Option Care Health Reports Financial Results for Fourth Quarter and Full Year 2024

Core Viewpoint - Option Care Health, Inc. reported solid financial results for the fourth quarter and full year 2024, demonstrating resilience in a challenging environment while focusing on patient-centered care [4]. Fourth Quarter 2024 Financial Highlights - Net revenue reached $1,346.4 million, a 19.7% increase from $1,124.4 million in Q4 2023 [6]. - Gross profit was $268.4 million, representing 19.9% of net revenue, up 8.6% from $247.1 million (22.0% of net revenue) in Q4 2023 [6]. - Net income was $60.1 million, compared to $57.2 million in Q4 2023, with diluted earnings per share of $0.35, a 9.4% increase from $0.32 [6]. - Adjusted net income was $75.5 million, up from $66.7 million in Q4 2023, with adjusted diluted earnings per share of $0.44, a 15.8% increase from $0.38 [6]. - Adjusted EBITDA was $121.6 million, an 8.9% increase from $111.6 million in Q4 2023 [6]. - Cash flow from operations was $36.1 million, down 29.1% from $51.0 million in Q4 2023 [6]. - Approximately $90.0 million of stock was repurchased in Q4 2024 [6]. Full Year 2024 Financial Highlights - Total net revenue for the year was $4,998.2 million, a 16.2% increase from $4,302.3 million in 2023 [6]. - Gross profit for the year was $1,013.0 million, or 20.3% of revenue, up 3.2% from $981.2 million (22.8% of revenue) in 2023 [6]. - Net income for the year was $211.8 million, down from $267.1 million in 2023, with diluted earnings per share of $1.23, a 16.9% decrease from $1.48 [6]. - Adjusted net income was $272.8 million, compared to $257.7 million in 2023, with adjusted diluted earnings per share of $1.58, a 10.5% increase from $1.43 [6]. - Adjusted EBITDA for the year was $443.8 million, up 4.4% from $425.2 million in 2023 [6]. - Cash flow from operations totaled $323.4 million, down 12.9% from $371.3 million in 2023 [6]. Full Year 2025 Financial Guidance - Expected net revenue is projected to be between $5.3 billion and $5.5 billion [7]. - Adjusted diluted earnings per share is anticipated to be between $1.59 and $1.69 [7]. - Adjusted EBITDA is expected to range from $450 million to $470 million [7]. - Cash flow from operations is projected to be at least $320 million [7]. - Effective tax rate is estimated to be between 25% and 27% [7]. - Net interest expense is expected to be approximately $55 million to $60 million [7]. Company Overview - Option Care Health is the largest independent provider of home and alternate site infusion services in the U.S., employing over 8,000 team members, including more than 5,000 clinicians [8].