Option Care Health Inc ((OPCH)) has held its Q3 earnings call. Read on for the main highlights of the call.
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Option Care Health’s recent earnings call reflected a generally positive sentiment, highlighting strong revenue growth and an optimistic outlook with raised guidance. The company demonstrated effective capital management and expansion in infusion services, although challenges such as the impact of Stelara biosimilars and pressure on gross margins were noted.
Strong Revenue Growth
Option Care Health reported a robust 12% revenue growth compared to the previous year. This growth was primarily driven by mid-teens growth in acute therapies and low double-digit growth in chronic therapies, underscoring the company’s strong market position and effective strategy execution.
Raised Full-Year Guidance
Reflecting continued confidence in its platform, Option Care Health raised the midpoints of its full-year revenue, adjusted EBITDA, and adjusted EPS guidance. This upward revision signals the company’s optimistic outlook and its ability to navigate market dynamics successfully.
Expanded Infusion Services
The company expanded its infusion services significantly, conducting over 175,000 nursing visits and enhancing its clinical competencies through an advanced practitioner model. This expansion positions Option Care Health to better serve higher acuity patients, further solidifying its market presence.
Strong Cash Flow and Capital Management
Option Care Health demonstrated strong cash flow and capital management, generating $223 million in cash flow from operations year-to-date. The company also refinanced its term loan and maintained a net debt to adjusted EBITDA leverage of 1.9x, highlighting its financial stability and strategic financial planning.
Impact of Stelara Biosimilars
The adoption of Stelara biosimilars posed a challenge, negatively impacting chronic portfolio growth by 380 basis points. This development affected revenue and gross profit due to lower reference prices, indicating a need for strategic adjustments in response to biosimilar market dynamics.
Gross Margin Pressure
Despite a 6.3% increase in gross profit, Option Care Health faced pressure on its gross margin rate. This was due to the dynamics surrounding Stelara and lower margins from limited distribution and rare therapies, presenting an area for potential improvement.
Forward-Looking Guidance
Looking ahead, Option Care Health has updated its full-year 2025 guidance, projecting revenues between $5.6 billion and $5.65 billion, adjusted EBITDA between $468 million and $473 million, and adjusted EPS between $1.68 and $1.72. This guidance reflects the company’s confidence in its platform and execution capabilities, despite ongoing regulatory and market changes.
In conclusion, Option Care Health’s earnings call painted a picture of a company on a strong growth trajectory, with raised guidance and strategic expansions in infusion services. While challenges such as the impact of Stelara biosimilars and gross margin pressures exist, the company’s effective capital management and optimistic outlook suggest a promising future.

