Finance

Option Care Health Announces Financial Results for the First Quarter Ended March 31, 2024


Option Care Health, Inc.Option Care Health, Inc.

Option Care Health, Inc.

BANNOCKBURN, Ill., April 23, 2024 (GLOBE NEWSWIRE) — Option Care Health, Inc. (the “Company” or “Option Care Health”) (Nasdaq: OPCH), the nation’s largest independent provider of home and alternate site infusion services, announced today financial results for the first quarter ended March 31, 2024.

First Quarter 2024 Financial Results and Highlights

  • Net revenue of $1,146.1 million, up 12.8% compared to $1,015.8 million in the first quarter of 2023

  • Gross profit of $238.5 million, or 20.8% of net revenue, up 4.1% compared to $229.0 million, or 22.5% of net revenue, in the first quarter of 2023

  • Net income of $44.8 million, or $0.26 earnings per share, up 14.2% compared to net income of $39.2 million, or $0.21 diluted earnings per share, in the first quarter of 2023

  • Adjusted EBITDA of $98.3 million, up 4.8% compared to $93.8 million in the first quarter of 2023

  • Cash flow from operations of $(68.8) million compared to $89.8 million in the first quarter of 2023, primarily driven by the Change Healthcare cybersecurity incident

  • Cash and cash equivalents balance was $219.5 million at the end of the first quarter of 2024

  • Completed stock repurchases of approximately $40.0 million

  • Received the 2024 Gallup Exceptional Workplace Award

John C. Rademacher, Chief Executive Officer, commented, “The Option Care Health team delivered solid financial results while navigating a disruptive environment. I am proud of the resilient enterprise we have built and the team’s unwavering commitment to providing extraordinary patient care in the post-acute and ambulatory setting.”

Updated Full Year 2024 Financial Guidance

For the full year 2024, Option Care Health expects to generate:

  • Net revenue of $4.65 billion to $4.8 billion

  • Adjusted EBITDA of $430 million to $450 million

  • Cash flow from operations of at least $300 million, consistent with previous guidance

  • Effective tax rate of 26% – 28%, consistent with previous guidance

  • Net interest expense of approximately $55 million to $60 million, consistent with previous guidance

Conference Call

Option Care Health will host a conference call to discuss its first quarter 2024 financial results later today at 8:30 a.m. ET. The conference call can be accessed via a live audio webcast that will be available online at https://investors.optioncarehealth.com. A replay of the call will be available via webcast for on-demand listening shortly after the completion of the call, at the same web link, and will remain available for approximately 90 days.

About Option Care Health

Option Care Health is the nation’s largest independent provider of home and alternate site infusion services. With over 7,500 team members including more than 4,500 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is reimagining the infusion care experience for patients, customers and team members. To learn more, please visit our website at OptionCareHealth.com.

Investor Contacts

Forward-Looking Statements – Safe Harbor

This press release may contain “forward-looking statements” within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995. Forward-looking statements can be identified by words such as: “anticipate,” “intend,” “plan,” “believe,” “project,” “estimate,” “expect,” “may,” “should,” “will” and similar references to future periods. Examples of forward-looking statements include, among others, statements we may make regarding future revenues, future earnings, regulatory developments, market developments, new products and growth strategies, integration activities and the effects of any of the foregoing on our future results of operations or financial conditions.

Forward-looking statements are neither historical facts nor assurances of future performance. Instead, they are based only on our current beliefs, expectations and assumptions regarding the future of our business, future plans and strategies, projections, anticipated events and trends, the economy and other future conditions. Because forward-looking statements relate to the future, they are subject to inherent uncertainties, risks and changes in circumstances that are difficult to predict and many of which are outside of our control. Our actual results and financial condition may differ materially from those indicated in the forward-looking statements. Important factors that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following: changes in laws and regulations applicable to our business model; changes in market conditions and receptivity to our services and offerings; pending and future litigation; potential liability for claims not covered by insurance; and loss of relationships with managed care organizations and other non-governmental third party payers. For a detailed discussion of the risk factors that could affect our actual results, please refer to the risk factors identified in our SEC reports as filed with the SEC.

Any forward-looking statement made by us in this press release is based only on information currently available to us and speaks only as of the date on which it is made. We undertake no obligation to publicly update any forward-looking statement, whether written or oral, that may be made from time to time, whether as a result of new information, future developments or otherwise.

Note Regarding Use of Non-GAAP Financial Measures

In addition to reporting financial information in accordance with generally accepted accounting principles (GAAP), the Company is also reporting Adjusted EBITDA, which is a non-GAAP financial measure. Adjusted EBITDA is not a measurement of financial performance under GAAP and should not be used in isolation or as a substitute or alternative to net income, operating income or any other performance measure derived in accordance with GAAP, or as a substitute or alternative to cash flow from operating activities or a measure of the Company’s liquidity. In addition, the Company’s definition of Adjusted EBITDA may not be comparable to similarly titled non-GAAP financial measures reported by other companies. Adjusted EBITDA, as defined by the Company, represents net income before net interest expense, income tax expense, depreciation and amortization, stock-based compensation expense, loss on extinguishment of debt, and restructuring, acquisition, integration and other. As part of restructuring, acquisition, integration and other, the Company may incur significant charges such as the write down of certain long‑lived assets, temporary redundant expenses, professional fees, potential retention and severance costs and potential accelerated payments or termination costs for certain of its contractual obligations. Management believes that Adjusted EBITDA provides useful supplemental information regarding the performance of Option Care Health’s business operations and facilitates comparisons to the Company’s historical operating results. We have not reconciled Adjusted EBITDA guidance to net income as management believes creation of this reconciliation would not be practicable due to the uncertainty regarding, and potential variability of, material reconciling items. For a full reconciliation of Adjusted EBITDA to the most comparable GAAP financial measure, please see below.

Schedule 1

OPTION CARE HEALTH, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(IN THOUSANDS)(UNAUDITED)

 

March 31, 2024

 

December 31, 2023

ASSETS

 

 

 

CURRENT ASSETS:

 

 

 

Cash and cash equivalents

$

219,513

 

$

343,849

Accounts receivable, net

 

573,650

 

 

377,658

Inventories

 

241,948

 

 

274,004

Prepaid expenses and other current assets

 

94,603

 

 

98,744

Total current assets

 

1,129,714

 

 

1,094,255

 

 

 

 

NONCURRENT ASSETS:

 

 

 

Property and equipment, net

 

120,969

 

 

120,630

Intangible assets, net

 

19,317

 

 

20,092

Referral sources, net

 

307,482

 

 

315,304

Goodwill

 

1,540,246

 

 

1,540,246

Other noncurrent assets

 

131,834

 

 

126,508

Total noncurrent assets

 

2,119,848

 

 

2,122,780

TOTAL ASSETS

$

3,249,562

 

$

3,217,035

 

 

 

 

LIABILITIES AND STOCKHOLDERS’ EQUITY

 

 

 

CURRENT LIABILITIES:

 

 

 

Accounts payable

$

485,736

 

$

426,513

Other current liabilities

 

151,216

 

 

191,796

Total current liabilities

 

636,952

 

 

618,309

 

 

 

 

NONCURRENT LIABILITIES:

 

 

 

Long-term debt, net of discount, deferred financing costs and current portion

 

1,056,282

 

 

1,056,650

Other noncurrent liabilities

 

127,180

 

 

120,404

Total noncurrent liabilities

 

1,183,462

 

 

1,177,054

Total liabilities

 

1,820,414

 

 

1,795,363

 

 

 

 

STOCKHOLDERS’ EQUITY

 

1,429,148

 

 

1,421,672

TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY

$

3,249,562

 

$

3,217,035

Schedule 2

OPTION CARE HEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF EARNINGS
(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)(UNAUDITED)

 

Three Months Ended March 31,

 

 

2024

 

 

 

2023

 

NET REVENUE

$

1,146,052

 

 

$

1,015,848

 

COST OF REVENUE

 

907,552

 

 

 

786,843

 

GROSS PROFIT

 

238,500

 

 

 

229,005

 

 

 

 

 

OPERATING COSTS AND EXPENSES:

 

 

 

Selling, general and administrative expenses

 

154,742

 

 

 

147,866

 

Depreciation and amortization expense

 

14,728

 

 

 

14,514

 

Total operating expenses

 

169,470

 

 

 

162,380

 

OPERATING INCOME

 

69,030

 

 

 

66,625

 

 

 

 

 

OTHER INCOME (EXPENSE):

 

 

 

Interest expense, net

 

(13,202

)

 

 

(13,834

)

Other, net

 

1,127

 

 

 

1,438

 

Total other expense

 

(12,075

)

 

 

(12,396

)

 

 

 

 

INCOME BEFORE INCOME TAXES

 

56,955

 

 

 

54,229

 

INCOME TAX EXPENSE

 

12,164

 

 

 

15,021

 

NET INCOME

$

44,791

 

 

$

39,208

 

 

 

 

 

Earnings per share, basic

$

0.26

 

 

$

0.22

 

Earnings per share, diluted

$

0.26

 

 

$

0.21

 

 

 

 

 

Weighted average common shares outstanding, basic

 

173,928

 

 

 

181,262

 

Weighted average common shares outstanding, diluted

 

175,624

 

 

 

182,735

 

Schedule 3

OPTION CARE HEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(IN THOUSANDS)(UNAUDITED)

 

Three Months Ended March 31,

 

 

2024

 

 

 

2023

 

CASH FLOWS FROM OPERATING ACTIVITIES:

 

 

 

Net income

$

44,791

 

 

$

39,208

 

Adjustments to reconcile net income to net cash provided by operations:

 

 

 

Depreciation and amortization expense

 

15,305

 

 

 

15,225

 

Other non-cash adjustments

 

21,097

 

 

 

22,498

 

Changes in operating assets and liabilities:

 

 

 

Accounts receivable, net

 

(195,992

)

 

 

(17,812

)

Inventories

 

32,056

 

 

 

(25,362

)

Accounts payable

 

59,223

 

 

 

70,127

 

Other

 

(45,264

)

 

 

(14,132

)

Net cash (used in) provided by operating activities

 

(68,784

)

 

 

89,752

 

 

 

 

 

CASH FLOWS FROM INVESTING ACTIVITIES:

 

 

 

Acquisition of property and equipment

 

(5,820

)

 

 

(5,760

)

Net cash used in investing activities

 

(5,820

)

 

 

(5,760

)

 

 

 

 

CASH FLOWS FROM FINANCING ACTIVITIES:

 

 

 

Purchase of company stock

 

(40,050

)

 

 

(75,000

)

Other financing cash flows

 

(9,682

)

 

 

(5,402

)

Net cash used in financing activities

 

(49,732

)

 

 

(80,402

)

 

 

 

 

NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS

 

(124,336

)

 

 

3,590

 

Cash and cash equivalents – beginning of the period

 

343,849

 

 

 

294,186

 

CASH AND CASH EQUIVALENTS – END OF PERIOD

$

219,513

 

 

$

297,776

 

Schedule 4

OPTION CARE HEALTH, INC.
QUARTERLY RECONCILIATION BETWEEN GAAP AND NON-GAAP MEASURES
(IN THOUSANDS)(UNAUDITED)

 

Three Months Ended March 31,

 

2024

 

2023

Net income

$

44,791

 

$

39,208

Interest expense, net

 

13,202

 

 

13,834

Income tax expense

 

12,164

 

 

15,021

Depreciation and amortization expense

 

15,305

 

 

15,225

EBITDA

 

85,462

 

 

83,288

 

 

 

 

EBITDA adjustments

 

 

 

Stock-based incentive compensation

 

9,605

 

 

5,988

Restructuring, acquisition, integration and other

 

3,223

 

 

4,496

Adjusted EBITDA

$

98,290

 

$

93,772



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