Option Care Health, Inc.
Business
Option Care Health, Inc. is an independent provider of home and alternate-site infusion services, delivering clinical management, nursing support and care coordination for patients requiring intravenous therapies. It offers medication dispensing, pharmacy compounding, nursing services, clinical monitoring, patient education, reimbursement assistance, and a broad therapy portfolio including anti-infectives, nutrition support, immunoglobulin, chronic inflammatory, neurological and other infusion therapies. The company operates in a single infusion services segment that includes full-service pharmacies and ambulatory infusion suites. It distributes services nationally through a network of locations, home visits, clinics and partnerships with payers, providers and manufacturers.
Summary from filing dated 2025-02-26
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| NET REVENUE | 5,650 | 4,998 | 4,302 | 3,945 | 3,439 | |
| COST OF REVENUE | 4,562 | 3,985 | 3,321 | 3,078 | 2,659 | |
| GROSS PROFIT | 1,088 | 1,013 | 981 | 867 | 780 | |
| Selling, general and administrative expenses | 682 | 630 | 607 | 566 | 526 | |
| Depreciation and amortization expense | 68 | 61 | 59 | 61 | 63 | |
| Total operating expenses | 750 | 691 | 667 | 627 | 589 | |
| OPERATING INCOME | 338 | 322 | 315 | 240 | 191 | |
| Interest expense, net | −55 | −49 | −51 | −54 | — | |
| Equity in earnings of joint ventures | 7 | 6 | 6 | 5 | 6 | |
| Other, net | −8 | 5 | 90 | 14 | −13 | |
| Total other (expense) income | −55 | −38 | 44 | −34 | — | |
| INCOME BEFORE INCOME TAXES | 283 | 284 | 359 | 206 | 116 | |
| INCOME TAX EXPENSE | 75 | 72 | 92 | 55 | −23 | |
| NET INCOME | 208 | 212 | 267 | 151 | 140 | |
| Change in unrealized (loss) gain on cash flow hedges, net of income tax benefit (expense) of $2,272, $1,284, and $2,158, respectively | −7 | −4 | −6 | 22 | — | |
| OTHER COMPREHENSIVE (LOSS) INCOME | −7 | −4 | −6 | 22 | 11 | |
| NET COMPREHENSIVE INCOME | 201 | 208 | 261 | 172 | 151 | |
| Earnings per share, basic (in dollars per share) | 1.28 | 1.23 | 1.49 | 0.83 | 0.78 | |
| Earnings per share, diluted (in dollars per share) | 1.27 | 1.23 | 1.48 | 0.83 | 0.77 | |
| Weighted average common shares outstanding, basic (in shares) | 162 | 172 | 179 | 181 | 180 | |
| Weighted average common shares outstanding, diluted (in shares) | 163 | 173 | 180 | 182 | 181 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 233 | 413 | 344 | 294 | 119 | |
| Accounts receivable, net | 474 | 410 | 378 | 378 | 338 | |
| Inventories | 471 | 388 | 274 | 224 | 183 | |
| Prepaid expenses and other current assets | 88 | 112 | 99 | 98 | 69 | |
| Total current assets | 1,265 | 1,323 | 1,094 | 994 | 710 | |
| Property and equipment, net | 139 | 127 | 121 | 108 | 112 | |
| Operating lease right-of-use asset | 91 | 87 | 84 | 72 | 75 | |
| Intangible assets, net | 22 | 17 | 20 | 22 | 21 | |
| Referral sources, net | 287 | 284 | 315 | 342 | 345 | |
| Goodwill | 1,607 | 1,540 | 1,540 | 1,533 | 1,478 | |
| Other noncurrent assets | 44 | 44 | 42 | 40 | 24 | |
| Total noncurrent assets | 2,191 | 2,099 | 2,123 | 2,119 | 2,081 | |
| TOTAL ASSETS | 3,456 | 3,422 | 3,217 | 3,113 | 2,791 | |
| Accounts payable | 640 | 611 | 427 | 379 | 279 | |
| Accrued compensation and employee benefits | 70 | 63 | 93 | 77 | 84 | |
| Accrued expenses and other current liabilities | 88 | 78 | 75 | 84 | 72 | |
| Current portion of operating lease liability | 24 | 22 | 18 | 19 | 19 | |
| Current portion of long-term debt | 7 | 7 | 6 | 6 | 6 | |
| Total current liabilities | 829 | 780 | 618 | 565 | 460 | |
| Long-term debt, net of discount, deferred financing costs and current portion | 1,154 | 1,105 | 1,057 | 1,058 | 1,060 | |
| Operating lease liability, net of current portion | 89 | 85 | 85 | 71 | 74 | |
| Deferred income taxes | 56 | 48 | 35 | 22 | 0 | |
| Other noncurrent liabilities | 1 | 366,000 | 0 | 10 | 21 | |
| Total noncurrent liabilities | 1,300 | 1,237 | 1,177 | 1,161 | 1,155 | |
| Total liabilities | 2,129 | 2,018 | 1,795 | 1,727 | 1,615 | |
| Preferred stock; $0.0001 par value; 12,500,000 shares authorized, no shares outstanding as of December 31, 2025 and 2024 | 0 | 0 | 0 | 0 | 0 | |
| Common stock; $0.0001 par value: 250,000,000 shares authorized, 184,522,423 shares issued and 156,857,801 shares outstanding as of December 31, 2025; 183,846,725 shares issued and 166,261,112 shares outstanding as of December 31, 2024 | 18,000 | 18,000 | 18,000 | 18,000 | 18,000 | |
| Treasury stock; 27,664,622 and 17,585,613 shares outstanding, at cost, as of December 31, 2025 and 2024, respectively | −818 | −508 | −255 | −2 | −2 | |
| Paid-in capital | 1,264 | 1,231 | 1,204 | 1,177 | 1,139 | |
| Retained earnings | 877 | 669 | 458 | 190 | 40 | |
| Accumulated other comprehensive income (loss) | 4 | 11 | 15 | 21 | −451,000 | |
| Total stockholders equity | 1,326 | 1,404 | 1,422 | 1,386 | 1,176 | |
| TOTAL LIABILITIES AND STOCKHOLDERS EQUITY | 3,456 | 3,422 | 3,217 | 3,113 | 2,791 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Depreciation and amortization expense | 71 | 63 | 62 | 65 | 69 | |
| Non-cash operating lease costs | 25 | 23 | 19 | 20 | 15 | |
| Deferred income taxes, net | 8 | 13 | 13 | 49 | −30 | |
| Loss on extinguishment of debt | 5 | 377,000 | 0 | 0 | 13 | |
| Amortization of deferred financing costs | 4 | 5 | 4 | 4 | 5 | |
| Equity in earnings of joint ventures | −7 | −6 | −6 | −5 | −6 | |
| Stock-based incentive compensation expense | 40 | 36 | 30 | 17 | 10 | |
| Distribution from equity method investments | 4 | 2 | 4 | 6 | 3 | |
| Other adjustments | 1 | −5 | −1 | 0 | 844,000 | |
| Accounts receivable, net | −55 | −32 | 224,000 | −37 | −4 | |
| Inventories | −81 | −114 | −51 | −41 | −23 | |
| Prepaid expenses and other current assets | 18 | −16 | −6 | −17 | 1 | |
| Accounts payable | 20 | 183 | 48 | 99 | −10 | |
| Accrued compensation and employee benefits | 6 | −29 | 16 | −8 | 24 | |
| Accrued expenses and other current liabilities | 10 | 6 | −2 | 11 | 18 | |
| Operating lease liabilities | −24 | −22 | −18 | −21 | −18 | |
| Other noncurrent assets and liabilities | 7 | 3 | −8 | −15 | 700,000 | |
| Net cash provided by operating activities | 258 | 323 | 371 | 268 | 209 | |
| Acquisition of property and equipment | −41 | −36 | −42 | −35 | −26 | |
| Proceeds from sale of assets | 0 | 0 | 4 | 15 | 0 | |
| Business acquisitions, net of cash acquired | −117 | 0 | −12 | −87 | −86 | |
| Other investing activities | −3 | −864,000 | −6 | 0 | 0 | |
| Net cash used in investing activities | −161 | −36 | −57 | −108 | −112 | |
| Stock-based compensation tax withholdings | −11 | −12 | −3 | — | −32,000 | |
| Purchase of company stock and related excise taxes | −310 | −253 | −250 | 0 | 0 | |
| Proceeds from issuance of debt | 229 | 50 | 0 | 0 | 855 | |
| Repayments of debt principal | −5 | −6 | −6 | −6 | −9 | |
| Retirement of debt obligations | −180 | 0 | 0 | — | — | |
| Deferred financing costs | −3 | −77,000 | 0 | 0 | −10 | |
| Other financing activities | 2 | 3 | −6 | 0 | 0 | |
| Net cash used in financing activities | −277 | −218 | −265 | 15 | −77 | |
| NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS | −180 | 69 | 50 | 175 | 20 | |
| Cash paid for interest | 65 | 72 | 70 | 50 | 61 | |
| Income Taxes Paid, Net | 67 | 65 | 75 | 13 | 6 | |
| Cash paid for operating leases | 31 | 29 | 27 | 25 | 26 |