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Option Care Health Announces Financial Results for the First Quarter Ended March 31, 2025

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Option Care Health reported strong Q1 2025 financial results, with net revenue reaching $1.33 billion, up 16.3% from Q1 2024. The company, America's largest independent provider of home and alternate site infusion services, saw its gross profit rise 10.3% to $263.1 million.

Key financial highlights include:

  • Net income of $46.7 million, with diluted earnings per share of $0.28
  • Adjusted EBITDA increased 13.7% to $111.8 million
  • Cash used in operations improved to $7.2 million from $68.8 million in Q1 2024
  • Company repurchased approximately $100 million of stock

The company updated its 2025 guidance, projecting net revenue of $5.4-5.6 billion and adjusted EBITDA of $455-470 million. With over 8,000 team members including 5,000+ clinicians, Option Care Health continues to expand patient access across all 50 states.

Option Care Health ha riportato solidi risultati finanziari nel primo trimestre del 2025, con un fatturato netto di 1,33 miliardi di dollari, in aumento del 16,3% rispetto al primo trimestre del 2024. L'azienda, il più grande fornitore indipendente di servizi di infusione domiciliare e in sedi alternative negli Stati Uniti, ha visto il suo utile lordo crescere del 10,3%, raggiungendo 263,1 milioni di dollari.

I principali dati finanziari includono:

  • Utile netto di 46,7 milioni di dollari, con un utile per azione diluito di 0,28 dollari
  • L'EBITDA rettificato è aumentato del 13,7%, arrivando a 111,8 milioni di dollari
  • Il flusso di cassa operativo negativo si è ridotto a 7,2 milioni di dollari, rispetto ai 68,8 milioni del primo trimestre 2024
  • L'azienda ha riacquistato azioni per circa 100 milioni di dollari

La società ha aggiornato le previsioni per il 2025, prevedendo un fatturato netto tra 5,4 e 5,6 miliardi di dollari e un EBITDA rettificato tra 455 e 470 milioni di dollari. Con oltre 8.000 dipendenti, di cui più di 5.000 clinici, Option Care Health continua ad ampliare l'accesso ai pazienti in tutti i 50 stati.

Option Care Health reportó sólidos resultados financieros en el primer trimestre de 2025, con ingresos netos que alcanzaron los , un aumento del 16,3% respecto al primer trimestre de 2024. La compañía, el mayor proveedor independiente de servicios de infusión a domicilio y en sitios alternativos en Estados Unidos, vio cómo su beneficio bruto creció un 10,3%, llegando a 263,1 millones de dólares.

Los aspectos financieros clave incluyen:

  • Ingreso neto de 46,7 millones de dólares, con ganancias diluidas por acción de 0,28 dólares
  • El EBITDA ajustado aumentó un 13,7%, alcanzando 111,8 millones de dólares
  • El efectivo utilizado en operaciones mejoró a 7,2 millones de dólares desde 68,8 millones en el primer trimestre de 2024
  • La empresa recompró aproximadamente 100 millones de dólares en acciones

La compañía actualizó sus previsiones para 2025, proyectando ingresos netos entre 5,4 y 5,6 mil millones de dólares y un EBITDA ajustado de 455 a 470 millones de dólares. Con más de 8.000 empleados, incluyendo más de 5.000 clínicos, Option Care Health continúa ampliando el acceso de los pacientes en los 50 estados.

Option Care Health는 2025년 1분기 강력한 재무 실적을 보고했으며, 순매출은 13억 3천만 달러로 2024년 1분기 대비 16.3% 증가했습니다. 미국 최대의 독립 가정 및 대체 장소 주입 서비스 제공업체인 이 회사는 총이익이 10.3% 증가한 2억 6,310만 달러를 기록했습니다.

주요 재무 하이라이트는 다음과 같습니다:

  • 순이익 4,670만 달러, 희석 주당순이익 0.28달러
  • 조정 EBITDA 13.7% 증가하여 1억 1,180만 달러 달성
  • 영업활동 현금 사용액이 2024년 1분기 6,880만 달러에서 720만 달러로 개선
  • 약 1억 달러 상당의 자사주 매입

회사는 2025년 가이던스를 업데이트하여 순매출 54억~56억 달러, 조정 EBITDA 4억 5,500만~4억 7,000만 달러를 예상했습니다. 5,000명 이상의 임상 전문가를 포함해 8,000명 이상의 팀원과 함께 Option Care Health는 미국 50개 주 전역에서 환자 접근성을 계속 확장하고 있습니다.

Option Care Health a annoncé de solides résultats financiers pour le premier trimestre 2025, avec un chiffre d'affaires net atteignant 1,33 milliard de dollars, en hausse de 16,3 % par rapport au premier trimestre 2024. La société, premier fournisseur indépendant de services d'infusion à domicile et en sites alternatifs aux États-Unis, a vu son bénéfice brut augmenter de 10,3 % pour atteindre 263,1 millions de dollars.

Les principaux points financiers sont les suivants :

  • Bénéfice net de 46,7 millions de dollars, avec un bénéfice dilué par action de 0,28 dollar
  • L'EBITDA ajusté a augmenté de 13,7 % pour atteindre 111,8 millions de dollars
  • La trésorerie utilisée dans les opérations s'est améliorée, passant de 68,8 millions de dollars au premier trimestre 2024 à 7,2 millions de dollars
  • L'entreprise a racheté environ 100 millions de dollars d'actions

La société a mis à jour ses prévisions pour 2025, projetant un chiffre d'affaires net compris entre 5,4 et 5,6 milliards de dollars et un EBITDA ajusté entre 455 et 470 millions de dollars. Avec plus de 8 000 collaborateurs, dont plus de 5 000 cliniciens, Option Care Health continue d'élargir l'accès des patients dans les 50 États.

Option Care Health meldete starke Finanzergebnisse für das erste Quartal 2025, mit einem Nettoumsatz von 1,33 Milliarden US-Dollar, was einem Anstieg von 16,3 % gegenüber dem ersten Quartal 2024 entspricht. Das Unternehmen, der größte unabhängige Anbieter von häuslichen und alternativen Infusionsdiensten in den USA, verzeichnete einen Bruttogewinnanstieg von 10,3 % auf 263,1 Millionen US-Dollar.

Wichtige finanzielle Eckdaten umfassen:

  • Nettoeinkommen von 46,7 Millionen US-Dollar, mit einem verwässerten Gewinn je Aktie von 0,28 US-Dollar
  • Bereinigtes EBITDA stieg um 13,7 % auf 111,8 Millionen US-Dollar
  • Der operative Cashflow verbesserte sich auf 7,2 Millionen US-Dollar gegenüber 68,8 Millionen US-Dollar im ersten Quartal 2024
  • Das Unternehmen kaufte Aktien im Wert von etwa 100 Millionen US-Dollar zurück

Das Unternehmen aktualisierte seine Prognose für 2025 und erwartet einen Nettoumsatz von 5,4 bis 5,6 Milliarden US-Dollar sowie ein bereinigtes EBITDA von 455 bis 470 Millionen US-Dollar. Mit über 8.000 Mitarbeitern, darunter mehr als 5.000 Kliniker, erweitert Option Care Health weiterhin den Patientenzugang in allen 50 Bundesstaaten.

Positive
  • Net revenue increased 16.3% YoY to $1.33B in Q1 2025
  • Net income grew to $46.7M from $44.8M in Q1 2024
  • Adjusted EBITDA up 13.7% to $111.8M
  • Cash used in operations improved significantly to -$7.2M vs -$68.8M in Q1 2024
  • Raised full year 2025 guidance with expected revenue of $5.4B-$5.6B
  • Strong market position as nation's largest independent infusion services provider
Negative
  • Gross profit margin declined to 19.7% from 20.8% YoY
  • Operating expenses increased by 8.5% to $183.9M
  • Significant cash outflow of $100M for stock repurchases
  • Total cash and equivalents decreased by $241.2M during the quarter

Insights

Option Care Health posted 16.3% revenue growth with improving cash flow despite margin compression, while maintaining confidence through share repurchases and acquisitions.

Option Care Health's Q1 2025 results demonstrate substantial topline momentum with revenue climbing 16.3% to $1.33 billion, significantly outpacing the broader healthcare services sector. This growth came alongside a gross margin compression from 20.8% to 19.7%, suggesting potential cost pressures or product mix shifts that warrant monitoring.

The company's operational efficiency continues to improve, evidenced by the dramatic reduction in cash used for operations—only $7.2 million compared to $68.8 million in Q1 2024. This 89.5% improvement in cash burn rate suggests substantial enhancements in working capital management, particularly in inventory which decreased by $21.8 million.

Capital allocation decisions reveal management's strategic priorities and confidence level. The $100 million deployed for stock repurchases during the quarter represents significant shareholder return, while $117.3 million spent on business acquisitions demonstrates commitment to market consolidation in the home infusion space.

The adjusted EBITDA growth of 13.7% to $111.8 million, though slightly trailing revenue growth, reflects continued operational strength. Management's updated guidance projecting full-year revenue of $5.4-5.6 billion and adjusted EBITDA of $455-470 million signals confidence in maintaining growth trajectory through 2025.

As the nation's largest independent provider of home and alternate site infusion services, Option Care Health continues to capitalize on healthcare's ongoing shift toward cost-effective alternate site care delivery models while demonstrating disciplined financial management.

BANNOCKBURN, Ill., April 29, 2025 (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 first quarter ended March 31, 2025.

First Quarter 2025 Financial Highlights

  • Net revenue of $1,333.0 million, up 16.3% compared to $1,146.1 million in the first quarter of 2024
  • Gross profit of $263.1 million, or 19.7% of net revenue, up 10.3% compared to $238.5 million, or 20.8% of net revenue, in the first quarter of 2024
  • Net income of $46.7 million, compared to net income of $44.8 million, in the first quarter of 2024 and diluted earnings per share of $0.28, up 7.7% compared to diluted earnings per share of $0.26 in the first quarter of 2024
  • Adjusted net income of $67.1 million, compared to adjusted net income of $61.6 million in the first quarter of 2024 and adjusted diluted earnings per share of $0.40, up 14.3% compared to adjusted diluted earnings per share of $0.35 in the first quarter of 2024
  • Adjusted EBITDA of $111.8 million, up 13.7% compared to $98.3 million in the first quarter of 2024
  • Cash used in operating activities of $7.2 million, compared to cash used in operating activities of $68.8 million in the first quarter of 2024
  • Repurchased approximately $100.0 million of stock in the first quarter of 2025

John C. Rademacher, Chief Executive Officer, commented, “The Option Care Health team’s execution in a dynamic environment produced another great quarter of results. Overall, we expect 2025 to be a productive year as we continue to invest for future growth to further expand patient access to quality care.”

Updated Full Year 2025 Financial Guidance

For the full year 2025, Option Care Health now expects to generate:

  • Net revenue of $5.4 billion to $5.6 billion
  • Adjusted diluted earnings per share of $1.61 to $1.70
  • Adjusted EBITDA of $455 million to $470 million
  • Cash flow from operations of at least $320 million
  • Effective tax rate of 25% - 27%
  • Net interest expense of approximately $55 million to $60 million

Conference Call

Option Care Health will host a conference call to discuss its first quarter 2025 financial results later today 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 via webcast for on-demand listening shortly after the completion of the call, at the same web link, and will remain available for approximately 90 days.

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

Mike Shapiro
Chief Financial Officer
T: (312) 940-2538
mike.shapiro@optioncare.com
 

Forward-Looking Statements - Safe Harbor

This press release may contain “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 we may make regarding future revenues, future earnings, regulatory developments, market developments, new products and growth strategies, integration activities and the effects of any of the foregoing on our future results of operations or financial conditions.

Forward-looking statements are neither historical facts nor assurances of future performance. Instead, they are based only on our current beliefs, expectations and assumptions regarding the future of our 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 our control. Our actual results and financial condition may differ materially from those indicated in the forward-looking statements. Important factors that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following: changes in laws and regulations applicable to our business model; changes in market conditions and receptivity to our services and offerings; pending and future litigation; potential liability for claims not covered by insurance; and loss of relationships with managed care organizations and other non-governmental third party payers. For a detailed discussion of the risk factors that could affect our actual results, please refer to the risk factors identified in our periodic reports as filed with the SEC.

Any forward-looking statement made by us in this press release is based only on information currently available to us and speaks only as of the date on which it is made. We undertake 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 earnings per share ("Adjusted 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, earnings per share, 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 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, 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, and restructuring, acquisition, integration and other expenses, and (iii) Adjusted earnings per share 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. We have not reconciled Adjusted EBITDA or Adjusted diluted earnings per share guidance to net income 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 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)
 
 March 31, 2025 December 31, 2024
ASSETS   
CURRENT ASSETS:   
Cash and cash equivalents$171,372 $412,565
Accounts receivable, net 476,649  409,733
Inventories 369,034  388,131
Prepaid expenses and other current assets 82,320  112,198
Total current assets 1,099,375  1,322,627
    
NONCURRENT ASSETS:   
Property and equipment, net 131,264  127,367
Intangible assets, net 24,427  16,993
Referral sources, net 312,586  284,017
Goodwill 1,605,930  1,540,246
Other noncurrent assets 134,931  130,493
Total noncurrent assets 2,209,138  2,099,116
TOTAL ASSETS$3,308,513 $3,421,743
    
LIABILITIES AND STOCKHOLDERS’ EQUITY   
CURRENT LIABILITIES:   
Accounts payable$528,848 $610,779
Other current liabilities 184,816  169,367
Total current liabilities 713,664  780,146
    
NONCURRENT LIABILITIES:   
Long-term debt, net of discount, deferred financing costs and current portion 1,104,160  1,104,641
Other noncurrent liabilities 139,855  132,718
Total noncurrent liabilities 1,244,015  1,237,359
Total liabilities 1,957,679  2,017,505
    
STOCKHOLDERS’ EQUITY 1,350,834  1,404,238
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY$3,308,513 $3,421,743
 

Schedule 2

OPTION CARE HEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF EARNINGS
(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)(UNAUDITED)
 
 Three Months Ended March 31,
  2025   2024 
NET REVENUE$1,332,972  $1,146,052 
COST OF REVENUE 1,069,920   907,552 
GROSS PROFIT 263,052   238,500 
    
OPERATING COSTS AND EXPENSES:   
Selling, general and administrative expenses 168,118   154,742 
Depreciation and amortization expense 15,746   14,728 
Total operating expenses 183,864   169,470 
OPERATING INCOME 79,188   69,030 
    
OTHER INCOME (EXPENSE):   
Interest expense, net (13,231)  (13,202)
Other, net (2,401)  1,127 
Total other expense (15,632)  (12,075)
    
INCOME BEFORE INCOME TAXES 63,556   56,955 
INCOME TAX EXPENSE 16,814   12,164 
NET INCOME$46,742  $44,791 
    
Earnings per share, basic$0.28  $0.26 
Earnings per share, diluted$0.28  $0.26 
    
Weighted average common shares outstanding, basic 165,460   173,928 
Weighted average common shares outstanding, diluted 166,804   175,624 
 

Schedule 3

OPTION CARE HEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(IN THOUSANDS)(UNAUDITED)
 
 Three Months Ended March 31,
  2025   2024 
CASH FLOWS FROM OPERATING ACTIVITIES:   
Net income$46,742  $44,791 
Adjustments to reconcile net income to net cash used in operations:   
Depreciation and amortization expense 16,373   15,305 
Other non-cash adjustments 17,642   21,097 
Changes in operating assets and liabilities:   
Accounts receivable, net (56,788)  (195,992)
Inventories 21,790   32,056 
Prepaid expenses and other current assets 28,444   4,878 
Accounts payable (88,101)  59,223 
Accrued compensation and employee benefits (14,458)  (49,884)
Other 21,142   (258)
Net cash used in operating activities (7,214)  (68,784)
    
CASH FLOWS FROM INVESTING ACTIVITIES:   
Acquisition of property and equipment (9,371)  (5,820)
Business acquisitions, net of cash acquired (117,322)   
Net cash used in investing activities (126,693)  (5,820)
    
CASH FLOWS FROM FINANCING ACTIVITIES:   
Purchase of company stock, and related excise taxes (100,222)  (40,050)
Other financing cash flows (7,064)  (9,682)
Net cash used in financing activities (107,286)  (49,732)
    
NET DECREASE IN CASH AND CASH EQUIVALENTS (241,193)  (124,336)
Cash and cash equivalents - beginning of the period 412,565   343,849 
CASH AND CASH EQUIVALENTS - END OF PERIOD$171,372  $219,513 
 

Schedule 4

OPTION CARE HEALTH, INC.
QUARTERLY RECONCILIATION BETWEEN GAAP AND NON-GAAP MEASURES
(IN THOUSANDS)(UNAUDITED)
 
 Three Months Ended March 31,
  2025   2024 
Net income$46,742  $44,791 
Interest expense, net 13,231   13,202 
Income tax expense 16,814   12,164 
Depreciation and amortization expense 16,373   15,305 
EBITDA 93,160   85,462 
    
EBITDA adjustments   
Stock-based incentive compensation expense 8,801   9,605 
Restructuring, acquisition, integration and other 9,806   3,223 
Adjusted EBITDA$111,767  $98,290 
    
Net income$46,742  $44,791 
Intangible asset amortization expense 9,097   8,609 
Stock-based incentive compensation expense 8,801   9,605 
Restructuring, acquisition, integration and other 9,806   3,223 
Total pre-tax adjustments 27,704   21,437 
Tax adjustments (1) (7,342)  (4,588)
Adjusted net income$67,104  $61,640 
    
Earnings per share, diluted$0.28  $0.26 
Adjusted earnings per share, diluted$0.40  $0.35 
Weighted average common shares outstanding, diluted 166,804   175,624 
 

(1) Tax adjustments for the three months ended March 31, 2025 and 2024 includes the estimated income tax effect on non-GAAP adjustments based on the effective tax rate


FAQ

How much revenue did Option Care Health (OPCH) generate in Q1 2025?

Option Care Health reported net revenue of $1,333.0 million in Q1 2025, representing a 16.3% increase from $1,146.1 million in Q1 2024.

What is Option Care Health's (OPCH) earnings per share for Q1 2025?

OPCH reported diluted earnings per share of $0.28 in Q1 2025, up 7.7% from $0.26 in Q1 2024. On an adjusted basis, diluted EPS was $0.40, up 14.3% from $0.35 in Q1 2024.

How much stock did Option Care Health (OPCH) repurchase in Q1 2025?

Option Care Health repurchased approximately $100.0 million worth of stock during the first quarter of 2025.

What is Option Care Health's (OPCH) revenue guidance for full-year 2025?

Option Care Health expects to generate net revenue between $5.4 billion to $5.6 billion for the full year 2025.

How did Option Care Health's (OPCH) cash flow perform in Q1 2025?

OPCH reported cash used in operating activities of $7.2 million in Q1 2025, showing improvement compared to cash used of $68.8 million in Q1 2024.

What is Option Care Health's (OPCH) Adjusted EBITDA outlook for 2025?

Option Care Health projects Adjusted EBITDA of $455 million to $470 million for full-year 2025.
Option Care Health Inc

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BANNOCKBURN