Option Care Health, Inc. (NASDAQ:OPCH) Extends Buybacks And Guidance; Near-Term Momentum Likely

Option Care Health shows a material corporate push through share repurchases and reiterated guidance while mixed momentum indicators suggest a near-term battle between upside pressure and pullback risk.

Recent News

Nov 3, 2025 — Option Care Health confirmed participation in multiple investor conferences in November and December, including UBS Global Healthcare and Jefferies London events. Late November 2025 — independent market ratings providers upgraded composite/relative-strength scores for the company, reflecting stronger price performance and institutional accumulation during the recent consolidation.

Technical Analysis

ADX at 18.62 indicates no dominant directional trend at present; directional indicators show weakening bullish breadth: DI+ peaked and reversed while DI- underwent a dip-and-reverse, both signaling increased downside pressure despite the lack of a strong trend. That combination raises near-term risk to upside continuation unless directional strength returns.

MACD sits slightly above its signal line (MACD 0.65 vs signal 0.59), which normally signals bullish conviction; the MACD trend shows a peak-and-reversal, however, indicating momentum has begun to weaken and that the recent bullish impulse may face exhaustion.

MRO registers 34.43 and shows an increasing trajectory; the positive oscillator indicates the market price currently sits above target levels and therefore carries a bias toward contraction from elevated levels, creating downside pressure that could compress short-term gains.

RSI at 54.66 with an increasing trend reflects mild bullish momentum without overbought conditions; RSI supports potential selective continuation but offers limited conviction absent stronger trend confirmation from ADX and MACD.

Price relationships favor short-term support: close at $30.59 sits above the 12-day and 20-day EMAs/averages (12-day EMA $30.04; 20-day avg $29.95) and above the 200-day average ($30.47), while the super trend lower support lies at $29.10. Bollinger bands place the close below the upper band, leaving room for upside but also vulnerability to a reversion toward the mid-band if momentum stalls.

 


Fundamental Analysis

Reported EPS of $0.45 exceeded the $0.43 estimate by $0.02, a +4.65% surprise, reflecting modest upside versus consensus expectations. EBITDA reached $100,161,000 with EBIT at $83,113,000, producing an EBIT margin of 5.79%, slightly above the industry peer mean of 5.51% and supporting a profitable operating profile relative to peers.

Top-line and cash-flow metrics present divergence. Total revenue stands at $1,435,016,000 while operating cash flow at $139,437,000 and free cash flow at $130,242,000 yield a free-cash-flow yield of 2.87%, which compares favorably to the industry peer mean of 1.52% and supports the company’s ability to fund buybacks and debt service.

Leverage and coverage show mixed fundamentals. Debt-to-EBITDA registers at 12.74x, indicating elevated leverage when measured against EBITDA. Debt-to-assets at 36.67% sits slightly above the industry peer mean of 32.48%, yet interest coverage stands at 5.88x, offering meaningful coverage of interest obligations.

Profitability and returns remain modest but positive: return on equity at 3.81% and return on assets at 1.51% both outperform their respective industry peer means, providing incremental support for valuation despite lower absolute returns. Asset turnover at 0.418 reflects the capital-intensive nature of the business and aligns with peer-level activity.

Recent intra-period dynamics show contraction: EBIT margin QoQ declined by 1.55 percentage points and YoY by 13.78 percentage points, while reported revenue growth metrics in the provided figures show QoQ and YoY declines. Those change rates warrant attention for their potential to pressure margins absent offsetting operational or pricing actions.

Valuation context: price-to-earnings at 62.94 and forward P/E near 92.10 present full multiple expansion relative to historical norms, while price-to-book at 3.34 falls slightly below the industry peer mean of 3.57. The current valuation, as determined by WMDST, registers as fair-valued given the combination of above-peer free cash generation, modest return metrics, and elevated leverage.

MOST-RECENT QUARTERLY REPORT
REPORT PERIOD ENDING: 2025-09-30
REPORT DATE: 2025-10-30
NEXT REPORT DATE: 2026-01-29
CASH FLOW  Begin Period Cash Flow 198.8 M
 Operating Cash Flow 139.4 M
 Capital Expenditures -9.20 M
 Change In Working Capital 49.0 M
 Dividends Paid
 Cash Flow Delta 111.0 M
 End Period Cash Flow 309.8 M
 
INCOME STATEMENT REVENUE
 Total Revenue 1.4 B
 Forward Revenue 349.2 M
COSTS
 Cost Of Revenue 1.2 B
 Depreciation 17.0 M
 Depreciation and Amortization 17.0 M
 Research and Development
 Total Operating Expenses 1.4 B
PROFITABILITY
 Gross Profit 272.9 M
 EBITDA 100.2 M
 EBIT 83.1 M
 Operating Income 84.5 M
 Interest Income
 Interest Expense 14.1 M
 Net Interest Income -14.15 M
 Income Before Tax 69.0 M
 Tax Provision 17.2 M
 Tax Rate 24.9 %
 Net Income 51.8 M
 Net Income From Continuing Operations 51.8 M
EARNINGS
 EPS Estimate 0.43
 EPS Actual 0.45
 EPS Difference 0.02
 EPS Surprise 4.651 %
 Forward EPS 0.32
 
BALANCE SHEET ASSETS
 Total Assets 3.5 B
 Intangible Assets 1.9 B
 Net Tangible Assets -566.43 M
 Total Current Assets 1.3 B
 Cash and Short-Term Investments 309.8 M
 Cash 309.8 M
 Net Receivables 474.5 M
 Inventory 415.7 M
 Long-Term Investments 45.2 M
LIABILITIES
 Accounts Payable 627.9 M
 Short-Term Debt 6.8 M
 Total Current Liabilities 823.9 M
 Net Debt 852.0 M
 Total Debt 1.3 B
 Total Liabilities 2.1 B
EQUITY
 Total Equity 1.4 B
 Retained Earnings 818.4 M
VALUATION & PER-SHARE METRICS EQUITY & PER-SHARE METRICS
 Book Value Per-Share 8.49
 Shares Outstanding 160.108 M
 Revenue Per-Share 8.96
VALUATION
 Market Capitalization 4.5 B
 Enterprise Value 5.5 B
 Enterprise Multiple 54.922
Enterprise Multiple QoQ -6.506 %
Enterprise Multiple YoY 17.842 %
Enterprise Multiple IPRWA high: 190.244
OPCH: 54.922
median: 48.181
mean: -1.092
low: -219.035
 EV/R 3.833
CAPITAL STRUCTURE
 Asset To Equity 2.561
 Asset To Liability 1.641
 Debt To Capital 0.484
 Debt To Assets 0.367
Debt To Assets QoQ 0.969 %
Debt To Assets YoY 19202.105 %
Debt To Assets IPRWA high: 0.956
OPCH: 0.367
mean: 0.325
median: 0.32
low: 0.004
 Debt To Equity 0.939
Debt To Equity QoQ 3.965 %
Debt To Equity YoY 20453.829 %
Debt To Equity IPRWA high: 2.466
median: 1.121
mean: 1.056
OPCH: 0.939
low: -1.645
PRICE-BASED VALUATION
 Price To Book (P/B) 3.338
Price To Book QoQ -6.603 %
Price To Book YoY -8.275 %
Price To Book IPRWA high: 27.592
mean: 3.566
OPCH: 3.338
median: 1.785
low: -9.335
 Price To Earnings (P/E) 62.939
Price To Earnings QoQ -17.24 %
Price To Earnings YoY -36.031 %
Price To Earnings IPRWA high: 517.132
mean: 79.241
median: 64.535
OPCH: 62.939
low: -80.57
 PE/G Ratio 6.451
 Price To Sales (P/S) 3.16
Price To Sales QoQ -7.923 %
Price To Sales YoY -22.148 %
Price To Sales IPRWA high: 28.774
mean: 6.148
median: 4.136
OPCH: 3.16
low: 0.079
FORWARD MULTIPLES
Forward P/E 92.097
Forward PE/G 9.44
Forward P/S 12.986
EFFICIENCY OPERATIONAL
 Operating Leverage -0.175
ASSET & SALES
 Asset Turnover Ratio 0.418
Asset Turnover Ratio QoQ -1.193 %
Asset Turnover Ratio YoY 10.825 %
Asset Turnover Ratio IPRWA high: 0.945
OPCH: 0.418
median: 0.397
mean: 0.332
low: 0.001
 Receivables Turnover 3.003
Receivables Turnover Ratio QoQ 1.565 %
Receivables Turnover Ratio YoY 5.368 %
Receivables Turnover Ratio IPRWA high: 9.084
mean: 4.366
OPCH: 3.003
median: 2.865
low: 0.147
 Inventory Turnover 2.837
Inventory Turnover Ratio QoQ -4.46 %
Inventory Turnover Ratio YoY -17.814 %
Inventory Turnover Ratio IPRWA high: 10.011
mean: 5.147
median: 4.892
OPCH: 2.837
low: 0.207
 Days Sales Outstanding (DSO) 30.387
CASH CYCLE
 Cash Conversion Cycle Days (CCC) 14.524
Cash Conversion Cycle Days QoQ -9.719 %
Cash Conversion Cycle Days YoY 106.724 %
Cash Conversion Cycle Days IPRWA high: 132.972
median: 15.133
OPCH: 14.524
mean: 11.449
low: -85.326
CAPITAL DEPLOYMENT
 Cash Conversion Ratio 3.127
 CapEx To Revenue -0.006
 CapEx To Depreciation -0.539
 
CAPITAL, LIQUIDITY & COVERAGE CAPITAL STRUCTURE
 Total Capital 2.5 B
 Net Invested Capital 2.5 B
 Invested Capital 2.5 B
 Net Tangible Assets -566.43 M
 Net Working Capital 458.9 M
LIQUIDITY
 Cash Ratio 0.376
 Current Ratio 1.557
Current Ratio QoQ 2.488 %
Current Ratio YoY -10.072 %
Current Ratio IPRWA high: 6.656
OPCH: 1.557
mean: 1.248
median: 0.832
low: 0.014
 Quick Ratio 1.052
Quick Ratio QoQ 5.5 %
Quick Ratio YoY -20.538 %
Quick Ratio IPRWA high: 6.866
OPCH: 1.052
mean: 1.017
median: 0.627
low: 0.013
COVERAGE & LEVERAGE
 Debt To EBITDA 12.742
 Cost Of Debt 0.848 %
 Interest Coverage Ratio 5.875
Interest Coverage Ratio QoQ 1.889 %
Interest Coverage Ratio YoY -15.562 %
Interest Coverage Ratio IPRWA high: 30.491
OPCH: 5.875
mean: 1.927
median: 1.798
low: -59.14
 Operating Cash Flow Ratio 0.123
TIMING / LIQUIDITY
 Days Payables Outstanding (DPO) 48.451
DIVIDENDS
 Dividend Coverage Ratio
 Dividend Payout Ratio
 Dividend Rate
 Dividend Yield
PERFORMANCE GROWTH
 Asset Growth Rate 2.868 %
 Revenue Growth 1.337 %
Revenue Growth QoQ -78.557 %
Revenue Growth YoY -68.053 %
Revenue Growth IPRWA high: 14.194 %
mean: 2.906 %
median: 2.066 %
OPCH: 1.337 %
low: -22.095 %
 Earnings Growth 9.756 %
Earnings Growth QoQ 290.24 %
Earnings Growth YoY 192.709 %
Earnings Growth IPRWA high: 131.373 %
OPCH: 9.756 %
mean: -6.88 %
median: -11.602 %
low: -234.091 %
MARGINS
 Gross Margin 19.017 %
Gross Margin QoQ 0.095 %
Gross Margin YoY -5.299 %
Gross Margin IPRWA high: 87.689 %
mean: 28.202 %
median: 27.141 %
OPCH: 19.017 %
low: -9.25 %
 EBIT Margin 5.792 %
EBIT Margin QoQ -1.547 %
EBIT Margin YoY -13.784 %
EBIT Margin IPRWA high: 32.526 %
OPCH: 5.792 %
mean: 5.507 %
median: 1.971 %
low: -105.324 %
 Return On Sales (ROS) 5.889 %
Return On Sales QoQ 0.822 %
Return On Sales YoY -12.34 %
Return On Sales IPRWA high: 29.872 %
mean: 8.081 %
median: 6.252 %
OPCH: 5.889 %
low: -43.781 %
CASH FLOW
 Free Cash Flow (FCF) 130.2 M
 Free Cash Flow Yield 2.872 %
Free Cash Flow Yield QoQ 71.77 %
Free Cash Flow Yield YoY -1.102 %
Free Cash Flow Yield IPRWA high: 14.006 %
OPCH: 2.872 %
mean: 1.516 %
median: 1.231 %
low: -24.179 %
 Free Cash Growth 60.322 %
Free Cash Growth QoQ -110.227 %
Free Cash Growth YoY -419.012 %
Free Cash Growth IPRWA high: 558.205 %
OPCH: 60.322 %
mean: -7.564 %
median: -48.314 %
low: -423.827 %
 Free Cash To Net Income 2.514
 Cash Flow Margin 7.044 %
 Cash Flow To Earnings 1.951
VALUE & RETURNS
 Economic Value Added 0.03
 Return On Assets (ROA) 1.51 %
Return On Assets QoQ 0.0 %
Return On Assets YoY -5.031 %
Return On Assets IPRWA high: 7.577 %
OPCH: 1.51 %
median: 0.39 %
mean: 0.309 %
low: -22.496 %
 Return On Capital Employed (ROCE) 3.129 %
 Return On Equity (ROE) 0.038
Return On Equity QoQ 2.665 %
Return On Equity YoY 1.006 %
Return On Equity IPRWA high: 0.378
OPCH: 0.038
mean: 0.014
median: 0.011
low: -0.391
 DuPont ROE 3.812 %
 Return On Invested Capital (ROIC) 2.476 %
Return On Invested Capital QoQ 0.081 %
Return On Invested Capital YoY -118.765 %
Return On Invested Capital IPRWA high: 8.725 %
OPCH: 2.476 %
median: 0.766 %
mean: 0.584 %
low: -22.633 %

Six-Week Outlook

Expect choppy price action with a modest upside tilt driven by continued repurchase activity and a generally constructive position versus short-term moving averages. Momentum indicators, however, show signs of weakening and the MRO flags the market price above target, creating material downside risk should MACD momentum and directional indicators continue to deteriorate. Traders should monitor maintenance of the $29.10 technical support and whether MACD momentum stabilizes above its signal; sustained failure below short-term averages would open a higher-probability path back toward lower band support, while consolidation above $30 with increasing ADX would renew directional conviction.

About Option Care Health, Inc.

Option Care Health, Inc. (NASDAQ:OPCH) delivers comprehensive home and alternate site infusion services across the United States. The company administers a wide range of therapies, including anti-infective treatments, heart failure management, and nutritional support for acute and chronic conditions such as stroke, cancer, and gastrointestinal diseases. Option Care Health provides immunoglobulin infusions for immune deficiencies and addresses chronic inflammatory disorders like Crohn’s disease, rheumatoid arthritis, and ulcerative colitis. The company also supports neurological disorder management, offering therapies for conditions like multiple sclerosis and Duchenne muscular dystrophy. In addition, Option Care Health supplies infusion therapies for bleeding disorders, including hemophilia and von Willebrand disease, and offers specialized treatments for high-risk pregnancies. Their services extend to pain management, chemotherapy, and respiratory medications, complemented by professional nursing services. Option Care Health markets its offerings through a network of patient referrals from physicians, hospital discharge planners, and healthcare organizations. Headquartered in Bannockburn, Illinois, Option Care Health maintains a strong presence in the healthcare industry by ensuring accessible and effective infusion therapy solutions.



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