Option Care Health Announces Financial Results For The Second Quarter Ended June 30, 2026
Rhea-AI Summary
Option Care Health (Nasdaq: OPCH) reported second quarter 2026 net revenue of $1.442 billion, up 1.9% year over year. GAAP net income rose 6.7% to $53.9 million, with GAAP diluted EPS increasing 12.9% to $0.35. Adjusted EBITDA was $117.5 million, up 3.0%, and adjusted diluted EPS was $0.45, up 9.8%. The company generated $184 million of cash from Q2 operating activities and repurchased $150 million of shares during the quarter.
For full year 2026, Option Care Health expects net revenue of $5.675–$5.775 billion, adjusted diluted EPS of $1.85–$1.92, adjusted EBITDA of $480–$495 million, and at least $320 million of operating cash flow. For Q3 2026, it anticipates low- to mid-single digit sequential net revenue growth and mid-single digit sequential adjusted EBITDA growth.
Positive
- Q2 2026 net revenue up 1.9% to $1.44 billion
- GAAP net income up 6.7% to $53.9 million in Q2 2026
- Diluted EPS up 12.9% year over year to $0.35 in Q2
- Adjusted EBITDA up 3.0% to $117.5 million in Q2 2026
- Operating cash flow $184 million in Q2 and $171.5 million year-to-date
- Share repurchases of $150 million in Q2 2026
- 2026 guidance net revenue $5.675–$5.775 billion
- 2026 adjusted EPS guidance $1.85–$1.92
- 2026 adjusted EBITDA guidance $480–$495 million
Negative
- Q2 2026 gross profit slightly lower at $267.3 million vs. $269.0 million
- Six‑month operating income down to $157.7 million from $161.9 million
- Six‑month adjusted EBITDA $222.3 million vs. $225.8 million prior year
- Cash and equivalents declined to $193.8 million from $232.6 million at year‑end
- Long‑term debt remains elevated at about $1.15 billion
News Explained
At June 30, the completed quarter left $193,767 thousand in cash and $1,152,040 thousand in long-term debt after six-month stock purchases of $170,545 thousand.
The July 29 release reports the completed quarter ended
For the six months ended June 30, operating activities provided
The release reports
Key Figures
Previous Earnings Reports
| Date | Event | Sentiment | 24h Move | Catalyst |
|---|---|---|---|---|
| Apr 30 | Q1 earnings report | Positive | -24.3% | Q1 results and guidance update preceded a 24-hour decline of 24.34%. |
| Feb 24 | FY2025 earnings report | Positive | -6.3% | Full-year results and 2026 guidance preceded a 24-hour decline of 6.3%. |
| Jan 12 | Preliminary earnings report | Positive | +8.4% | Preliminary results and 2026 guidance preceded a 24-hour gain of 8.39%. |
| Oct 30 | Q3 earnings report | Positive | -8.6% | Third-quarter results and updated guidance preceded a 24-hour decline of 8.6%. |
| Aug 11 | Q2 earnings report | Positive | +2.5% | Quince's quarterly results and Option Care partnership preceded a 24-hour gain of 2.48%. |
24h Move is the share-price change in the day after each event; other market factors may also have contributed.
Earnings-tagged events showed mostly negative 24-hour reactions despite varied reported results.
Key Terms
gaap financial
adjusted ebitda financial
stock-based incentive compensation financial
AI-generated analysis. How Rhea-AI works. Not financial advice.
BANNOCKBURN, Ill., July 29, 2026 (GLOBE NEWSWIRE) -- Option Care Health, Inc. (the “Company” or “Option Care Health”) (Nasdaq: OPCH), the nation’s largest independent provider of home and alternate site infusion services, announced today financial results for the second quarter ended June 30, 2026.
Second Quarter 2026 Financial Highlights
(year-over-year comparisons unless otherwise noted)
- Net revenue of
$1,442 million , up1.9% - GAAP net income of
$53.9 million , up6.7% - GAAP diluted earnings per share of
$0.35 , up12.9% - Adjusted EBITDA of
$117.5 million , up3.0% - Adjusted diluted earnings per share of
$0.45 , up9.8% - Cash provided by Q2 operating activities of
$184 million - Repurchased
$150 million of outstanding shares in the quarter
John C. Rademacher, Chief Executive Officer, commented, “I’m proud of our team as we delivered strong second quarter results, reflecting solid operational execution and the positive impact of our 2026 strategic initiatives. Looking ahead, our results reinforce our confidence in the underlying fundamentals of the business, but there is still work to do as we further position the company for a sustainable long-term growth trajectory. Given the strength of our clinical platform, significant market opportunities and our operational focus, we believe we are well positioned to achieve our 2026 priorities while creating meaningful value for our patients, partners, and shareholders.”
Updated Full Year and Third Quarter 2026 Financial Guidance
For the full year 2026, Option Care Health expects the following:
- Net revenue of
$5.675 billion to$5.775 billion - Adjusted diluted earnings per share of
$1.85 t o$1.92 - Adjusted EBITDA of
$480 million to$495 million - Cash provided by operating activities of at least
$320 million
For the third quarter 2026, Option Care Health expects the following compared to the second quarter 2026:
- Sequential net revenue growth in the low to mid single-digits
- Sequential Adjusted EBITDA growth in the mid single-digits
Conference Call
Option Care Health will host a conference call to discuss its results on Wednesday, July 29, 2026, at 8:30 a.m. ET. The conference call can be accessed via a live audio webcast that will be available online at investors.optioncarehealth.com. A replay of the call will be available at the same web link for 90 days after the call.
About Option Care Health
Option Care Health is the nation’s largest independent provider of home and alternate site infusion services. With over 8,000 team members, including more than 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is reimagining the infusion care experience for patients, customers and team members. To learn more, please visit our website at optioncarehealth.com.
Investor Contact
| Bob Okunski |
| Vice President, Investor Relations |
| investor.relations@optioncare.com |
Forward-Looking Statements - Safe Harbor
This press release contains “forward-looking statements” within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995. Forward-looking statements can be identified by words such as: “anticipate,” “intend,” “plan,” “believe,” “project,” “estimate,” “expect,” “may,” “should,” “will” and similar references to future periods. Examples of forward-looking statements include, among others, statements the Company may make regarding future revenues, future earnings, other future financial results, regulatory developments, market developments, new products and growth strategies and the effects of any of the foregoing on its future results of operations or financial condition.
Forward-looking statements are neither historical facts nor assurances of future performance. Instead, they are based only on the Company's current beliefs, expectations and assumptions regarding the future of its business, future plans and strategies, projections, anticipated events and trends, the economy and other future conditions. Because forward-looking statements relate to the future, they are subject to inherent uncertainties, risks and changes in circumstances that are difficult to predict and many of which are outside of the Company's control. The Company's actual results and financial condition may differ materially from those indicated in the forward-looking statements. Important factors that could cause the Company's actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following: changes in laws, regulations or trade policies applicable to its business model; loss of relationships with managed care organizations and other non-governmental third party payers; changes in the pharmaceutical industry, including limiting or discontinuing research, development, production and marketing of pharmaceuticals compatible with its services; changes in market conditions and receptivity to its services and offerings; and pending and future litigation or potential liability for claims not covered by insurance. For a detailed discussion of the risk factors that could affect its actual results, please refer to the risk factors identified in the Company's SEC reports as filed with the SEC.
Any forward-looking statement made by the Company in this press release is based only on information currently available to it and speaks only as of the date on which it is made. The Company undertakes no obligation to publicly update any forward-looking statement, whether written or oral, that may be made from time to time, whether as a result of new information, future developments or otherwise.
Note Regarding Use of Non-GAAP Financial Measures
In addition to reporting financial information in accordance with generally accepted accounting principles (GAAP), the Company is also reporting Adjusted net income, Adjusted EBITDA and Adjusted diluted earnings per share ("EPS"), which are non-GAAP financial measures. These adjusted measures are not measurements of financial performance under GAAP and should not be used in isolation or as a substitute or alternative to net income, EPS, or any other performance measure derived in accordance with GAAP, or as a substitute or alternative to cash flow from operating activities or a measure of the Company’s liquidity. In addition, the Company's definitions of Adjusted net income, Adjusted EBITDA, and Adjusted diluted EPS may not be comparable to similarly titled non-GAAP financial measures reported by other companies. As defined by the Company: (i) Adjusted net income represents net income before intangible asset amortization expense, stock-based compensation expense, loss on extinguishment of debt, and restructuring, acquisition, integration and other expenses, net of tax adjustments, (ii) Adjusted EBITDA represents net income before net interest expense, income tax expense, depreciation and amortization, stock-based compensation expense, loss on extinguishment of debt, and restructuring, acquisition, integration and other expenses, and (iii) Adjusted diluted EPS represents Adjusted net income divided by weighted average common shares outstanding, diluted. As part of restructuring, acquisition, integration and other expenses, the Company may incur significant charges such as the write down of certain long‑lived assets, temporary redundant expenses, professional fees, certain litigation expenses and reserves related to acquired businesses, potential retention and severance costs and potential accelerated payments or termination costs for certain of its contractual obligations. Management believes that these adjusted measures provide useful supplemental information regarding the performance of Option Care Health’s business operations and facilitate comparisons to the Company’s historical operating results. The Company has not reconciled Adjusted EBITDA guidance to net income or Adjusted diluted EPS guidance to GAAP diluted EPS as management believes creation of this reconciliation would not be practicable due to the uncertainty regarding, and potential variability of, material reconciling items. Full reconciliations of each historical adjusted measure to the most comparable GAAP financial measure are set forth below.
Schedule 1
OPTION CARE HEALTH, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(IN THOUSANDS)(UNAUDITED)
| June 30, 2026 | December 31, 2025 | ||||
| ASSETS | |||||
| CURRENT ASSETS: | |||||
| Cash and cash equivalents | $ | 193,767 | $ | 232,624 | |
| Accounts receivable, net | 511,507 | 473,566 | |||
| Inventories | 399,605 | 471,149 | |||
| Prepaid expenses and other current assets | 95,713 | 87,629 | |||
| Total current assets | 1,200,592 | 1,264,968 | |||
| NONCURRENT ASSETS: | |||||
| Property and equipment, net | 140,408 | 139,236 | |||
| Intangible assets, net | 20,229 | 21,897 | |||
| Referral sources, net | 270,410 | 287,281 | |||
| Goodwill | 1,606,743 | 1,606,743 | |||
| Other noncurrent assets | 140,395 | 135,644 | |||
| Total noncurrent assets | 2,178,185 | 2,190,801 | |||
| TOTAL ASSETS | $ | 3,378,777 | $ | 3,455,769 | |
| LIABILITIES AND STOCKHOLDERS’ EQUITY | |||||
| CURRENT LIABILITIES: | |||||
| Accounts payable | $ | 639,767 | $ | 639,829 | |
| Other current liabilities | 179,710 | 189,519 | |||
| Total current liabilities | 819,477 | 829,348 | |||
| NONCURRENT LIABILITIES: | |||||
| Long-term debt, net of discount, deferred financing costs and current portion | 1,152,040 | 1,154,052 | |||
| Other noncurrent liabilities | 147,362 | 145,976 | |||
| Total noncurrent liabilities | 1,299,402 | 1,300,028 | |||
| Total liabilities | 2,118,879 | 2,129,376 | |||
| STOCKHOLDERS’ EQUITY | 1,259,898 | 1,326,393 | |||
| TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY | $ | 3,378,777 | $ | 3,455,769 | |
Schedule 2
OPTION CARE HEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF EARNINGS
(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)(UNAUDITED)
| Three Months Ended June 30, | Six Months Ended June 30, | ||||||||||||||
| 2026 | 2025 | 2026 | 2025 | ||||||||||||
| NET REVENUE | $ | 1,442,400 | $ | 1,416,085 | $ | 2,793,054 | $ | 2,749,057 | |||||||
| COST OF REVENUE | 1,175,149 | 1,147,042 | 2,263,789 | 2,216,962 | |||||||||||
| GROSS PROFIT | 267,251 | 269,043 | 529,265 | 532,095 | |||||||||||
| OPERATING COSTS AND EXPENSES: | |||||||||||||||
| Selling, general and administrative expenses | 161,110 | 167,467 | 331,065 | 330,275 | |||||||||||
| Restructuring, acquisition, integration and other | 3,549 | 2,625 | 8,156 | 7,935 | |||||||||||
| Depreciation and amortization expense | 17,452 | 16,241 | 32,359 | 31,987 | |||||||||||
| Total operating expenses | 182,111 | 186,333 | 371,580 | 370,197 | |||||||||||
| OPERATING INCOME | 85,140 | 82,710 | 157,685 | 161,898 | |||||||||||
| OTHER INCOME (EXPENSE): | |||||||||||||||
| Interest expense, net | (14,020 | ) | (14,447 | ) | (27,324 | ) | (27,678 | ) | |||||||
| Other, net | 2,867 | 598 | 4,629 | (1,803 | ) | ||||||||||
| Total other (expense) income | (11,153 | ) | (13,849 | ) | (22,695 | ) | (29,481 | ) | |||||||
| INCOME BEFORE INCOME TAXES | 73,987 | 68,861 | 134,990 | 132,417 | |||||||||||
| INCOME TAX EXPENSE | 20,074 | 18,338 | 35,734 | 35,152 | |||||||||||
| NET INCOME | $ | 53,913 | $ | 50,523 | $ | 99,256 | $ | 97,265 | |||||||
| Earnings per share, basic | $ | 0.35 | $ | 0.31 | $ | 0.64 | $ | 0.59 | |||||||
| Earnings per share, diluted | $ | 0.35 | $ | 0.31 | $ | 0.64 | $ | 0.59 | |||||||
| Weighted average common shares outstanding, basic | 152,931 | 162,931 | 154,782 | 164,188 | |||||||||||
| Weighted average common shares outstanding, diluted | 153,485 | 164,133 | 155,772 | 165,402 | |||||||||||
Schedule 3
OPTION CARE HEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(IN THOUSANDS)(UNAUDITED)
| Six Months Ended June 30, | |||||||
| 2026 | 2025 | ||||||
| CASH FLOWS FROM OPERATING ACTIVITIES: | |||||||
| Net income | $ | 99,256 | $ | 97,265 | |||
| Adjustments to reconcile net income to net cash provided by operating activities: | |||||||
| Depreciation and amortization expense | 34,037 | 33,326 | |||||
| Other adjustments | 31,535 | 35,857 | |||||
| Changes in operating assets and liabilities: | |||||||
| Accounts receivable, net | (37,941 | ) | (61,392 | ) | |||
| Inventories | 71,544 | (12,718 | ) | ||||
| Prepaid expenses and other current assets | (9,958 | ) | 17,606 | ||||
| Accounts payable | 2,610 | (27,904 | ) | ||||
| Accrued compensation and employee benefits | (4,188 | ) | 8,730 | ||||
| Other | (15,410 | ) | (7,651 | ) | |||
| Net cash provided by operating activities | 171,485 | 83,119 | |||||
| CASH FLOWS FROM INVESTING ACTIVITIES: | |||||||
| Acquisition of property and equipment | (20,123 | ) | (18,466 | ) | |||
| Business acquisitions, net of cash acquired | — | (117,247 | ) | ||||
| Other investing activities | (877 | ) | — | ||||
| Net cash used in investing activities | (21,000 | ) | (135,713 | ) | |||
| CASH FLOWS FROM FINANCING ACTIVITIES: | |||||||
| Purchase of company stock and related excise taxes | (170,545 | ) | (152,429 | ) | |||
| Other financing activities | (18,797 | ) | (8,724 | ) | |||
| Net cash used in financing activities | (189,342 | ) | (161,153 | ) | |||
| NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS | (38,857 | ) | (213,747 | ) | |||
| Cash and cash equivalents - beginning of period | 232,624 | 412,565 | |||||
| CASH AND CASH EQUIVALENTS - END OF PERIOD | $ | 193,767 | $ | 198,818 | |||
Schedule 4
OPTION CARE HEALTH, INC.
QUARTERLY RECONCILIATION BETWEEN GAAP AND NON-GAAP MEASURES
(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)(UNAUDITED)
| Three Months Ended June 30, | Six Months Ended June 30, | ||||||||||||||
| 2026 | 2025 | 2026 | 2025 | ||||||||||||
| Net income | $ | 53,913 | $ | 50,523 | $ | 99,256 | $ | 97,265 | |||||||
| Interest expense, net | 14,020 | 14,447 | 27,324 | 27,678 | |||||||||||
| Income tax expense | 20,074 | 18,338 | 35,734 | 35,152 | |||||||||||
| Depreciation and amortization expense | 18,382 | 16,953 | 34,037 | 33,326 | |||||||||||
| EBITDA | 106,389 | 100,261 | 196,351 | 193,421 | |||||||||||
| EBITDA adjustments | |||||||||||||||
| Stock-based incentive compensation expense | 8,382 | 10,712 | 18,581 | 19,513 | |||||||||||
| Restructuring, acquisition, integration and other (1) | 2,711 | 3,045 | 7,320 | 12,850 | |||||||||||
| Adjusted EBITDA | $ | 117,482 | $ | 114,018 | $ | 222,252 | $ | 225,784 | |||||||
| Net income | $ | 53,913 | $ | 50,523 | $ | 99,256 | $ | 97,265 | |||||||
| Intangible asset amortization expense | 9,269 | 9,297 | 18,539 | 18,394 | |||||||||||
| Stock-based incentive compensation expense | 8,382 | 10,712 | 18,581 | 19,513 | |||||||||||
| Restructuring, acquisition, integration and other (1) | 2,711 | 3,045 | 7,320 | 12,850 | |||||||||||
| Total pre-tax adjustments | 20,362 | 23,054 | 44,440 | 50,757 | |||||||||||
| Tax adjustments (2) | (5,589 | ) | (6,109 | ) | (11,777 | ) | (13,451 | ) | |||||||
| Adjusted net income | $ | 68,686 | $ | 67,468 | $ | 131,919 | $ | 134,571 | |||||||
| Earnings per share, diluted | $ | 0.35 | $ | 0.31 | $ | 0.64 | $ | 0.59 | |||||||
| Adjusted earnings per share, diluted | $ | 0.45 | $ | 0.41 | $ | 0.85 | $ | 0.81 | |||||||
| Weighted average common shares outstanding, diluted | 153,485 | 164,133 | 155,772 | 165,402 | |||||||||||
(1) Restructuring, acquisition, integration and other includes
(2) Tax adjustments for the three and six months ended June 30, 2026 and 2025 includes the estimated income tax effect on non-GAAP adjustments based on the effective tax rate.
