Option Care Health, Inc (NASDAQ:OPCH) Enters Near-Term Downtrend With Valuation Pressure

Option Care Health shows elevated headline valuation while recent operational and margin pressures point toward increased near-term downside risk. Technical momentum aligns with that bias even as some technical measures hint at mean-reversion potential.

Recent News

On January 9, 2026 the board expanded the share repurchase authorization to $1.0 billion; the company also maintained public-facing participation at healthcare conferences in mid-January. Several outlets summarized the company’s preliminary fourth-quarter and full-year commentary and noted margin headwinds tied to biosimilar conversions reported around the same timeframe.

Technical Analysis

ADX sits at 45.06, indicating very strong directional strength and supporting the immediacy of the current directional move.

DI− shows a dip-and-reversal pattern (bearish), while DI+ reads 8.85 and is decreasing (bearish); together these directional indicators point toward a dominant downside directional bias.

MACD at −1.36 sits below its signal line (−1.23) with a peak-and-reversal pattern, signaling bearish momentum and continuation risk for near-term price weakness.

MRO at −39.27 places the price below the model target, implying technical upside potential from mean reversion; this technical potential, however, conflicts with the stated WMDST valuation and should be treated as a countervailing force rather than a confirmed reversal signal.

RSI at 37.48 and decreasing indicates weakening momentum and proximity to oversold conditions, which supports a continuing near-term downward bias until momentum stabilizes.

Price sits below the 12/26/50/200-period reference levels (price close $26.49; 20-day average $28.30; 50-day average $32.06; 200-day average $30.28) and below the super-trend upper band ($28.76), so moving averages and trend bands currently act as overhead resistance.

 


Fundamental Analysis

Revenue dynamics display a sharp QoQ rebound and a large YoY contraction: revenue growth quarter-over-quarter equals +58.64%, while year-over-year revenue growth equals −60.05%, indicating recent period-to-period volatility in top-line comparables.

Profitability: operating margin equals 6.244% and EBIT margin equals 6.431%, with the EBIT margin sitting near the industry peer mean of 6.544%, which implies operating profitability roughly in line with peer aggregate norms despite margin pressure.

Earnings per share printed at $0.46 versus an estimate of $0.47, generating an EPS surprise of −2.13%, a small miss that limits upside sentiment from the headline EPS result.

Liquidity and leverage: current ratio equals 1.525 and quick ratio equals 0.957, with debt-to-assets at 36.85% and debt-to-EBITDA at 11.11x; interest coverage equals 7.40x. These metrics show manageable interest coverage but elevated leverage on an earnings-multiple basis.

Cash generation weakened: free cash flow equals $22,245,000 with free cash flow yield at 0.43% and a quarter-over-quarter free cash flow yield decline of −85.13%, highlighting recent pressure on cash conversion despite positive operating cash flow.

Market multiples: P/E equals 89.78 (above the industry peer mean of 66.52), price-to-book equals 3.93 (above the industry peer mean of 3.05), while price-to-sales equals 3.56 (below the industry peer mean of 6.09). These mixed multiple signals accompany the WMDST valuation judgment.

Valuation conclusion: The current valuation as determined by WMDST classifies the stock as over-valued, reflecting elevated multiples and recent softness in cash conversion that contrast with profitability in line with peer mean.

MOST-RECENT QUARTERLY REPORT
REPORT PERIOD ENDING: 2025-12-31
REPORT DATE: 2026-02-24
NEXT REPORT DATE: 2026-05-26
CASH FLOW  Begin Period Cash Flow 309.8 M
 Operating Cash Flow 35.9 M
 Capital Expenditures -13.65 M
 Change In Working Capital -65.45 M
 Dividends Paid
 Cash Flow Delta -77.20 M
 End Period Cash Flow 232.6 M
 
INCOME STATEMENT REVENUE
 Total Revenue 1.5 B
 Forward Revenue 522.1 M
COSTS
 Cost Of Revenue 1.2 B
 Depreciation 20.3 M
 Depreciation and Amortization 20.3 M
 Research and Development
 Total Operating Expenses 1.4 B
PROFITABILITY
 Gross Profit 282.9 M
 EBITDA 114.6 M
 EBIT 94.2 M
 Operating Income 91.5 M
 Interest Income
 Interest Expense 12.7 M
 Net Interest Income -12.73 M
 Income Before Tax 81.5 M
 Tax Provision 23.0 M
 Tax Rate 28.23 %
 Net Income 58.5 M
 Net Income From Continuing Operations 58.5 M
EARNINGS
 EPS Estimate 0.47
 EPS Actual 0.46
 EPS Difference -0.01
 EPS Surprise -2.128 %
 Forward EPS 0.53
 
BALANCE SHEET ASSETS
 Total Assets 3.5 B
 Intangible Assets 1.9 B
 Net Tangible Assets -589.53 M
 Total Current Assets 1.3 B
 Cash and Short-Term Investments 232.6 M
 Cash 232.6 M
 Net Receivables 473.6 M
 Inventory 471.1 M
 Long-Term Investments 44.4 M
LIABILITIES
 Accounts Payable 639.8 M
 Short-Term Debt 6.8 M
 Total Current Liabilities 829.3 M
 Net Debt 928.2 M
 Total Debt 1.3 B
 Total Liabilities 2.1 B
EQUITY
 Total Equity 1.3 B
 Retained Earnings 876.9 M
VALUATION & PER-SHARE METRICS EQUITY & PER-SHARE METRICS
 Book Value Per-Share 8.46
 Shares Outstanding 156.858 M
 Revenue Per-Share 9.34
VALUATION
 Market Capitalization 5.2 B
 Enterprise Value 6.3 B
 Enterprise Multiple 54.565
Enterprise Multiple QoQ -0.65 %
Enterprise Multiple YoY 36.954 %
Enterprise Multiple IPRWA high: 269.619
mean: 63.381
OPCH: 54.565
median: 51.214
low: -93.578
 EV/R 4.266
CAPITAL STRUCTURE
 Asset To Equity 2.605
 Asset To Liability 1.623
 Debt To Capital 0.49
 Debt To Assets 0.368
Debt To Assets QoQ 0.472 %
Debt To Assets YoY 19293.158 %
Debt To Assets IPRWA high: 1.021
OPCH: 0.368
mean: 0.329
median: 0.315
low: 0.005
 Debt To Equity 0.96
Debt To Equity QoQ 2.204 %
Debt To Equity YoY 20589.871 %
Debt To Equity IPRWA high: 2.453
mean: 1.083
median: 1.063
OPCH: 0.96
low: -1.878
PRICE-BASED VALUATION
 Price To Book (P/B) 3.928
Price To Book QoQ 17.7 %
Price To Book YoY 15.778 %
Price To Book IPRWA high: 12.592
OPCH: 3.928
mean: 3.046
median: 1.745
low: -1.198
 Price To Earnings (P/E) 89.78
Price To Earnings QoQ 42.645 %
Price To Earnings YoY 9.649 %
Price To Earnings IPRWA high: 374.681
OPCH: 89.78
median: 71.489
mean: 66.523
low: -183.818
 PE/G Ratio 5.746
 Price To Sales (P/S) 3.556
Price To Sales QoQ 12.519 %
Price To Sales YoY 0.477 %
Price To Sales IPRWA high: 27.104
mean: 6.093
median: 3.664
OPCH: 3.556
low: 0.027
FORWARD MULTIPLES
Forward P/E 56.763
Forward PE/G 3.633
Forward P/S 9.957
EFFICIENCY OPERATIONAL
 Operating Leverage 6.319
ASSET & SALES
 Asset Turnover Ratio 0.423
Asset Turnover Ratio QoQ 1.047 %
Asset Turnover Ratio YoY 7.488 %
Asset Turnover Ratio IPRWA high: 1.095
OPCH: 0.423
median: 0.38
mean: 0.345
low: 0.001
 Receivables Turnover 3.091
Receivables Turnover Ratio QoQ 2.948 %
Receivables Turnover Ratio YoY -3.717 %
Receivables Turnover Ratio IPRWA high: 6.521
mean: 3.99
OPCH: 3.091
median: 2.824
low: 0.75
 Inventory Turnover 2.667
Inventory Turnover Ratio QoQ -5.999 %
Inventory Turnover Ratio YoY -13.576 %
Inventory Turnover Ratio IPRWA high: 10.112
mean: 5.234
median: 4.822
OPCH: 2.667
low: 0.836
 Days Sales Outstanding (DSO) 29.517
CASH CYCLE
 Cash Conversion Cycle Days (CCC) 14.566
Cash Conversion Cycle Days QoQ 0.29 %
Cash Conversion Cycle Days YoY 146.272 %
Cash Conversion Cycle Days IPRWA high: 105.119
mean: 19.185
median: 15.429
OPCH: 14.566
low: -49.824
CAPITAL DEPLOYMENT
 Cash Conversion Ratio 3.364
 CapEx To Revenue -0.009
 CapEx To Depreciation -0.672
 
CAPITAL, LIQUIDITY & COVERAGE CAPITAL STRUCTURE
 Total Capital 2.5 B
 Net Invested Capital 2.5 B
 Invested Capital 2.5 B
 Net Tangible Assets -589.53 M
 Net Working Capital 435.6 M
LIQUIDITY
 Cash Ratio 0.28
 Current Ratio 1.525
Current Ratio QoQ -2.034 %
Current Ratio YoY -10.033 %
Current Ratio IPRWA high: 6.761
OPCH: 1.525
mean: 1.268
median: 0.842
low: 0.244
 Quick Ratio 0.957
Quick Ratio QoQ -9.046 %
Quick Ratio YoY -20.094 %
Quick Ratio IPRWA high: 6.629
mean: 0.99
OPCH: 0.957
median: 0.625
low: 0.331
COVERAGE & LEVERAGE
 Debt To EBITDA 11.115
 Cost Of Debt 0.717 %
 Interest Coverage Ratio 7.401
Interest Coverage Ratio QoQ 25.974 %
Interest Coverage Ratio YoY -12.409 %
Interest Coverage Ratio IPRWA high: 77.342
OPCH: 7.401
mean: 2.985
median: 2.72
low: -124.431
 Operating Cash Flow Ratio 0.044
TIMING / LIQUIDITY
 Days Payables Outstanding (DPO) 49.77
DIVIDENDS
 Dividend Coverage Ratio
 Dividend Payout Ratio
 Dividend Rate
 Dividend Yield
PERFORMANCE GROWTH
 Asset Growth Rate -0.692 %
 Revenue Growth 2.121 %
Revenue Growth QoQ 58.639 %
Revenue Growth YoY -60.049 %
Revenue Growth IPRWA high: 19.662 %
median: 2.743 %
mean: 2.458 %
OPCH: 2.121 %
low: -6.762 %
 Earnings Growth 15.625 %
Earnings Growth QoQ 60.158 %
Earnings Growth YoY 21.096 %
Earnings Growth IPRWA high: 300.0 %
OPCH: 15.625 %
median: -31.875 %
mean: -33.983 %
low: -224.49 %
MARGINS
 Gross Margin 19.305 %
Gross Margin QoQ 1.514 %
Gross Margin YoY -3.151 %
Gross Margin IPRWA high: 81.41 %
mean: 26.347 %
median: 26.079 %
OPCH: 19.305 %
low: -5.777 %
 EBIT Margin 6.431 %
EBIT Margin QoQ 11.032 %
EBIT Margin YoY -5.814 %
EBIT Margin IPRWA high: 25.323 %
mean: 6.544 %
OPCH: 6.431 %
median: 2.026 %
low: -43.293 %
 Return On Sales (ROS) 6.244 %
Return On Sales QoQ 6.028 %
Return On Sales YoY -8.553 %
Return On Sales IPRWA high: 24.787 %
mean: 7.621 %
OPCH: 6.244 %
median: 4.732 %
low: -43.484 %
CASH FLOW
 Free Cash Flow (FCF) 22.2 M
 Free Cash Flow Yield 0.427 %
Free Cash Flow Yield QoQ -85.132 %
Free Cash Flow Yield YoY -21.072 %
Free Cash Flow Yield IPRWA high: 9.635 %
median: 1.531 %
mean: 0.928 %
OPCH: 0.427 %
low: -15.65 %
 Free Cash Growth -82.92 %
Free Cash Growth QoQ -237.462 %
Free Cash Growth YoY 0.03 %
Free Cash Growth IPRWA high: 358.233 %
median: -27.332 %
mean: -78.011 %
OPCH: -82.92 %
low: -702.48 %
 Free Cash To Net Income 0.38
 Cash Flow Margin 2.476 %
 Cash Flow To Earnings 0.62
VALUE & RETURNS
 Economic Value Added 0.04
 Return On Assets (ROA) 1.687 %
Return On Assets QoQ 11.722 %
Return On Assets YoY -3.929 %
Return On Assets IPRWA high: 9.352 %
OPCH: 1.687 %
median: 1.157 %
mean: 1.112 %
low: -16.801 %
 Return On Capital Employed (ROCE) 3.589 %
 Return On Equity (ROE) 0.044
Return On Equity QoQ 15.653 %
Return On Equity YoY 3.013 %
Return On Equity IPRWA high: 0.294
OPCH: 0.044
mean: 0.04
median: 0.039
low: -0.268
 DuPont ROE 4.358 %
 Return On Invested Capital (ROIC) 2.72 %
Return On Invested Capital QoQ 9.855 %
Return On Invested Capital YoY -116.193 %
Return On Invested Capital IPRWA high: 13.153 %
OPCH: 2.72 %
median: 1.21 %
mean: 1.168 %
low: -7.147 %

Six-Week Outlook

Near-term technical bias favors further weakness given strong ADX strength, a bearish DI/DI+ configuration, and MACD below its signal line; moving averages and the super-trend band provide nearby resistance. Countervailing signs include a deeply negative MRO and an RSI nearing oversold levels, which raise the probability of short-lived mean-reversion rallies rather than a sustained trend reversal. Traders should monitor for a MACD cross back above its signal line or a sustained RSI recovery above 50 for evidence of momentum shift; absent those confirmations, expect continued volatility and downside skew while the WMDST valuation and recent cash-flow trends remain adverse.

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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