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Option Care Health (OPCH) earnings and revenue breakdown

Latest: Q3 2026 · 10-Q filed Nov 4, 2026 · Option Care Health (OPCH) Q3 2026 earnings results →

Q3 2026 Revenue up 4% year over year to $1.5B · 4¢ of every $1 of revenue kept as net profit · operating margin 6.0%

Option Care Health made $1.5B in Q3 2026 (+4% Y/Y). Operating margin 6.0%, net earnings $57.4M. See where every dollar goes — costs, profit and cash — as a Sankey from the 10-Q filed Nov 4, 2026.

Revenue$1.5B
Year over year+4%
Operating margin6.0%
Net earnings$57.4M
Operating cash flow$115M

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Option Care Health Q3 2026 revenue breakdown: Sankey diagram of revenue, costs, profit and cash flow
Option Care Health Q3 2026 revenue breakdown — free to use with credit and a link (terms). Share on X
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What changed this quarter

Revenue was $1.5B in Q3 2026, up 4% year over year and up 4% from the previous quarter.

Gross margin was 19.1%, up 0.1 points from Q3 2025. Operating profit was $0.09B, a 6.0% margin (up 0.1 points year over year). Of the extra revenue versus Q3 2025, 8% reached operating profit, above the 6% margin then. Operating expenses grew 4% against revenue growth of 4%. The fastest-growing cost line was Other operating costs (+11%). Net earnings were $0.06B, up 11% year over year. The effective tax rate was 27.2%.

Operating cash flow was $0.11B (down 18% year over year), 200% of net earnings. Non-cash charges added back $0.02B of depreciation and amortization and $0.01B of share-based compensation. Working capital and other items added $0.03B. Capital expenditures of $0.01B left free cash flow of $0.11B.

Quarterly history

Option Care Health revenue by quarterOption Care Health revenue by quarter$1.3BQ1 2025$1.4BQ2 2025$1.4BQ3 2025$1.5BQ4 2025$1.4BQ1 2026$1.4BQ2 2026$1.5BQ3 2026
Option Care Health net earnings by quarterOption Care Health net earnings by quarter$46.7MQ1 2025$50.5MQ2 2025$51.8MQ3 2025$58.5MQ4 2025$45.3MQ1 2026$53.9MQ2 2026$57.4MQ3 2026
QuarterFormFiledRevenueY/YOp. marginNet earningsOp. cash flow
Q3 202610-QNov 4, 2026$1.5B+4%6.0%$57.4M$115M
Q2 202610-QJul 29, 2026$1.4B+2%5.9%$53.9M$184M
Q1 202610-QApr 30, 2026$1.4B+1%5.4%$45.3M−$12.1M
Q4 202510-KFeb 24, 2026$1.5B+9%6.2%$58.5M$35.9M
Q3 202510-QOct 30, 2025$1.4B+12%5.9%$51.8M$139M
Q2 202510-QJul 30, 2025$1.4B+15%5.8%$50.5M$90.3M
Q1 202510-QApr 29, 2025$1.3B+16%5.9%$46.7M−$7.2M

Charts

Option Care Health: revenue growth, year over year and quarter over quarterOption Care Health: revenue growth, year over year and quarter over quarterY/YQ/Q+16%Q1 2025+15%+6%Q2 2025+12%+1%Q3 2025+9%+2%Q4 2025+1%-8%Q1 2026+2%+7%Q2 2026+4%+4%Q3 2026
Latest (Q3 2026): Y/Y +4%, Q/Q +4%.
Option Care Health: where the cash came from (+) and went (−), TTM to Q3 2026Option Care Health: where the cash came from (+) and went (−), TTM to Q3 2026Operating cash flow$322MBuybacks−$266MCapital spending−$40.5MTaxes on employees’ shares−$18.0MCash drawn (+) / kept (−)$10.7MOther financing−$7.9MOther investing−$877K
From the cash-flow statement as filed (SEC XBRL). Cash is fungible: the bars do not say which dollar paid for what.
Option Care Health: profit against cash, quarter by quarterOption Care Health: profit against cash, quarter by quarterNet incomeOperating cash flow$60.1M$36.1MQ4 2024$46.7M−$7.2MQ1 2025$50.5M$90.3MQ2 2025$51.8M$139MQ3 2025$58.5M$35.9MQ4 2025$45.3M−$12.1MQ1 2026$53.9M$184MQ2 2026$57.4M$115MQ3 2026
Latest (Q3 2026): Net income $57.4M, Operating cash flow $115M.
Option Care Health: diluted shares by fiscal yearOption Care Health: diluted shares by fiscal year181MFY2020181MFY2021182MFY2022180MFY2023173MFY2024163MFY2025
-9.7% since FY2020: buybacks shrank the count.
Option Care Health: long-term debt falling due (FY2025)Option Care Health: long-term debt falling due (FY2025)$6.8M2026$6.8M2027$6.8M2028$507M2029$6.8M2030$642MLater
Cash $233M, short-term investments —, long-term debt $1.2B at 2025-12-31.
Option Care Health in its industry: growth against margin (6 companies, SIC 8082)Option Care Health in its industry: growth against margin (6 companies, SIC 8082)revenue growth, year over year →↑ operating marginmedian +11%median 10%BTSGAHCOCHEAVAHADUSOPCH (+4%, 6%)
Services-Home Health Care Services; dot size is quarterly revenue; dashed lines are the industry's medians.

Interactive views

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💵Where each $1 goesinteractive

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🌏Named in Asian annual reportsinteractive

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🔄Rotation against the market and its industry (RRG)interactive

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🔍Earnings qualityinteractive

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⚖️Fair value by methodinteractive

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🔭Outlook & guidanceinteractive

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📈Investments: gains and what it boughtinteractive

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🏭Its industry’s money flow (input-output)interactive

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About Option Care Health

Option Care Health, Inc. (“Option Care Health”, “we”, “us”, “our”, or the “Company”) is the largest independent provider of home and alternate site infusion services through its national network of 196 locations in 43 states. Option Care Health draws on over 40 years of clinical care experience to offer patient-centered, cost-effective infusion therapy. Option Care Health’s infusion services include the clinical management of infusion therapy, nursing support and care coordination. Option Care Health’s multidisciplinary team of more than 5,000 clinicians, including pharmacists, pharmacy technicians, nurses and dietitians, are able to provide infusion service coverage for nearly all patients across the United States (“U.S.”) needing treatment for complex and chronic medical conditions.

In its own words, from its 10-K, filed Feb 24, 2026.

Option Care Health against its Services-Home Health Care Services peers

The largest companies of the same SEC industry, each at its latest quarter. Revenue growth: +4% against the peers' median +11%. Operating margin: 6.0% against the peers' median 10.3%.

CompanyQuarterRevenueY/YOp. margin
OPCH Option Care HealthQ3 2026$1.5B+4%6.0%
BTSG BrightSpring Health ServicesQ3 2026$4.2B+26%3.8%
AHCO AdaptHealthQ3 2026$746M+11%-20.9%
CHE ChemedQ3 2026$691M+11%14.0%
AVAH Aveanna Healthcare HoldingsQ2 2026$670M+14%11.9%
ADUS Addus HomeCareQ3 2026$388M+7%10.3%

Source: Option Care Health 10-Q on SEC EDGAR · CIK 1014739 · Services-Home Health Care Services

Guidance and outlook

Option Care Health: what its forward-looking statements are about (10-Q filed 2026-11-04)Option Care Health: what its forward-looking statements are about (10-Q filed 2026-11-04)Deals1Margins1Capital spending1
3 statements; tone +0.33 (−1 all cautious, +1 all confident); 0 hedged.
Option Care Health: outlook statements against the filing beforeOption Care Health: outlook statements against the filing beforeNew1Dropped1Confident1

13F: who owns OPCH and who is buying

Largest holders of OPCH (13F)Largest holders of OPCH (13F)Vanguard Group$530MBlackRock$464MWellington Management Group LLP$247MVanguard Portfolio Management LLC$174MFuller & Thaler Asset Management$156MVanguard Capital Management LLC$148MDurable Capital Partners LP$129MState Street$129MArrowstreet Capital, Limited Part…$125MDimensional Fund Advisors LP$114M
Funds' net buying of OPCH by quarter (13F)Funds' net buying of OPCH by quarter (13F)$71.9M2024-09−$276M2024-12−$31.9M2025-03$34.1M2025-06$83.7M2025-09$173M2025-12−$48.1M2026-03−$232M2026-06
Value of shares 13F filers added minus the value they sold, each quarter (quarters with most filings in).

More on OPCH

History

Every quarter: Q3 2026 results · Q2 2026 results · Q1 2026 results · Q4 2025 results · Q3 2025 results · Q2 2025 results · Q1 2025 results

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