Option Care Health Announces Financial Results for the Third Quarter Ended September 30, 2026

Nine-month operating cash flow increased to $286.212 million from $222.556 million a year earlier.

Rhea-AI Summary

Option Care Health (Nasdaq: OPCH) reported third-quarter 2026 revenue of $1,493.5 million, up 4.1% from a year earlier. GAAP net income rose 10.8% to $57.4 million, and diluted earnings per share increased 18.8% to $0.38. Adjusted EBITDA, an adjusted measure of earnings before interest, taxes, depreciation and amortization, rose 4.3% to $124.6 million. Adjusted diluted earnings per share increased 8.9% to $0.49.

Operating activities generated $114.7 million in quarterly cash. Nine-month revenue reached $4,286.583 million, versus $4,184.073 million a year earlier, while GAAP net income increased to $156.689 million from $149.081 million. Option Care Health has signed a definitive agreement to be acquired by Clayton, Dubilier & Rice and McKesson. Citing the pending acquisition, the company withdrew its financial guidance and will not hold an earnings conference call.

18 points · 1 major

PositiveiHow this balance works

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1 major · 7 points

How the balance works

Positive

• Major pointDefinitive acquisition agreement signed with Clayton, Dubilier & Rice and McKesson.
• Moderate pointQ3 revenue of $1,493.5 million increased 4.1% year over year.
• Moderate pointQ3 GAAP net income of $57.4 million increased 10.8% year over year.
• Moderate pointQ3 diluted earnings per share of $0.38 increased 18.8% year over year.
• Moderate pointQ3 adjusted EBITDA of $124.6 million increased 4.3% year over year.
• Moderate pointQ3 adjusted diluted earnings per share of $0.49 increased 8.9% year over year.
• Moderate pointQ3 operating income increased to $89.216 million from $84.507 million a year earlier.
• Moderate pointNine-month operating cash flow increased to $286.212 million from $222.556 million a year earlier.

10 minor points

• Minor pointQ3 operating cash flow totaled $114.7 million.
• Minor pointQ3 gross profit increased to $284.974 million from $272.902 million a year earlier.
• Minor pointQ3 net interest expense declined to $12.875 million from $14.146 million a year earlier.
• Minor pointQ3 other income reached $2.560 million, versus $1.394 million in other expense a year earlier.
• Minor pointNine-month revenue increased to $4,286.583 million from $4,184.073 million a year earlier.
• Minor pointNine-month GAAP net income increased to $156.689 million from $149.081 million a year earlier.
• Minor pointNine-month diluted earnings per share increased to $1.02 from $0.91 a year earlier.
• Minor pointNine-month adjusted EBITDA increased to $346.852 million from $345.282 million a year earlier.
• Minor pointNine-month adjusted diluted earnings per share increased to $1.34 from $1.26 a year earlier.
• Minor pointCash and cash equivalents increased to $299.093 million from $232.624 million at December 31, 2025.

Negative

• Major pointFinancial guidance withdrawn because of the pending acquisition.
• Minor pointAcquisition remains pending under the definitive merger agreement.
• Minor pointQ3 selling, general and administrative expenses rose to $171.998 million from $167.470 million a year earlier.
• Minor pointQ3 restructuring, acquisition, integration and other operating expenses rose to $5.640 million from $4.634 million a year earlier.
• Minor pointQ3 depreciation and amortization expense rose to $18.120 million from $16.291 million a year earlier.

2 minor points

• Minor pointQ3 income tax expense rose to $21.468 million from $17.151 million a year earlier.
• Minor pointNine-month adjusted net income declined to $206.310 million from $207.810 million a year earlier.

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BANNOCKBURN, Ill., Nov. 04, 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 third quarter ended September 30, 2026.

Third Quarter 2026 Financial Highlights

(year-over-year comparisons unless otherwise noted)

• Net revenue of $1,493.5 million, up 4.1%
• GAAP net income of $57.4 million, up 10.8%
• GAAP diluted earnings per share of $0.38, up 18.8%
• Adjusted EBITDA of $124.6 million, up 4.3%
• Adjusted diluted earnings per share of $0.49, up 8.9%
• Cash provided by Q3 operating activities of $114.7 million
  
  

As previously announced, the Company has entered into a definitive merger agreement pursuant to which it will be acquired by Clayton, Dubilier & Rice, LLC and McKesson Corporation. Given the pending acquisition, the Company will not host an earnings conference call in connection with these results and has withdrawn its previously disclosed financial guidance.

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 the acquisition, 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: the termination of or occurrence of any event, change or other circumstances that could give rise to the termination of the merger agreement, including circumstances requiring the Company to pay a termination fee pursuant to the merger agreement, or the inability to complete the proposed transaction on the anticipated terms and timetable; the inability to complete the proposed transaction due to the failure to obtain approval of the stockholders of the Company or to satisfy any other condition to closing in a timely manner or at all, or the risk that a regulatory approval that may be required for the proposed transaction is delayed, is not obtained or is obtained subject to conditions that are not anticipated; costs related to the proposed transaction, including from potential litigation relating to the proposed transaction; the risk that restrictions on the operation of the Company’s business during the pendency of the proposed transaction may impact the Company’s ability to pursue certain business opportunities or strategic transactions or undertake certain actions the Company might otherwise have taken; the risk that any announcements relating to the proposed transaction could have adverse effects on the market price of the Company’s common stock, credit ratings or operating results; the risk that the proposed transaction and its announcement could have an adverse effect on the ability of the Company to retain and hire key personnel, retain customers and maintain relationships with business partners, suppliers and customers; the diversion of management’s time and attention from ordinary course business operations to completion of the proposed transaction; 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. The foregoing review of important factors should not be construed as exhaustive. Additional information concerning risks, uncertainties and assumptions can be found in the Company’s filings with the SEC, including the risk factors discussed in the Company’s most recent Annual Report on Form 10-K, as updated by the Company’s Quarterly Reports on Form 10-Q and future filings 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)
	September 30, 2026			December 31, 2025
ASSETS
CURRENT ASSETS:
Cash and cash equivalents	$	299,093		$	232,624
Accounts receivable, net		505,568			473,566
Inventories		408,045			471,149
Prepaid expenses and other current assets		99,385			87,629
Total current assets		1,312,091			1,264,968
NONCURRENT ASSETS:
Property and equipment, net		139,035			139,236
Intangible assets, net		19,394			21,897
Referral sources, net		261,975			287,281
Goodwill		1,606,743			1,606,743
Other noncurrent assets		137,029			135,644
Total noncurrent assets		2,164,176			2,190,801
TOTAL ASSETS	$	3,476,267		$	3,455,769
LIABILITIES AND STOCKHOLDERS’ EQUITY
CURRENT LIABILITIES:
Accounts payable	$	670,676		$	639,829
Other current liabilities		179,854			189,519
Total current liabilities		850,530			829,348
NONCURRENT LIABILITIES:
Long-term debt, net of discount, deferred financing costs and current portion		1,151,054			1,154,052
Other noncurrent liabilities		150,205			145,976
Total noncurrent liabilities		1,301,259			1,300,028
Total liabilities		2,151,789			2,129,376
STOCKHOLDERS' EQUITY		1,324,478			1,326,393
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY	$	3,476,267		$	3,455,769

Schedule 2
OPTION CARE HEALTH, INC. CONDENSED CONSOLIDATED STATEMENTS OF EARNINGS (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)(UNAUDITED)
	Three Months Ended September 30,								Nine Months Ended September 30,
		2026				2025				2026				2025
NET REVENUE	$	1,493,529			$	1,435,016			$	4,286,583			$	4,184,073
COST OF REVENUE		1,208,555				1,162,114				3,472,344				3,379,076
GROSS PROFIT		284,974				272,902				814,239				804,997
OPERATING COSTS AND EXPENSES:
Selling, general and administrative expenses		171,998				167,470				503,063				497,744
Restructuring, acquisition, integration and other		5,640				4,634				13,796				12,570
Depreciation and amortization expense		18,120				16,291				50,479				48,278
Total operating expenses		195,758				188,395				567,338				558,592
OPERATING INCOME		89,216				84,507				246,901				246,405
OTHER INCOME (EXPENSE):
Interest expense, net		(12,875	)			(14,146	)			(40,199	)			(41,824	)
Other, net		2,560				(1,394	)			7,189				(3,197	)
Total other (expense) income		(10,315	)			(15,540	)			(33,010	)			(45,021	)
INCOME BEFORE INCOME TAXES		78,901				68,967				213,891				201,384
INCOME TAX EXPENSE		21,468				17,151				57,202				52,303
NET INCOME	$	57,433			$	51,816			$	156,689			$	149,081
Earnings per share, basic	$	0.38			$	0.32			$	1.02			$	0.91
Earnings per share, diluted	$	0.38			$	0.32			$	1.02			$	0.91
Weighted average shares outstanding, basic		149,788				161,829				153,099				163,393
Weighted average shares outstanding, diluted		150,491				163,086				153,932				164,602

Schedule 3
OPTION CARE HEALTH, INC. CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (IN THOUSANDS)(UNAUDITED)
	Nine Months Ended September 30,
		2026				2025
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income	$	156,689			$	149,081
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization expense		52,874				50,374
Other non-cash adjustments		54,243				57,401
Changes in operating assets and liabilities:
Accounts receivable, net		(32,002	)			(55,430	)
Inventories		63,104				(24,899	)
Prepaid expenses and other current assets		(14,933	)			24,694
Accounts payable		31,824				10,224
Accrued compensation and employee benefits		(8,069	)			8,338
Other		(17,518	)			2,773
Net cash provided by operating activities		286,212				222,556
CASH FLOWS FROM INVESTING ACTIVITIES:
Acquisition of property and equipment		(26,805	)			(27,661	)
Business acquisitions, net of cash acquired		—				(117,247	)
Other investing activities		(877	)			(2,529	)
Net cash used in investing activities		(27,682	)			(147,437	)
CASH FLOWS FROM FINANCING ACTIVITIES:
Purchase of company stock and related excise taxes		(170,545	)			(214,887	)
Proceeds from issuance of debt		—				229,472
Retirement of debt obligations		—				(180,239	)
Other financing activities		(21,516	)			(12,208	)
Net cash used in financing activities		(192,061	)			(177,862	)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS		66,469				(102,743	)
Cash and cash equivalents - beginning of period		232,624				412,565
CASH AND CASH EQUIVALENTS - END OF PERIOD	$	299,093			$	309,822

Schedule 4
OPTION CARE HEALTH, INC. QUARTERLY RECONCILIATION BETWEEN GAAP AND NON-GAAP MEASURES (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)(UNAUDITED)
	Three Months Ended September 30,								Nine Months Ended September 30,
		2026				2025				2026				2025
Net income	$	57,433			$	51,816			$	156,689			$	149,081
Interest expense, net		12,875				14,146				40,199				41,824
Income tax expense		21,468				17,151				57,202				52,303
Depreciation and amortization expense		18,837				17,048				52,874				50,374
EBITDA		110,613				100,161				306,964				293,582
EBITDA adjustments
Stock-based incentive compensation expense		9,331				11,125				27,912				30,638
Loss on extinguishment of debt		—				4,744				—				4,744
Restructuring, acquisition, integration and other (1)		4,656				3,468				11,976				16,318
Adjusted EBITDA	$	124,600			$	119,498			$	346,852			$	345,282
Net income	$	57,433			$	51,816			$	156,689			$	149,081
Intangible asset amortization expense		9,269				9,269				27,808				27,663
Stock-based incentive compensation expense		9,331				11,125				27,912				30,638
Loss on extinguishment of debt (2)		—				4,744				—				4,744
Restructuring, acquisition, integration and other (1)		4,656				3,468				11,976				16,318
Total pre-tax adjustments		23,256				28,606				67,696				79,363
Tax adjustments (3)		(6,298	)			(7,183	)			(18,075	)			(20,634	)
Adjusted net income	$	74,391			$	73,239			$	206,310			$	207,810
Earnings per share, diluted	$	0.38			$	0.32			$	1.02			$	0.91
Adjusted earnings per share, diluted	$	0.49			$	0.45			$	1.34			$	1.26
Weighted average common shares outstanding, diluted		150,491				163,086				153,932				164,602

(1) Restructuring, acquisition, integration and other includes $5,640 and $13,796 of operating expenses for the three and nine months ended September 30, 2026, respectively. Restructuring, acquisition, integration and other includes $4,634 and $12,570 of operating expenses for the three and nine months ended September 30, 2025, respectively.

(2) Beginning with the three months ended September 30, 2025, adjusted net income excludes loss on extinguishment of debt on a prospective basis, which has been immaterial in prior periods.

(3) Tax adjustments for the three and nine months ended September 30, 2026 and 2025 include the estimated income tax effect on non-GAAP adjustments based on the effective tax rate.

FAQ

AI-generated questions and answers. How Rhea-AI works. Not financial advice.

What were Option Care Health's third-quarter 2026 earnings results?

Option Care Health reported $1,493.5 million in revenue and $0.38 in GAAP diluted earnings per share, up 4.1% and 18.8%, respectively, year over year. GAAP net income increased 10.8% to $57.4 million, while adjusted diluted earnings per share increased 8.9% to $0.49.

Why did Option Care Health withdraw its financial guidance?

Option Care Health withdrew its previously disclosed financial guidance because of its pending acquisition. The company has entered into a definitive merger agreement to be acquired by Clayton, Dubilier & Rice and McKesson and will not host an earnings conference call for these results.