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Option Care Health Inc

23.37-14.5%1Y · USD

Option Care Health, Inc. provides home and alternate-site infusion services in the United States. Its offerings include anti-infective therapy, home infusion for heart failure, parenteral and enteral nutrition support, immunoglobulin therapies for immune deficiencies, and treatments for chronic inflammatory and neurological disorders. The company also offers infusion therapies for bleeding disorders, high-risk pregnancies, pain management, chemotherapy, and respiratory conditions, along with nursing services. It markets through patient referrals from physicians, hospital personnel, health maintenance organizations, and preferred provider organizations, and is headquartered in Bannockburn, Illinois.

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OPCH▲

Option Care Health Reports Q2 2026 Revenue of $1.44 Billion, Narrows Full-Year Profit Guidance

Option Care Health reported second quarter 2026 net revenue of $1.44 billion, a 1.9% increase year over year, driven by high-single-digit organic growth in its acute therapy portfolio. Adjusted EBITDA rose 3% to $117.5 million, and adjusted EPS increased 9.8% to $0.45, including a $0.03 benefit from share repurchases. The company maintained its full-year revenue guidance of $5.675 billion to $5.775 billion but narrowed its adjusted EBITDA range to $480 million to $495 million and adjusted EPS to $1.85 to $1.92. Management cited stabilization in the chronic inflammatory disease patient census, sequential growth in IG neuro and rare and orphan portfolios, and the addition of five new ambulatory infusion clinics. Option Care Health repurchased $150 million of stock in the quarter, leaving $525 million under its current authorization, and ended with a net debt leverage ratio of 2.1 times.
OPCH · Capital · Positive Q2 revenue and EBITDA beat, EPS up 9.8%, and narrowed guidance reflect solid performance and share repurchases.
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OPCH▲3

Option Care Health beats Q2 estimates on acute and chronic portfolio execution

Option Care Health reported second-quarter revenue of $1.44 billion, exceeding analyst estimates of $1.42 billion and marking a 1.9% year-on-year increase. Adjusted earnings per share came in at $0.45, a 5.4% beat over the consensus of $0.43, while adjusted EBITDA of $117.5 million also topped expectations. The company reconfirmed its full-year revenue guidance at $5.73 billion and slightly raised its adjusted EPS outlook to $1.89 at the midpoint. Management attributed the outperformance to high-single-digit organic growth in the acute therapy portfolio and stabilization in the chronic inflammatory disease segment, supported by cost controls and technology investments.
OPCH · Capital · Positive Q2 revenue and EPS beat estimates, with raised EPS guidance.
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Madison Small Cap Fund Exits Option Care Health on Lingering Profitability Woes

Madison Small Cap Fund exited its position in Option Care Health during the second quarter of 2026, citing reimbursement delays, declines in therapy volume, and biosimilar-related pricing pressures. The fund noted that the loss of one of Option Care Health's more profitable specialty drugs continued to weigh on net profitability into 2026, and near-term visibility has become increasingly uncertain. Option Care Health shares lost 25.47% over the past 52 weeks and closed at $21.74 on July 17, 2026, with a market capitalization of $3.41 billion. The Madison Small Cap Fund underperformed the Russell 2000 Index in the quarter, returning 12.7% versus the benchmark's 21.5%.
OPCH · Demand · Negative Reimbursement delays and declines in therapy volume indicate reduced end-customer demand for Option Care Health's services.
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Artificial Intelligence▲

Service companies deploy AI automation to defend margins

Companies across healthcare services, insurance, and cloud-managed services are deploying AI-driven automation to protect margins. Travelers disclosed that more than half of all claims are eligible for straight-through processing, with customers adopting it about two-thirds of the time, and framed efficiency gains as something that can fall to the bottom line through expense ratio flexibility. Concentrix reported its proprietary AI platform is running at an approximately $60 million run-rate on total spend of a little over $50 million, with expected margin improvement as it works through overcapacity and duplicate costs. Option Care Health is using AI to streamline patient onboarding workflows, aiming to scale patient census without proportional labor-force growth. DarioHealth expects its proprietary AI engine DarioIQ to increase recurring revenue from existing customers by 10 to 15 percent, with ROI tied to higher engagement and lifetime value without proportional acquisition cost growth.
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Artificial Intelligence › AI Applications & Copilots ▲Competition
CNXC · Technology · Positive Concentrix's proprietary AI platform is running at a $60M run-rate on $50M spend, expected to improve margins.
DRIO · Technology · Positive DarioHealth expects DarioIQ AI engine to increase recurring revenue from existing customers by 10-15%.
OPCH · Technology · Positive Option Care Health uses AI to streamline patient onboarding, aiming to scale census without proportional labor growth.
TRV · Technology · Positive Travelers disclosed over half of claims eligible for straight-through processing, improving expense ratio flexibility.
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Option Care Health’s Alternate-Site Infusion Model Aligns with Site-of-Care Shift

Option Care Health has been ranked No. 15 on TIME's World's Most Impactful Companies 2026 list, highlighting its home and alternate-site infusion care model. The company describes itself as the nation's largest independent provider in that category, with more than 8,000 team members and over 5,000 clinicians serving patients in all 50 states. Analysts' average target implies roughly 30.5% upside for the stock. The recognition underscores the site-of-care substitution theme, where moving infusion services from hospitals to patient homes or alternate sites may offer lower costs while requiring clinical coordination, scale, and reliability.
OPCH · Demand · Positive Ranked No. 15 on TIME's World's Most Impactful Companies 2026 list, highlighting its home and alternate-site infusion care model, which aligns with site-of-care shift driving demand for its services.
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Aging Population▼

BrightSpring Health Services Tops Q1 Senior Health, Home Health & Hospice Earnings

BrightSpring Health Services earned top marks among seven senior health, home health and hospice stocks tracked in the first quarter. The company reported revenues of $3.61 billion, up 25.6% year on year and beating analysts' expectations by 6.3%, while also exceeding EPS estimates and raising full-year EBITDA guidance. Chemed posted revenues of $657.5 million, a 1.6% increase that outperformed expectations by 1.2% and beat EPS estimates. Option Care Health was the weakest performer, with revenues of $1.35 billion missing estimates by 3.3% and full-year revenue guidance falling short. AdaptHealth reported $819.8 million in revenue, a 5.4% rise that beat estimates by 2.9%, though it missed EPS estimates significantly. Brookdale Senior Living saw revenues decline 6% to $764.9 million, missing estimates by 0.8% but beating EPS expectations. As a group, the seven companies' revenues beat consensus estimates by 0.9%, and their share prices have risen 7.6% on average since reporting.
About megatrends
Aging Population › Senior Care Pricing
Aging Population › Home Healthcare & Hospice Pricing
BTSG · Capital · Positive Revenue beat expectations by 6.3%, exceeded EPS estimates, and raised full-year EBITDA guidance.
AHCO · Capital · Positive Revenue beat estimates by 2.9%, though missed EPS estimates significantly.
BKD · Capital · Negative Revenue declined 6% and missed estimates by 0.8%.
CHE · Capital · Positive Revenue outperformed expectations by 1.2% and beat EPS estimates.
OPCH · Capital · Negative Revenue missed estimates by 3.3% and full-year revenue guidance fell short.
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Aging Population▼

Senior Health and Hospice Stocks Beat Revenue Estimates in Q1

The seven senior health, home health, and hospice stocks tracked by StockStory reported a satisfactory first quarter, with aggregate revenues beating analysts' consensus estimates by 0.9%. Chemed posted revenues of $657.5 million, up 1.6% year on year and exceeding expectations by 1.2%, while BrightSpring Health Services was the best performer with revenues of $3.61 billion, a 25.6% increase that beat estimates by 6.3% and included a full-year EBITDA guidance raise. Option Care Health was the weakest, with revenues of $1.35 billion missing estimates by 3.3% and full-year revenue guidance falling short. Addus HomeCare reported revenues of $363.6 million, up 7.7% but 0.7% below expectations, and Brookdale posted revenues of $764.9 million, down 6% and 0.8% below estimates. On average, share prices of the group have been relatively unchanged since the latest earnings results.
About megatrends
Aging Population › Senior Care Competition
Aging Population › Home Healthcare & Hospice Competition
BTSG · Capital · Positive Revenue beat estimates by 6.3% and raised full-year EBITDA guidance
OPCH · Capital · Negative Revenue missed estimates by 3.3% and full-year revenue guidance fell short
ADUS · Capital · Negative Revenue missed estimates by 0.7%
BKD · Capital · Negative Revenue declined 6% and missed estimates by 0.8%
CHE · Capital · Positive Revenue beat estimates by 1.2%
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OPCH▲

Option Care Health Stock Seen as Asymmetric Opportunity After Biosimilar-Driven Selloff

A bullish thesis on Option Care Health, Inc. argues the stock offers an asymmetric risk-reward opportunity following a roughly 30 percent share price decline driven by Stelara biosimilar disruption. The company is the largest independent provider of home and alternate-site infusion services in the United States, with quarterly revenues in the $1.3 to $1.4 billion range and forward EBITDA margin guidance improving toward about 8.5 percent. The thesis contends that additional biosimilar or self-administration substitution risk is limited until late 2027 to 2028, and the valuation already reflects pessimism with a forward P/E near 11 times and EV/EBITDA around 10 times. Upside catalysts include insider buying, pipeline expansion into neurology, oncology, and rare disease infusibles, and secular tailwinds from the shift to home care, with a base case implying 10 to 35 percent upside and a bull case implying 35 to 50 percent upside over the next one to three quarters.
OPCH · Capital · Positive Bullish thesis argues asymmetric risk-reward after 30% decline, with valuation at forward P/E ~11x and catalysts including insider buying and pipeline expansion.
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