Option Care Health (OPCH) Earnings: Q3 2026 Results
Last updated November 2026
Short answer
Option Care Health reported revenue of $1.5 billion for Q3 2026, up 4% from a year earlier (Option Care Health, Nov 4, 2026). Diluted EPS was $0.38, up 19% from $0.32. Commercial payers brought in $1,284 million, up 3%. Every figure is from Option Care Health's release. Walnut is informational, not investment advice.
OPCH Q3 2026 results
In one sentence
Option Care Health reported revenue of $1.5 billion for Q3 2026, up 4% from a year earlier (Option Care Health, Nov 4, 2026).
| Measure | Q3 2026 | Q3 2025 | Change |
|---|---|---|---|
| Revenue | $1,494 million | $1,435 million | up 4% |
| Diluted EPS (GAAP) | $0.38 | $0.32 | up 19% |
| Diluted EPS (Adjusted diluted EPS) | $0.49 | $0.45 | up 9% |
| Net income | $57.4 million | $51.8 million | up 11% |
The quarter ended September 30, 2026 and Option Care Health published the results on November 4, 2026. Revenue and diluted EPS are shown against Q3 2025, the same quarter a year earlier, which takes seasonal swings out of the comparison. Option Care Health reports EPS two ways: GAAP, under the accounting rules every US filer follows, and Adjusted diluted EPS, which leaves out items the company considers outside its operating results. The release reconciles the two, and when they diverge, the reconciliation says why.
- On October 5, 2026, Option Care Health agreed to be acquired by an investor group of Clayton, Dubilier & Rice and McKesson for $32.05 a share in cash. Because of the pending deal it held no earnings call and withdrew its previously disclosed financial guidance.
- Option Care Health has one reportable segment, infusion services. The rows above are its disclosed net revenue by category of payer. It reports in thousands of dollars; figures here are converted to millions.
Source: Option Care Health Q3 2026 results, November 4, 2026. Also in the Form 10-Q for the quarter ended September 30, 2026. Figures as reported; checked against the release on November 10, 2026.
OPCH revenue by segment
How Option Care Health splits revenue in its own release, under its own labels, for Q3 2026 against Q3 2025. Indented lines are parts of the line above them.
| Net revenue by category of payer | Q3 2026 | Q3 2025 | Change |
|---|---|---|---|
| Commercial payers | $1,284 million | $1,252 million | up 3% |
| Government payers | $194 million | $173 million | up 12% |
| Patients | $15.3 million | $10.1 million | up 51% |
- Option Care Health's Commercial payers revenue was $1.3 billion in Q3 2026, up 3% from $1.3 billion in Q3 2025, 86% of total revenue.
- Option Care Health's Government payers revenue was $194 million in Q3 2026, up 12% from $173 million in Q3 2025, 13% of total revenue.
- Option Care Health's Patients revenue was $15.3 million in Q3 2026, up 51% from $10.1 million in Q3 2025, 1% of total revenue.
Segment lines are the figures writers cite most often, because they show where the growth in a quarter came from. Companies redraw their segments from time to time and restate the prior year to match, so a year-ago figure here can differ from the one printed a year ago. When that has happened, the note above says so.
OPCH recent quarters
Revenue and diluted EPS for the last 5 quarters. Each date links to that quarter's release.
| Quarter | Revenue | Diluted EPS | Reported |
|---|---|---|---|
ended Sep 30, 2026 | $1,494 million | $0.38 | Nov 4, 2026 |
Q2 2026 ended Jun 30, 2026 | $1,442 million | $0.35 | Jul 29, 2026 |
Q1 2026 ended Mar 31, 2026 | $1,351 million | $0.29 | Apr 30, 2026 |
Q4 2025 ended Dec 31, 2025 | $1,465 million | $0.37 | Feb 24, 2026 |
Q3 2025 ended Sep 30, 2025 | $1,435 million | $0.32 | Oct 30, 2025 |
GAAP net revenue and diluted EPS, each as first reported in that quarter's release.
When does OPCH report earnings next?
We do not hold a confirmed date for Option Care Health's next report. Companies post the date on their investor relations site a few weeks ahead, usually with the time of the conference call.
Past Option Care Health quarterly reports
Each quarter keeps its own page with the figures as reported, so a link to one stays pointed at the same numbers after the next report.
- Q3 2026 (this page), reported Nov 4, 2026
What Option Care Health's revenue is made of
Option Care Health provides home and alternate site infusion services: it dispenses infused drugs and supplies and provides nursing and clinical support, mostly in patients' homes and also in ambulatory infusion suites. Its 2025 Form 10-K describes a national network of 87 full-service pharmacies, 73 of them with ambulatory infusion suites, plus 109 stand-alone ambulatory infusion suites. Net revenue in Q3 2026 was $1,493.5 million, up 4.1%. (Option Care Health Q3 2026 release, Nov 4, 2026; Option Care Health Form 10-K, 2025, Feb 24, 2026)
Option Care Health attributed the growth mainly to its acute portfolio of therapies, which grew at a high-single-digit rate. Its chronic therapies grew at a low-single-digit rate: immunoglobulin and neurology therapies and the rare and orphan portfolio grew, while the chronic inflammatory disease (CID) portfolio declined because of patient attrition and unfavorable therapy mix. (Option Care Health Form 10-Q, Q3 2026, Nov 4, 2026)
Commercial payers accounted for $1,284.1 million of Option Care Health's net revenue in Q3 2026, government payers $194.2 million and patients $15.3 million. About 13% of revenue was reimbursable through direct government healthcare programs such as Medicare and Medicaid, against about 12% a year earlier. Its largest payer represented about 14% of revenue in 2025, and no other payer was more than 10%. (Option Care Health Form 10-Q, Q3 2026, Nov 4, 2026; Option Care Health Form 10-K, 2025, Feb 24, 2026)
Gross profit rose 4.4% to $285.0 million, a margin of 19.1% against 19.0%. Option Care Health said growth in higher-margin therapies and operational initiatives were partly offset by therapy mix shifts, and it continues to expect CID-related dynamics to reduce 2026 gross profit by about $55 million. (Option Care Health Form 10-Q, Q3 2026, Nov 4, 2026)
What Option Care Health's EPS includes
Option Care Health's GAAP diluted EPS was $0.38 in Q3 2026, up 18.8% from $0.32, and adjusted diluted EPS was $0.49, up from $0.45. Adjusted net income of $74.4 million adds back intangible asset amortization ($9.3 million), stock-based incentive compensation ($9.3 million) and restructuring, acquisition, integration and other costs ($4.7 million), less $6.3 million of tax adjustments. Selling, general and administrative expenses rose mainly because of transaction costs for the pending merger. (Option Care Health Q3 2026 release, Nov 4, 2026; Option Care Health Form 10-Q, Q3 2026, Nov 4, 2026)
EPS rose faster than Option Care Health's net income, which grew 10.8% to $57.4 million, because diluted weighted average shares fell to 150,491 thousand from 163,086 thousand. The company bought back 7,880,038 shares for $167.5 million in the first nine months of 2026, at an average of $21.26, and made no repurchases in Q3 2026; the merger agreement bars buybacks without the buyer's consent. The effective tax rate was 27.2%, against 24.9%. (Option Care Health Q3 2026 release, Nov 4, 2026; Option Care Health Form 10-Q, Q3 2026, Nov 4, 2026)
Diluted EPS divides net income by the weighted average number of shares outstanding in the quarter, plus the shares that options and other equity awards could add. Buybacks shrink that count and lift EPS for the same profit; share issuance and stock awards enlarge it.
Consensus and guidance at Option Care Health
Option Care Health has withdrawn its financial guidance. Its Q3 2026 release says that, given the pending acquisition by Clayton, Dubilier & Rice and McKesson, it will not host an earnings call and has withdrawn its previously disclosed guidance. (Option Care Health Q3 2026 release, Nov 4, 2026)
Under the merger agreement signed on October 5, 2026, each Option Care Health share is to be converted into $32.05 in cash. The deal is expected to close in the first half of calendar 2027. Option Care Health would owe a termination fee of about $145.96 million, and the buyer a reverse termination fee of about $291.93 million, if the agreement ends under certain circumstances. (Option Care Health Form 10-Q, Q3 2026, Nov 4, 2026)
A consensus figure is the average of the models published by the analysts who cover Option Care Health, collected by a data provider and revised up to the day of the report. A quarter that lands above it says how expectations were set as much as how the business did, and the share price on the day also reflects the guidance and the lines no consensus covers.
The consensus figures on this page are Yahoo Finance's, as pulled on the date shown. Each comes with the number of analysts behind it; the smaller that number, the more one revised estimate can move the average.
The numbers analysts watch at Option Care Health
The figures below are the ones Option Care Health's own release and filings put weight on for Q3 2026, with the latest reported value for each.
| Metric | Latest reported |
|---|---|
| Adjusted EBITDA | $124.6 million, up 4.3% Option Care Health Q3 2026 release, Nov 4, 2026 |
| Gross profit margin | 19.1%, against 19.0% Option Care Health Form 10-Q, Q3 2026, Nov 4, 2026 |
| Government payer revenue | $194.2 million, up from $172.8 million About 13% of revenue reimbursable through direct government programs Option Care Health Form 10-Q, Q3 2026, Nov 4, 2026 |
| Expected CID gross profit impact, 2026 | About $55 million Option Care Health Form 10-Q, Q3 2026, Nov 4, 2026 |
| Operating cash flow | $114.7 million in Q3 2026 $286.2 million for the nine months, against $222.6 million Option Care Health Q3 2026 release, Nov 4, 2026 |
| Takeover price | $32.05 a share in cash Expected to close in the first half of calendar 2027 Option Care Health Form 10-Q, Q3 2026, Nov 4, 2026 |
What the quarter means for a holding is a separate question from what it reported. The case for and against owning OPCH is on is OPCH a buy or a sell?, what analysts expect next is on the OPCH forecast, and what the company does is on the Option Care Health (OPCH) stock page.
How to check OPCH's figures yourself
Every number on this page can be traced to a document Option Care Health published. Checking one takes a couple of minutes, and it is worth doing before you quote a figure anywhere.
- The results release is the document linked in the source line above. Companies publish it on their investor relations site at the moment results go out, and it carries the headline tables: revenue, operating income, net income and EPS for the quarter and the year-ago quarter.
- The same release is filed with the SEC as Exhibit 99.1 to a Form 8-K under Item 2.02, usually on the day of the report. The SEC copy does not change after the fact, which makes it the safer thing to link when you cite a number.
- The quarterly report (Form 10-Q) follows within a few weeks and carries the full financial statements, the segment note and management's discussion of what changed. The fourth quarter is covered by the annual report (Form 10-K) instead.
- Restated comparisons are flagged in the notes on this page. When a company redraws its segments or changes how it adjusts EPS, it restates the year-ago column, so the year-ago figure in a new release can differ from the one printed a year ago. This page always uses the comparison in the newer release, because that is the like-for-like one.
A walk-through of every line in a release, with what each one tells you, is in how to read an earnings report.
Your questions about Option Care Health
Ask Walnut's AI anything about OPCH and see how it fits what you own.
FAQ
What was Option Care Health's revenue last quarter?
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Option Care Health reported revenue of $1,494 million for Q3 2026, the quarter ended September 30, 2026, against $1,435 million in Q3 2025 (up 4%). The figures come from Option Care Health's results release of November 4, 2026.
When does OPCH report earnings next?
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We do not hold a confirmed date for Option Care Health's next report. Companies announce the date on their investor relations site a few weeks ahead, usually with the time of the call.
Where does Option Care Health's revenue come from?
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Option Care Health's Commercial payers revenue was $1.3 billion in Q3 2026, up 3% from $1.3 billion in Q3 2025, 86% of total revenue. Option Care Health's Government payers revenue was $194 million in Q3 2026, up 12% from $173 million in Q3 2025, 13% of total revenue. Option Care Health's Patients revenue was $15.3 million in Q3 2026, up 51% from $10.1 million in Q3 2025, 1% of total revenue. These are the lines of Option Care Health's own "net revenue by category of payer" table for Q3 2026.
How much did Option Care Health's revenue grow last quarter?
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Up 4% on the year: $1,494 million in Q3 2026 against $1,435 million in Q3 2025. That is the year-over-year comparison, the same quarter a year apart, so seasonal patterns in Option Care Health's business do not distort it.
What is the difference between Option Care Health's GAAP and Adjusted diluted EPS EPS?
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GAAP EPS follows US accounting rules and is the figure in the audited statements. Option Care Health's Adjusted diluted EPS EPS starts from it and removes items the company considers outside its operating results; the release lists each adjustment in a reconciliation table. For Q3 2026 the two were $0.38 and $0.49. Analysts' EPS estimates are usually built on the adjusted figure, so check which one a headline compares before you repeat it.
Where do the OPCH numbers on this page come from?
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From Option Care Health's own results release and its Form 10-Q for the quarter ended September 30, 2026, copied as printed, in millions of US dollars. Percent changes are worked out from those figures and rounded to a whole percent, which matches how the release states them. Nothing on this page is an estimate except the consensus, which is labelled with its source and date.
Walnut is informational, not investment advice. Reported figures are copied from Option Care Health's results release and filings; consensus figures, where shown, are third-party estimates captured before the report. Verify figures against the source before relying on them.