M | 30.21M | 21.55M | 5.05M | -1.58M | 8M | -14.7M | 33.9M |
| 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) | 69.97M | 70.69M | 63.5M | 62.2M | 65.43M | 68.8M | 77.9M | 57.87M | 41.05M | 27.73M | 22.02M | 22.86M | 22.94M | 20.23M | 12.32M | 9.97M | 7.9M | 5.03M | 6.39M | 7.09M | 10.85M | 35.08M | 5.02M | 5.08M | 6.06M | 6.36M | 4.88M | 3.22M | 1.7M | 1.1M | 800K |
| EBIT | 335.87M | 337.91M | 332.63M | 409.99M | 259.57M | 183.5M | 102.53M | -4.47M | 37.06M | 38.62M | 31.48M | -289.41M | -97.81M | -44.47M | 6.35M | 27.45M | 4.58M | 17.24M | -83.52M | 8.85M | -16.18M | -24.63M | 12.29M | 16.02M | 24.15M | 15.19M | -179K | -4.8M | 6.27M | -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 | -56K | 766K | 0 | 0 | 0 | 0 |
| Interest Income | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 766K | 0 | 0 | 0 | 0 |
| Interest Expense | 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 | 56K | 0 | 0 | 0 | 0 | 0 |
| Other Income/Expense | -55.52M | -55.01M | -38.23M | 44.15M | -34.46M | -74.35M | -116M | -77.88M | -47.04M | -4.13M | 2.02M | -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 | -1.89M | 1.01M | -6.3M | 15.8M | -33.1M |
| Pretax Income | 280.35M | 282.9M | 283.6M | 358.74M | 205.77M | 116.49M | -5.24M | -78.19M | -8.77M | -67.43M | -34.16M | -326.35M | -138.73M | -70.38M | -19.39M | 11K | -18.98M | 13.55M | -86.23M | 5.58M | -19.26M | -29.59M | 11.49M | 15.22M | 23.36M | 15.13M | -1.71M | -3.79M | 0 | 0 | 0 |
| 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 Tax | 74.16M | 75.31M | 71.78M | 91.65M | 55.21M | -23.4M | 2.83M | -2.27M | -2.65M | -4.13M | 2.02M | -21.53M | 11.19M | 1.26M | -7.12M | 435K | 48.7M | -40.55M | -12.2M | 2.26M | 19.03M | -5.75M | 4.45M | 6.09M | 4.67M | 932K | 110K | 0 | 0 | 0 | 0 |
| 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 Income | 206.19M | 207.59M | 211.82M | 267.09M | 150.56M | 139.9M | -8.08M | -75.92M | -6.12M | -64.2M | -42.77M | -300.13M | -147.47M | -69.65M | 64.71M | 7.87M | -69.14M | 54.1M | -74.03M | 3.32M | -38.29M | -23.85M | 7.03M | 9.13M | 18.68M | 14.2M | -1.82M | -3.79M | 4.3M | -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) | 206.19M | 207.59M | 211.82M | 267.09M | 150.56M | 139.9M | -8.08M | -75.92M | -6.12M | -63.3M | -36.17M | -304.82M | -149.92M | -71.64M | -12.28M | -424K | -67.67M | 54.1M | -74.03M | 3.32M | -38.29M | -23.85M | 7.03M | 9.13M | 18.68M | 14.2M | -1.82M | -3.79M | 4.3M | -13.5M | -31.8M |
| Discontinued Operations | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -101K | -893K | -6.59M | 4.69M | 2.45M | 1.99M | 76.98M | 8.3M | -1.47M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Minority Interest | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1.11M | 1.11M | 1.1M | 1.1M | 1.1M |
| EPS (Diluted) | 1.30 | 1.27 | 1.23 | 1.48 | 0.83 | 0.77 | -0.04 | -0.49 | -1.62 | -2.02 | -1.77 | -17.45 | -8.61 | -4.32 | 4.60 | 0.56 | -5.49 | 5.44 | -7.71 | 0.36 | -4.11 | -2.79 | 1.24 | 1.60 | 3.16 | 2.56 | -0.36 | -0.80 | 1.04 | -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) | - | 1.28 | 1.23 | 1.49 | 0.83 | 0.78 | -0.04 | -0.49 | -1.62 | -2.02 | -1.77 | -17.45 | -8.61 | -4.32 | 4.60 | 0.56 | -5.49 | 5.56 | -7.71 | 0.36 | -4.11 | -2.79 | 1.28 | 1.64 | 3.32 | 2.68 | -0.36 | -0.80 | 1.12 | -4.28 | -13.31 |
| Diluted Shares Outstanding | 158.21M | 163.37M | 172.84M | 180.38M | 182.07M | 181.21M | 180.97M | 156.28M | 31.99M | 30.95M | 23.43M | 17.18M | 17.12M | 16.14M | 14.06M | 13.63M | 12.59M | 9.93M | 9.6M | 9.62M | 9.33M | 8.53M | 5.68M | 5.66M | 5.89M | 5.55M | 5.06M | 4.73M | 4.13M | 3.15M | 2.39M |
| Basic Shares Outstanding | 156.65M | 162.1M | 171.57M | 178.97M | 181.1M | 179.85M | 180.97M | 156.28M | 31.99M | 30.95M | 23.43M | 17.18M | 17.12M | 16.14M | 14.06M | 13.63M | 12.59M | 9.75M | 9.6M | 9.41M | 9.33M | 8.53M | 5.56M | 5.54M | 5.65M | 5.3M | 5.06M | 4.73M | 3.84M | 3.15M | 2.39M |
| Dividend Payout Ratio | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
Margin compression from labor
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.
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.
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.
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.
Quick answers to the most common questions about buying OPCH stock.
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.
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%.
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.
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.