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Option Care Health (OPCH) Q4 2025 earnings results (fourth quarter 2025)

10-K filed Feb 24, 2026

Option Care Health (OPCH) reported revenue of $1.5B for the fourth quarter 2025 (Q4 2025), +9% from a year earlier and +2% from the quarter before. Operating margin was 6.2%, net earnings $58.5M (4.0% of revenue).

Revenue$1.5B
Year over year+9%
Quarter over quarter+2%
Operating margin6.2%
Net earnings$58.5M

Option Care Health, Q4 2025: revenue $1.5B (+9% year over year), operating margin 6.2%, net earnings $58.5M, operating cash flow $35.9M. The chart follows the revenue to costs, profit and cash.

Q4 2025AmountQ/QY/Y
Revenue$1.5B+2%+9%
Gross profit$283M+4%+5%
Operating profit$91.5M+8%+5%
Net earnings$58.5M+13%-3%
Operating cash flow$35.9M-74%-0.6%
Free cash flow$22.2M-83%-14%

What changed

Revenue was $1.5B in Q4 2025, up 9% year over year and up 2% from the previous quarter.

Gross margin was 19.3%, down 0.6 points from a year earlier. Operating profit was $0.09B, a 6.2% margin (down 0.2 points year over year). Of the extra revenue versus a year earlier, 4% reached operating profit, below the 6% margin then. Operating expenses grew 6% against revenue growth of 9%. The fastest-growing cost line was Other operating costs (+16%). Net earnings were $0.06B, down 3% year over year. The effective tax rate was 28.2%.

Operating cash flow was $0.04B (down 1% year over year), 61% 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 used $0.05B. Capital expenditures of $0.01B left free cash flow of $0.02B.

Questions

What was Option Care Health's revenue in the fourth quarter 2025?

Option Care Health (OPCH) reported revenue of $1.5B for the fourth quarter 2025 (Q4 2025), +9% from a year earlier and +2% from the quarter before.

Was Option Care Health profitable in the fourth quarter 2025?

Operating profit was $91.5M (6.2% of revenue) and net earnings $58.5M.

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Source: Option Care Health 10-K on SEC EDGAR.