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Option Care Health Inc (OPCH)
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Option Care Health (OPCH) AI Stock Analysis

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OPCH

Option Care Health

(NASDAQ:OPCH)

Rating:76Outperform
Price Target:
$35.00
▲(24.56% Upside)
Option Care Health's strong financial performance and positive earnings call guidance are the primary drivers of the stock score. Despite high valuation concerns and neutral technical indicators, the company's strategic initiatives and governance enhancements support a solid overall outlook.
Positive Factors
Financial Guidance
FY/25 financial guidance was updated in a positive manner for the third time this year and now includes an expectation of $5.50-5.65 billion in revenue, reinforcing confidence in the company's future performance.
Revenue Performance
Revenue of $1.42 billion solidly beat our estimate of $1.36 billion, demonstrating strong growth compared to the previous year, highlighting the company's ability to capture market share, especially in acute therapy.
Negative Factors
Gross Margin
Gross margin as a percentage came in slightly below expectations, although there was still an increase in gross margin dollars compared to the previous year.
Tariff Risk
Option Care is potentially exposed to tariff risk through the drugs it utilizes in providing infusion services.

Option Care Health (OPCH) vs. SPDR S&P 500 ETF (SPY)

Option Care Health Business Overview & Revenue Model

Company DescriptionOption Care Health, Inc. offers home and alternate site infusion services in the United States. The company provides anti-infective therapies; home infusion services to treat heart failures; home parenteral nutrition and enteral nutrition support services for numerous acute and chronic conditions, such as stroke, cancer, and gastrointestinal diseases; immunoglobulin infusion therapies for the treatment of immune deficiencies; and treatments for chronic inflammatory disorders, including Crohn's disease, plaque psoriasis, psoriatic arthritis, rheumatoid arthritis, ulcerative colitis, and other chronic inflammatory disorders. It also offers treatments to manage the progression of neurological disorders, such as amyotrophic lateral sclerosis and duchenne muscular dystrophy; infusion therapies for bleeding disorders; therapies that women need to survive and thrive through high-risk pregnancies; and other infusion therapies to treat various conditions, including pain management, chemotherapy, and respiratory medications, as well as nursing services. Option Care Health, Inc. is headquartered in Bannockburn, Illinois.
How the Company Makes MoneyOption Care Health generates revenue primarily through the provision of home and alternate site infusion services. The company earns money by contracting with healthcare providers, insurance companies, and government health programs to deliver infusion therapies to patients. Key revenue streams include reimbursement from insurance plans for the administration of medications and related clinical services. Additionally, Option Care Health benefits from partnerships with pharmaceutical companies for the distribution and management of specialty infusion products. The company leverages its national network of facilities and skilled healthcare professionals to ensure efficient service delivery, which is a significant factor contributing to its earnings.

Option Care Health Earnings Call Summary

Earnings Call Date:Jul 30, 2025
(Q2-2025)
|
% Change Since: -6.74%|
Next Earnings Date:Oct 30, 2025
Earnings Call Sentiment Positive
Option Care Health reported a strong second quarter with significant revenue growth and increased guidance for the full year. The company continues to expand its therapy portfolio and advanced practitioner model, which are expected to drive future growth. However, gross margins faced challenges due to the product mix, and there was a notable negative impact from Stelara. Despite these challenges, the overall outlook remains positive with strong cash flow and ongoing investments.
Q2-2025 Updates
Positive Updates
Strong Revenue Growth
Option Care Health reported a revenue growth of 15.4% year-over-year for the second quarter of 2025, driven by balanced performance across acute and chronic therapy portfolios.
Increased Guidance for 2025
The company increased its full-year guidance for 2025, with expected revenue between $5.5 billion to $5.65 billion, adjusted EBITDA of $465 million to $475 million, and adjusted EPS of $1.65 to $1.72.
Strong Cash Flow and Share Repurchases
Generated over $90 million in cash flow from operations in the second quarter and executed $50 million in share repurchases, with a full-year cash flow expectation of over $320 million.
Expansion of Therapy Portfolio
Continued expansion of the portfolio, including rare and orphan drugs, and investments in new therapies like YEZTUGO, demonstrating the company's capability to serve complex patient needs.
Advanced Practitioner Model
The company is expanding its advanced practitioner model to serve higher acuity patients and to drive growth by leveraging therapies already in its portfolio.
Negative Updates
Gross Margin Pressure
Gross margin rate was negatively impacted by lower-margin limited distribution and rare and orphan therapies, though gross profit dollar contribution remained encouraging.
Impact of Stelara
The company experienced a significant impact from Stelara, with a negative effect of about $20 million in the second quarter and an anticipated annual impact of $60 million to $70 million.
Company Guidance
During the Option Care Health second quarter 2025 earnings call, management provided updated guidance, reflecting strong financial performance and strategic execution. The company reported a 15.4% increase in revenue compared to the second quarter of the previous year, driven by mid-teens growth in both acute and chronic therapy portfolios. This growth translated into a 5.2% year-over-year increase in adjusted EBITDA to $114 million, representing 8.1% of net revenue, and a 10.8% rise in adjusted earnings per share to $0.41. Due to this momentum, Option Care Health raised its full-year guidance, now expecting revenue between $5.5 billion and $5.65 billion and adjusted EBITDA in the range of $465 million to $475 million, with anticipated adjusted EPS of $1.65 to $1.72. Additionally, the company expects to generate over $320 million in cash flow from operations. The call highlighted the company's strategic focus on leveraging its national scale and local responsiveness, expanding its portfolio of therapies, and maintaining strong payer and pharma partnerships to drive future growth.

Option Care Health Financial Statement Overview

Summary
Option Care Health has shown consistent revenue growth and robust cash flow generation, with a low debt level and strong equity position. However, there is room for improvement in the net profit margin and asset growth to enhance financial performance further.
Income Statement
85
Very Positive
Option Care Health has demonstrated consistent revenue growth, with a strong TTM revenue of $5.19 billion, reflecting a growth rate of approximately 3.73% from the previous annual period. The company's gross profit margin has remained robust at around 19.72%. However, the net profit margin is modest at 4.12%, indicating room for improvement in profitability. The EBIT and EBITDA margins are stable at 6.40% and 7.25%, respectively, showcasing effective operational management.
Balance Sheet
78
Positive
The balance sheet shows a solid equity base, with a debt-to-equity ratio of approximately 0.07 in the TTM period, indicating low leverage risk. The return on equity stands at 15.83%, demonstrating efficient utilization of shareholder funds. The equity ratio is healthy at 40.82%, suggesting a stable financial position. However, the decrease in total assets and equity from previous periods highlights the need for cautious financial management.
Cash Flow
82
Very Positive
Option Care Health has exhibited strong cash flow performance, with a 23.38% growth in free cash flow in the TTM period. The operating cash flow to net income ratio is 1.80, suggesting strong cash generation relative to net income. The free cash flow to net income ratio of 1.66 further underscores the company's ability to generate substantial free cash flow. Despite this, a focus on maintaining positive investing cash flows is advisable to ensure long-term sustainability.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue5.37B5.00B4.30B3.94B3.44B3.03B
Gross Profit1.06B1.01B981.22M866.92M779.61M682.26M
EBITDA363.30M396.13M483.16M345.81M255.93M182.66M
Net Income211.25M211.82M267.09M150.56M139.90M-8.08M
Balance Sheet
Total Assets3.38B3.42B3.22B3.11B2.79B2.65B
Cash, Cash Equivalents and Short-Term Investments198.82M412.56M343.85M294.19M119.42M99.27M
Total Debt0.001.22B1.17B1.08B1.06B1.12B
Total Liabilities2.02B2.02B1.80B1.73B1.62B1.63B
Stockholders Equity1.36B1.40B1.42B1.39B1.18B1.02B
Cash Flow
Free Cash Flow250.26M287.79M329.43M232.19M182.94M100.52M
Operating Cash Flow279.64M323.39M371.30M267.55M208.57M127.39M
Investing Cash Flow-156.59M-36.47M-56.51M-108.05M-111.54M-26.33M
Financing Cash Flow-301.11M-218.21M-265.13M15.27M-76.87M-68.85M

Option Care Health Technical Analysis

Technical Analysis Sentiment
Negative
Last Price28.10
Price Trends
50DMA
30.95
Negative
100DMA
32.00
Negative
200DMA
29.66
Negative
Market Momentum
MACD
-0.68
Positive
RSI
33.30
Neutral
STOCH
23.87
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For OPCH, the sentiment is Negative. The current price of 28.1 is below the 20-day moving average (MA) of 29.75, below the 50-day MA of 30.95, and below the 200-day MA of 29.66, indicating a bearish trend. The MACD of -0.68 indicates Positive momentum. The RSI at 33.30 is Neutral, neither overbought nor oversold. The STOCH value of 23.87 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for OPCH.

Option Care Health Risk Analysis

Option Care Health disclosed 34 risk factors in its most recent earnings report. Option Care Health reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Option Care Health Peers Comparison

Overall Rating
UnderperformOutperform
Sector (47)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
79
Outperform
$9.11B28.5117.57%0.16%17.71%41.83%
77
Outperform
$2.14B25.358.54%14.29%
76
Outperform
$4.56B22.2415.25%17.06%5.03%
73
Outperform
$11.48B22.1825.35%0.60%11.80%30.12%
73
Outperform
$3.27B38.667.26%4.92%-7.34%
71
Outperform
$1.46B11.038.15%2.21%-16.10%-48.97%
47
Neutral
C$187.88M-2.96-23.77%3.19%17.07%2.49%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
OPCH
Option Care Health
28.10
-1.93
-6.43%
ADUS
Addus Homecare
116.57
-7.90
-6.35%
AMED
Amedisys
99.31
1.33
1.36%
EHC
Encompass Health
113.88
27.37
31.64%
SEM
Select Medical
11.77
-5.54
-32.00%
ENSG
The Ensign Group
157.92
17.36
12.35%

Option Care Health Corporate Events

Shareholder MeetingsBusiness Operations and Strategy
Option Care Health Approves Governance Amendments at Annual Meeting
Positive
May 16, 2025

At the 2025 Annual Meeting of Stockholders held on May 14, 2025, Option Care Health‘s Board of Directors approved amendments to the company’s Certificate of Incorporation and Bylaws. These changes include allowing stockholders to request special meetings, limiting monetary liability for certain officers, and removing outdated provisions related to HC Group. The stockholders also elected directors, ratified KPMG LLP as the accounting firm, and approved executive compensation, reflecting a strategic shift to enhance governance and shareholder rights.

The most recent analyst rating on (OPCH) stock is a Buy with a $33.00 price target. To see the full list of analyst forecasts on Option Care Health stock, see the OPCH Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Jul 31, 2025