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Option Care Health (OPCH) Stock Fundamentals, Analysis & Risk Signals

Health score, competitive moat, risk signals, and key metrics at a glance.

NasdaqGS•Healthcare•Medical Care Facilities
B
GoodMetricSide Score: 64/100
ProfitabilityProfit20/30
GrowthGrowth17/25
Balance SheetBalance15/25
Cash QualityCash12/20
Price & Volume
Market Cap $3.34B

Option Care Health, Inc. offers home and alternate site infusion services in the United States. The company provides anti-infective therapy and services; home infusion services to treat heart failure; 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 Duchenne muscular dystrophy, multiple sclerosis, Alzheimer's disease, and other neurological disorder; infusion therapies for bleeding disorders, such as hemophilia and von Willebrand diseases; therapies for women with high-risk pregnancies; and other infusion therapies to treat various conditions, including pain management, chemotherapy, and respiratory medications, as well as nursing services. The company markets its services through patient referrals, including physicians, hospital discharge planners, hospital personnel, health maintenance organizations, and preferred provider organizations. The company is headquartered in Bannockburn, Illinois.

Moat Signals

Competitive analysis based on 66 quarters of fundamental data

Pricing Power

Moderate Moat

Operating margins are positive at ~6.2% on average, but show some variability — pricing power may be sensitive to market conditions.

Competitive Advantage

Moderate Moat

ROE averages 15.3% but has fluctuated — the competitive advantage may be cyclical or emerging.

Cash Generation

Risk Signals

Data-driven red flags and warnings across 66 quarters

Some Concerns

Margin Pressure

Watch

Operating margins declined 10.5% — watch for continued compression, which may signal competitive or cost pressure.

Earnings Quality

Watch

FCF/Net Income has dropped below 0.7x in 4 quarters — monitor for earnings quality deterioration.

Leverage Risk

Healthy

D/E ratio is 0.9 — conservative capital structure with low financial risk.

Revenue Decline

Healthy

Revenue is stable or growing over recent quarters — demand appears durable.

Cash Burn

Watch

FCF turned negative in 2 of the last 8 quarters — occasional cash consumption.

Share Dilution

Healthy

Shares decreased 9.4% — net buybacks are reducing shares outstanding and boosting per-share value.

Metrics at a Glance

as of March 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$5.67B
11.2%
Q. Revenue
$1.35B
TTM EBITDA
$397.96M
1.0%
TTM Op. Income
$331.26M
0.2%
Q. Op. Income
$72.55M
TTM Net Income
$206.19M
3.5%
Q. Net Income
$45.34M
EPS
$0.29
Shares Out.
$156.65M
5.3%
$5.67B in TTM revenue grew 11.2% YoY, reaching $1.35B last quarter. TTM EBITDA of $397.96M and TTM operating income of $331.26M shows growth is flowing through. Net income of $206.19M TTM confirms the company is converting revenue into profit. Revenue is growing at a healthy pace — a signal to hold.

Margins

Gross, EBITDA, operating, and net margin trends

Gross Margin
19.4%
1.7%
EBITDA Margin
6.5%
Op. Margin
5.4%
9.6%
Net Margin
3.4%
4.3%
Op. margin of 5.4% is down 0.6% YoY — costs are rising relative to revenue. Net margin at 3.4% and gross margin of 19.4% — earnings take a bigger bite when COGS stays lean..

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
16.2x
P/S Ratio
0.6x
P/B Ratio
2.5x
At 16.2x P/E, the stock trades in line with market averages — fairly valued. P/S of 0.6x and P/B of 2.5x provide additional context. Assess whether the current multiple is justified by the company's growth and profitability trajectory.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$3.38B
Cash
$177.32M
Long-Term Debt
$1.15B
Book Value
$1.35B
D/E Ratio
0.9
Debt/EBITDA
13.2
With $3.38B in assets and $1.15B in long-term debt, the D/E of 0.9and book value of $1.35B — shows a conservative capital structure — the company has a strong financial cushion to weather downturns.

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$-12.11M
TTM Free Cash Flow
$212.57M
38.5%
FCF Margin
3.8%
FCF / Net Income
1.0
TTM FCF of $212.57M on $-12.11M in operating cash flow. The FCF / Net Income ratio of 1.0x means earnings are well backed by actual cash — high-quality earnings.

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Moderate Moat

6 of the last 8 quarters generated positive FCF. The company generally funds itself but has occasional cash consumption quarters.

Demand Durability

Strong Moat

TTM revenue has grown consistently (7 of 7 quarters up), with ~23.5% growth over the period. Strong demand durability.