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Option Care Health (OPCH) FY2025 results: revenue $5.6 billion, up 13.0% on the year

Option Care Health, Inc. (OPCH) reported revenue of $5.6 billion for fiscal 2025, the year ended 31 December 2025, up 13.0% on the year before. Net income was $208 million, down 2.0%, and diluted earnings per share $1.27. The figures are the company's own, from the 10-K it filed with the SEC on 24 February 2026.

Revenue
$5.6 billion
+13.0% on the year
FY2018FY2025
Operating margin
6.0%
6.4% a year earlier
FY2018FY2025
Net income
$208 million
-2.0% on the year
FY2018FY2025
Diluted EPS
$1.27
+3.3% on the year
FY2018FY2025

this yearthe year beforeHover a bar for its figure.

The year in brief

What management said about the year

Guidance figures: 1 new, 3 kept.

  • Fourth-quarter revenue rose 8.8%: Fourth-quarter net revenue was $1,465.4 million, up 8.8%. Fourth-quarter net income was $58.5 million, down 2.7%.
  • Full-year revenue rose 13.0%: Full-year 2025 net revenue was $5,649.5 million, up 13.0%. Full-year net income was $207.6 million, down 2.0%.
  • Operating cash flow fell for 2025: Cash provided by operating activities was $258.4 million for 2025, against $323.4 million in 2024, according to the cash flow statement.
  • Stock repurchases of $307 million: The company repurchased $95 million of stock in the fourth quarter and $307 million for the year.
  • Revenue range repeated for 2026: The company expects 2026 net revenue of $5.8 billion to $6.0 billion, the same range as in the January release.
Read the Q4 FY2025 earnings call summary

From this 10-K

Option Care Health provides home and alternate site infusion services through a national network of 196 locations in 43 states. The filing states that it is the largest independent provider of these services. Its pharmacists, pharmacy technicians, nurses and dietitians, more than 5,000 clinicians in all, manage infusion therapy, provide nursing support and coordinate care for patients with complex and chronic conditions, and it reports a single segment, infusion services.

Option Care Health, Inc., the 10-K for 2025

Option Care Health provides home and alternate site infusion services through a national network of 196 locations in 43 states. The filing states that it is the largest independent provider of these services. Its pharmacists, pharmacy technicians, nurses and dietitians, more than 5,000 clinicians in all, manage infusion therapy, provide nursing support and coordinate care for patients with complex and chronic conditions, and it reports a single segment, infusion services.

History

On April 7, 2015, HC Group Holdings bought Walgreens Infusion Services from Walgreen Co. and renamed it Option Care. In 2019 the Option Care holding companies merged into a subsidiary of BioScrip, a national provider of infusion and home care management services, in a deal completed on August 6, 2019, after which BioScrip was renamed Option Care Health.

Services

It contracts with managed care organizations, third-party payers, hospitals, physicians and other referral sources to provide pharmaceuticals and compounded solutions for intravenous delivery in patients' homes or other nonhospital settings, under the direction of each patient's physician. Its therapies cover anti-infectives, nutrition support, immunoglobulin, chronic inflammatory disorders such as Crohn's disease and rheumatoid arthritis, neurological disorders, bleeding disorders, high-risk pregnancies, heart failure and others. Its network includes 87 full-service pharmacies, 73 of them with ambulatory infusion suites, plus 109 stand-alone ambulatory infusion suites. It provides nursing through approximately 2,700 nursing employees and sub-contracted nursing agencies, and runs a national home infusion nursing network and clinical platform, Naven Health. Its brands also include Intramed Plus, which it acquired in 2025.

Competition

The filing describes the home and alternative site infusion market as large and highly fragmented, with competition based on quality of care, clinical outcomes, pricing and cost of service, reputation and reliability. Its competitors include Optum Infusion Pharmacy, Coram CVS/specialty infusion services, Amerita Specialty Pharmacy, KabaFusion, Soleo Health and Vital Care, as well as specialty pharmacies including Accredo, CVS Caremark, Optum Rx and Orsini.

People

At December 31, 2025 it employed 6,528 people full-time and 1,738 part-time, and most of its part-time employees are clinicians.

From Option Care Health's annual report on Form 10-K for the year ended 31 December 2025. The filing

Written from the 10-K filed 24 February 2026: read the full 10-K.

The four quarters: Q1 FY2025 · Q2 FY2025 · Q3 FY2025 · Q4 FY2025

Income statement (profit and loss)

$ millionFY2025FY2024FY2023On the yearLast 8 years
Revenue5,6504,9984,302+13.0%
Cost of revenue4,5623,4472,813+32.3%
Gross profit1,0881,013981+7.4%
Gross margin19.3%20.3%22.8%
Selling, general and administrative682630607+8.3%
Operating income338322315+5.0%
Operating margin6.0%6.4%7.3%
Interest expense54.649.051.2+11.3%
Pre-tax income283284359-0.2%
Income tax75.371.891.7+4.9%
Effective tax rate26.6%25.3%25.5%
Net income208212267-2.0%
Net margin3.7%4.2%6.2%
Diluted EPS$1.27$1.23$1.48+3.3%
$ million except per share.
Read moreFree cash flow is operating cash flow less capital expenditure; the effective tax rate is income tax over pre-tax income; margins are the line over revenue. Gross profit is revenue less cost of revenue, and operating income is revenue less the company's own total costs, where the statement does not print those lines. Those four are arithmetic on the filed numbers; everything else is as filed. Money is in $ million as the company files it, or in $ billion by the switch above the tables; per share figures and share counts are as they are.

Cash flow

$ millionFY2025FY2024FY2023On the yearLast 8 years
Operating cash flow258323371-20.1%
Capital expenditure41.335.641.9+16.0%
Free cash flow217288329-24.5%
Free cash flow margin3.8%5.8%7.7%
Cash from investing-161-36.5-56.5
Cash from financing-277-218-265
Depreciation and amortisation67.560.959.2+10.9%
Share-based compensation40.036.130.5+10.5%
Buybacks310253250+22.6%
Diluted shares, weighted163m173m180m-5.5%
Shares outstanding at period end157m166m175m-5.7%

Balance sheet

$ millionFY2025FY2024FY2023On the yearLast 8 years
Shareholders' equity1,3261,4041,422-5.5%
Debt1,1611,1111,063+4.5%
Operating lease liabilities88.584.885.5+4.4%
Other liabilities880822647+7.1%
Total liabilities and equity3,4563,4223,217+1.0%
Fixed assets139127121+9.3%
Goodwill1,6071,5401,540+4.3%
Intangible assets309301335+2.7%
Cash and equivalents233413344-43.6%
Receivables474410378+15.6%
Inventory471388274+21.4%
Other assets223243225-8.0%
Total assets3,4563,4223,217+1.0%

10-K for the year ended 31 December 2025, filed 24 February 2026: the filing.