(Mark One) | |||||
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 | |||||
For the quarterly period ended | |||||
OR | |||||
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 | |||||
For the transition period from to |
(State of incorporation) | (I.R.S. Employer Identification No.) | ||||||||||||||||
| | ||||||||||||||||
(Address of principal executive offices) | (Zip Code) |
Title of each Class | Trading Symbol(s) | Name of each exchange on which registered | ||||||
Page Number | ||||||||
PART I | ||||||||
PART II | ||||||||
March 31, 2025 | December 31, 2024 | ||||||||||
(unaudited) | |||||||||||
ASSETS | |||||||||||
CURRENT ASSETS: | |||||||||||
Cash and cash equivalents | $ | $ | |||||||||
Accounts receivable, net | |||||||||||
Inventories | |||||||||||
Prepaid expenses and other current assets | |||||||||||
Total current assets | |||||||||||
NONCURRENT ASSETS: | |||||||||||
Property and equipment, net | |||||||||||
Operating lease right-of-use asset | |||||||||||
Intangible assets, net | |||||||||||
Referral sources, net | |||||||||||
Goodwill | |||||||||||
Other noncurrent assets | |||||||||||
Total noncurrent assets | |||||||||||
TOTAL ASSETS | $ | $ | |||||||||
LIABILITIES AND STOCKHOLDERS’ EQUITY | |||||||||||
CURRENT LIABILITIES: | |||||||||||
Accounts payable | $ | $ | |||||||||
Accrued compensation and employee benefits | |||||||||||
Accrued expenses and other current liabilities | |||||||||||
Current portion of operating lease liability | |||||||||||
Current portion of long-term debt | |||||||||||
Total current liabilities | |||||||||||
NONCURRENT LIABILITIES: | |||||||||||
Long-term debt, net of discount, deferred financing costs and current portion | |||||||||||
Operating lease liability, net of current portion | |||||||||||
Deferred income taxes | |||||||||||
Other noncurrent liabilities | |||||||||||
Total noncurrent liabilities | |||||||||||
Total liabilities | |||||||||||
STOCKHOLDERS’ EQUITY: | |||||||||||
Preferred stock; $ | |||||||||||
Common stock; $ | |||||||||||
Treasury stock; | ( | ( | |||||||||
Paid-in capital | |||||||||||
Retained earnings | |||||||||||
Accumulated other comprehensive income | |||||||||||
Total stockholders’ equity | |||||||||||
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY | $ | $ |
Three Months Ended March 31, | |||||||||||
2025 | 2024 | ||||||||||
NET REVENUE | $ | $ | |||||||||
COST OF REVENUE | |||||||||||
GROSS PROFIT | |||||||||||
OPERATING COSTS AND EXPENSES: | |||||||||||
Selling, general and administrative expenses | |||||||||||
Depreciation and amortization expense | |||||||||||
Total operating expenses | |||||||||||
OPERATING INCOME | |||||||||||
OTHER INCOME (EXPENSE): | |||||||||||
Interest expense, net | ( | ( | |||||||||
Equity in earnings of joint ventures | |||||||||||
Other, net | ( | ||||||||||
Total other expense | ( | ( | |||||||||
INCOME BEFORE INCOME TAXES | |||||||||||
INCOME TAX EXPENSE | |||||||||||
NET INCOME | $ | $ | |||||||||
OTHER COMPREHENSIVE (LOSS) INCOME, NET OF TAX: | |||||||||||
Change in unrealized (loss) gain on cash flow hedges, net of income tax benefit (expense) of $ | $ | ( | $ | ||||||||
OTHER COMPREHENSIVE (LOSS) INCOME | ( | ||||||||||
NET COMPREHENSIVE INCOME | $ | $ | |||||||||
EARNINGS PER COMMON SHARE: | |||||||||||
Earnings per share, basic | $ | $ | |||||||||
Earnings per share, diluted | $ | $ | |||||||||
Weighted average common shares outstanding, basic | |||||||||||
Weighted average common shares outstanding, diluted |
Three Months Ended March 31, | |||||||||||
2025 | 2024 | ||||||||||
CASH FLOWS FROM OPERATING ACTIVITIES: | |||||||||||
Net income | $ | $ | |||||||||
Adjustments to reconcile net income to net cash used in operations: | |||||||||||
Depreciation and amortization expense | |||||||||||
Non-cash operating lease costs | |||||||||||
Deferred income taxes - net | |||||||||||
Amortization of deferred financing costs | |||||||||||
Equity in earnings of joint ventures | ( | ( | |||||||||
Stock-based incentive compensation expense | |||||||||||
Distribution from equity method investments | |||||||||||
Other adjustments | ( | ||||||||||
Changes in operating assets and liabilities: | |||||||||||
Accounts receivable, net | ( | ( | |||||||||
Inventories | |||||||||||
Prepaid expenses and other current assets | |||||||||||
Accounts payable | ( | ||||||||||
Accrued compensation and employee benefits | ( | ( | |||||||||
Accrued expenses and other current liabilities | |||||||||||
Operating lease liabilities | ( | ( | |||||||||
Other noncurrent assets and liabilities | ( | ||||||||||
Net cash used in operating activities | ( | ( | |||||||||
CASH FLOWS FROM INVESTING ACTIVITIES: | |||||||||||
Acquisition of property and equipment | ( | ( | |||||||||
Business acquisitions, net of cash acquired | ( | ||||||||||
Net cash used in investing activities | ( | ( | |||||||||
CASH FLOWS FROM FINANCING ACTIVITIES: | |||||||||||
Stock-based compensation tax withholdings | ( | ( | |||||||||
Purchase of company stock, and related excise taxes | ( | ( | |||||||||
Repayments of debt principal | ( | ( | |||||||||
Other financing activities | |||||||||||
Net cash used in financing activities | ( | ( | |||||||||
NET DECREASE IN CASH AND CASH EQUIVALENTS | ( | ( | |||||||||
Cash and cash equivalents - beginning of the period | |||||||||||
CASH AND CASH EQUIVALENTS - END OF PERIOD | $ | $ | |||||||||
Supplemental disclosure of cash flow information: | |||||||||||
Cash paid for interest | $ | $ | |||||||||
Cash paid for income taxes | $ | $ | |||||||||
Cash paid for operating leases | $ | $ |
Preferred Stock | Common Stock | Treasury Stock | Paid-in Capital | Retained Earnings | Accumulated Other Comprehensive Income (Loss) | Total Stockholders’ Equity | |||||||||||||||||||||||||||||||||||
Balance - December 31, 2023 | $ | $ | $ | ( | $ | $ | $ | $ | |||||||||||||||||||||||||||||||||
Exercise of stock options, vesting of restricted stock, and related tax withholdings | — | — | — | ( | — | — | ( | ||||||||||||||||||||||||||||||||||
Stock-based incentive compensation | — | — | — | — | — | ||||||||||||||||||||||||||||||||||||
Purchase of company stock, and related tax effects | — | — | ( | — | — | — | ( | ||||||||||||||||||||||||||||||||||
Net income | — | — | — | — | — | ||||||||||||||||||||||||||||||||||||
Other comprehensive income | — | — | — | — | — | ||||||||||||||||||||||||||||||||||||
Balance - March 31, 2024 | $ | $ | $ | ( | $ | $ | $ | $ | |||||||||||||||||||||||||||||||||
Balance - December 31, 2024 | $ | $ | $ | ( | $ | $ | $ | $ | |||||||||||||||||||||||||||||||||
Exercise of stock options, vesting of restricted stock, and related tax withholdings | — | — | — | ( | — | — | ( | ||||||||||||||||||||||||||||||||||
Stock-based incentive compensation | — | — | — | — | — | ||||||||||||||||||||||||||||||||||||
Purchase of company stock, and related tax effects | — | — | ( | — | — | — | ( | ||||||||||||||||||||||||||||||||||
Net income | — | — | — | — | — | ||||||||||||||||||||||||||||||||||||
Other comprehensive loss | — | — | — | — | — | ( | ( | ||||||||||||||||||||||||||||||||||
Balance - March 31, 2025 | $ | $ | $ | ( | $ | $ | $ | $ |
Amount | ||||||||
Accounts receivable, net | $ | |||||||
Referral sources (1) | ||||||||
Trademarks/names (1) | ||||||||
Inventory | ||||||||
Other assets | ||||||||
Accounts payable and other liabilities | ( | |||||||
Fair value identifiable assets and liabilities | ||||||||
Goodwill (2) | ||||||||
Cash acquired | ||||||||
Purchase price | ||||||||
Less: cash acquired | ( | |||||||
Purchase price, net of cash acquired | $ |
Three Months Ended March 31, | |||||||||||
2025 | 2024 | ||||||||||
Commercial payers | $ | $ | |||||||||
Government payers | |||||||||||
Patients | |||||||||||
Net revenue | $ | $ |
Three Months Ended March 31, | |||||||||||
2025 | 2024 | ||||||||||
Stock option awards | |||||||||||
Restricted stock awards | |||||||||||
Performance stock unit awards |
Three Months Ended March 31, | |||||||||||
2025 | 2024 | ||||||||||
Numerator: | |||||||||||
Net income | $ | $ | |||||||||
Denominator: | |||||||||||
Weighted average number of common shares outstanding | |||||||||||
Earnings per common share: | |||||||||||
Earnings per common share, basic | $ | $ |
Three Months Ended March 31, | |||||||||||
2025 | 2024 | ||||||||||
Numerator: | |||||||||||
Net income | $ | $ | |||||||||
Denominator: | |||||||||||
Weighted average number of common shares outstanding | |||||||||||
Effect of dilutive securities | |||||||||||
Weighted average number of common shares outstanding, diluted | |||||||||||
Earnings per common share: | |||||||||||
Earnings per common share, diluted | $ | $ |
Fiscal Year Ended December 31, | Minimum Payments | |||||||
2025 | $ | |||||||
2026 | ||||||||
2027 | ||||||||
2028 | ||||||||
2029 | ||||||||
Thereafter | ||||||||
Total lease payments | ||||||||
Less: interest | ( | |||||||
Present value of lease liabilities | $ |
March 31, 2025 | December 31, 2024 | ||||||||||
Infusion pumps | $ | $ | |||||||||
Equipment, furniture and other | |||||||||||
Leasehold improvements | |||||||||||
Computer software, purchased and internally developed | |||||||||||
Assets under development | |||||||||||
Less: accumulated depreciation | ( | ( | |||||||||
Property and equipment, net | $ | $ |
Three Months Ended March 31, | |||||||||||
2025 | 2024 | ||||||||||
Depreciation expense in cost of revenue | $ | $ | |||||||||
Depreciation expense in operating expenses | |||||||||||
Total depreciation expense | $ | $ |
Amount | ||||||||
Balance at December 31, 2024 | $ | |||||||
Acquisitions | ||||||||
Balance at March 31, 2025 | $ |
March 31, 2025 | December 31, 2024 | ||||||||||
Gross intangible assets: | |||||||||||
Referral sources | $ | $ | |||||||||
Trademarks/names | |||||||||||
Other amortizable intangible assets | |||||||||||
Total gross intangible assets | |||||||||||
Accumulated amortization: | |||||||||||
Referral sources | ( | ( | |||||||||
Trademarks/names | ( | ( | |||||||||
Other amortizable intangible assets | ( | ( | |||||||||
Total accumulated amortization | ( | ( | |||||||||
Total intangible assets, net | $ | $ |
Principal Amount | Discount | Debt Issuance Costs | Net Balance | ||||||||||||||||||||
Revolver Facility | $ | $ | $ | $ | |||||||||||||||||||
First Lien Term Loan | ( | ( | |||||||||||||||||||||
Senior Notes | ( | ||||||||||||||||||||||
$ | $ | ( | $ | ( | |||||||||||||||||||
Less: current portion | ( | ||||||||||||||||||||||
Total long-term debt | $ |
Principal Amount | Discount | Debt Issuance Costs | Net Balance | ||||||||||||||||||||
Revolver Facility | $ | $ | $ | $ | |||||||||||||||||||
First Lien Term Loan | ( | ( | |||||||||||||||||||||
Senior Notes | ( | ||||||||||||||||||||||
$ | $ | ( | $ | ( | |||||||||||||||||||
Less: current portion | ( | ||||||||||||||||||||||
Total long-term debt | $ |
Fiscal Year Ended December 31, | Minimum Payments | |||||||
2025 | $ | |||||||
2026 | ||||||||
2027 | ||||||||
2028 | ||||||||
2029 | ||||||||
Total | $ |
Financial Instrument | Carrying Value as of March 31, 2025 | Markets for Identical Item (Level 1) | Significant Other Observable Inputs (Level 2) | Significant Unobservable Inputs (Level 3) | ||||||||||||||||||||||
First Lien Term Loan | $ | $ | $ | $ | ||||||||||||||||||||||
Senior Notes | ||||||||||||||||||||||||||
Total debt instruments | $ | $ | $ | $ |
Fair Value - Derivatives in Asset Position | ||||||||||||||||||||
Derivative | Balance Sheet Caption | March 31, 2025 | December 31, 2024 | |||||||||||||||||
Interest rate cap designated as cash flow hedge | Prepaid expenses and other current assets | $ | $ | |||||||||||||||||
Interest rate cap designated as cash flow hedge | Other noncurrent assets | |||||||||||||||||||
Total derivative assets | $ | $ |
Three Months Ended March 31, | ||||||||||||||
Derivative | 2025 | 2024 | ||||||||||||
Interest rate cap designated as cash flow hedge | $ | ( | $ | |||||||||||
Three Months Ended March 31, | ||||||||||||||||||||
Derivative | Income Statement Caption | 2025 | 2024 | |||||||||||||||||
Interest rate cap designated as cash flow hedge | Interest expense, net | $ | $ | |||||||||||||||||
2025 | 2024 | ||||||||||
Balance, beginning of the year | |||||||||||
Equity award issuances | |||||||||||
Share repurchases | ( | ( | |||||||||
Balance March 31, |
Three Months Ended March 31, | |||||||||||
2025 | 2024 | ||||||||||
Infusion services net revenue | $ | $ | |||||||||
Other revenue (1) | |||||||||||
Total Option Care Health revenue | |||||||||||
(Expense) Income: | |||||||||||
Cost of net revenues - drugs | ( | ( | |||||||||
Salaries, benefits, and other employee expense | ( | ( | |||||||||
Other segment items (2) | ( | ( | |||||||||
Depreciation and amortization expense | ( | ( | |||||||||
Interest expense, net | ( | ( | |||||||||
Equity in earnings of joint ventures | |||||||||||
Other, net | ( | ||||||||||
Income tax expense | ( | ( | |||||||||
Net Income | $ | $ |
Three Months Ended March 31, | |||||||||||||||||||||||
2025 | 2024 | ||||||||||||||||||||||
Amount | % of Revenue | Amount | % of Revenue | ||||||||||||||||||||
NET REVENUE | $ | 1,332,972 | 100.0 | % | $ | 1,146,052 | 100.0 | % | |||||||||||||||
COST OF REVENUE | 1,069,920 | 80.3 | % | 907,552 | 79.2 | % | |||||||||||||||||
GROSS PROFIT | 263,052 | 19.7 | % | 238,500 | 20.8 | % | |||||||||||||||||
OPERATING COSTS AND EXPENSES: | |||||||||||||||||||||||
Selling, general and administrative expenses | 168,118 | 12.6 | % | 154,742 | 13.5 | % | |||||||||||||||||
Depreciation and amortization expense | 15,746 | 1.2 | % | 14,728 | 1.3 | % | |||||||||||||||||
Total operating expenses | 183,864 | 13.8 | % | 169,470 | 14.8 | % | |||||||||||||||||
OPERATING INCOME | 79,188 | 5.9 | % | 69,030 | 6.0 | % | |||||||||||||||||
OTHER INCOME (EXPENSE): | |||||||||||||||||||||||
Interest expense, net | (13,231) | (1.0) | % | (13,202) | (1.2) | % | |||||||||||||||||
Equity in earnings of joint ventures | 1,729 | 0.1 | % | 1,125 | 0.1 | % | |||||||||||||||||
Other, net | (4,130) | (0.3) | % | 2 | — | % | |||||||||||||||||
Total other expense | (15,632) | (1.2) | % | (12,075) | (1.1) | % | |||||||||||||||||
INCOME BEFORE INCOME TAXES | 63,556 | 4.8 | % | 56,955 | 5.0 | % | |||||||||||||||||
INCOME TAX EXPENSE | 16,814 | 1.3 | % | 12,164 | 1.1 | % | |||||||||||||||||
NET INCOME | $ | 46,742 | 3.5 | % | $ | 44,791 | 3.9 | % | |||||||||||||||
OTHER COMPREHENSIVE (LOSS) INCOME, NET OF TAX: | |||||||||||||||||||||||
Change in unrealized (loss) gain on cash flow hedges, net of income tax benefit (expense) of $783 and ($454), respectively | (2,398) | (0.2) | % | 1,551 | 0.1 | % | |||||||||||||||||
OTHER COMPREHENSIVE (LOSS) INCOME | (2,398) | (0.2) | % | 1,551 | 0.1 | % | |||||||||||||||||
NET COMPREHENSIVE INCOME | $ | 44,344 | 3.3 | % | $ | 46,342 | 4.0 | % |
Three Months Ended March 31, | |||||||||||||||||||||||
2025 | 2024 | Variance | |||||||||||||||||||||
(in thousands, except for percentages) | |||||||||||||||||||||||
Net revenue | $ | 1,332,972 | $ | 1,146,052 | $ | 186,920 | 16.3 | % | |||||||||||||||
Cost of revenue | 1,069,920 | 907,552 | 162,368 | 17.9 | % | ||||||||||||||||||
Gross profit | $ | 263,052 | $ | 238,500 | $ | 24,552 | 10.3 | % | |||||||||||||||
Gross profit margin | 19.7 | % | 20.8 | % |
Three Months Ended March 31, | |||||||||||||||||||||||
2025 | 2024 | Variance | |||||||||||||||||||||
(in thousands, except for percentages) | |||||||||||||||||||||||
Selling, general and administrative expenses | $ | 168,118 | $ | 154,742 | $ | 13,376 | 8.6 | % | |||||||||||||||
Depreciation and amortization expense | 15,746 | 14,728 | 1,018 | 6.9 | % | ||||||||||||||||||
Total operating expenses | $ | 183,864 | $ | 169,470 | $ | 14,394 | 8.5 | % |
Three Months Ended March 31, | |||||||||||||||||||||||
2025 | 2024 | Variance | |||||||||||||||||||||
(in thousands, except for percentages) | |||||||||||||||||||||||
Interest expense, net | $ | (13,231) | $ | (13,202) | $ | (29) | 0.2 | % | |||||||||||||||
Equity in earnings of joint ventures | 1,729 | 1,125 | 604 | 53.7 | % | ||||||||||||||||||
Other, net | (4,130) | 2 | (4,132) | NM(1) | |||||||||||||||||||
Total other expense | $ | (15,632) | $ | (12,075) | $ | (3,557) | 29.5 | % |
Three Months Ended March 31, | |||||||||||||||||||||||
2025 | 2024 | Variance | |||||||||||||||||||||
(in thousands, except for percentages) | |||||||||||||||||||||||
Income tax expense | $ | 16,814 | $ | 12,164 | $ | 4,650 | 38.2 | % |
Three Months Ended March 31, | |||||||||||||||||||||||
2025 | 2024 | Variance | |||||||||||||||||||||
(in thousands, except for percentages) | |||||||||||||||||||||||
Net income | $ | 46,742 | $ | 44,791 | $ | 1,951 | 4.4 | % | |||||||||||||||
Other comprehensive (loss) income, net of tax: | |||||||||||||||||||||||
Change in unrealized (loss) gain on cash flow hedges, net of income taxes | (2,398) | 1,551 | (3,949) | (254.6) | % | ||||||||||||||||||
Other comprehensive (loss) income | (2,398) | 1,551 | (3,949) | (254.6) | % | ||||||||||||||||||
Net comprehensive income | $ | 44,344 | $ | 46,342 | $ | (1,998) | (4.3) | % |
Three Months Ended March 31, | |||||||||||||||||
2025 | 2024 | Variance | |||||||||||||||
(in thousands) | |||||||||||||||||
Net cash used in operating activities | $ | (7,214) | $ | (68,784) | $ | 61,570 | |||||||||||
Net cash used in investing activities | (126,693) | (5,820) | (120,873) | ||||||||||||||
Net cash used in financing activities | (107,286) | (49,732) | (57,554) | ||||||||||||||
Net decrease in cash and cash equivalents | (241,193) | (124,336) | (116,857) | ||||||||||||||
Cash and cash equivalents - beginning of period | 412,565 | 343,849 | 68,716 | ||||||||||||||
Cash and cash equivalents - end of period | $ | 171,372 | $ | 219,513 | $ | (48,141) |
Period | Total Number of Shares Purchased | Average Price Paid per Share | Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs | Approximate Dollar Value of Shares That May Yet Be Purchased Under the Plans or Programs | ||||||||||||||||||||||
January 1, 2025 - January 31, 2025 | — | $ | — | — | $ | 500,000,000 | ||||||||||||||||||||
February 1, 2025 - February 28, 2025 | 1,499,849 | 31.70 | 1,499,849 | 452,455,293 | ||||||||||||||||||||||
March 1, 2025 - March 31, 2025 | 1,546,366 | 33.92 | 1,546,366 | 400,000,895 | ||||||||||||||||||||||
3,046,215 | $ | 32.83 | 3,046,215 | $ | 400,000,895 |
Exhibit Number | Description | ||||
31.1 | |||||
31.2 | |||||
32.1 | |||||
32.2 | |||||
101.INS | XBRL Instance Document | ||||
101.SCH | XBRL Taxonomy Extension Schema Document | ||||
101.CAL | XBRL Taxonomy Extension Calculation Linkbase Document | ||||
101.DEF | XBRL Taxonomy Extension Definition Linkbase Document | ||||
101.LAB | XBRL Taxonomy Extension Labels Linkbase Document | ||||
101.PRE | XBRL Taxonomy Extension Presentation Linkbase Document | ||||
104 | XBRL Formatted Cover Page |
OPTION CARE HEALTH, INC. | |||||
Date: April 29, 2025 | /s/ Michael Shapiro | ||||
Michael Shapiro | |||||
Chief Financial Officer and Executive Vice President | |||||
(Principal Financial Officer and Duly Authorized Officer) |
VK736RW,)G49,0<;A^'6O%KR+4OBM\3-4T6XOY;/0](<
MH\4+8,A!QS]3FNC^'?PYU#3-:N/%'B^=;G6KG. #D19Z\^O;VK+\1>$?%/A/
MQY=>*O \*WT5]EKJS8\DGK@=^>: .ST3X8>$M!53:Z3#)(O_ "UG'F-^M<#X
MWO+23X^^%;*S,8-F%614 0LQ('Y?SJ])XK^*6O+]DTWPNFDLXVMGY5V?PZ
M\ V_@?1WC:3[1J%R=]S<8ZGT'M0!V-4=;_Y -_\ ]>TG_H)J]53587N-'O(8
M5W220.JCU)4@4"/-/V>_^1#O?^PC)_Z"M>K&O/?@UX;U3PQX1NK/6[;[-/)>
MO*J;@
CONDENSED CONSOLIDATED BALANCE SHEETS (Parenthetical) - $ / shares |
Mar. 31, 2025 |
Dec. 31, 2024 |
---|---|---|
Statement of Financial Position [Abstract] | ||
Preferred stock, par value (in dollars per share) | $ 0.0001 | $ 0.0001 |
Preferred stock, shares authorized (in shares) | 12,500,000 | 12,500,000 |
Preferred stock, shares, outstanding (in shares) | 0 | 0 |
Common stock, par value (in dollars per share) | $ 0.0001 | $ 0.0001 |
Common stock, shares authorized (in shares) | 250,000,000 | 250,000,000 |
Common stock, shares, issued (in shares) | 184,376,321 | 183,846,725 |
Common stock, shares, outstanding (in shares) | 163,744,493 | 166,261,112 |
Treasury stock, at cost (in shares) | 20,631,828 | 17,585,613 |
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (Parenthetical) - USD ($) $ in Thousands |
3 Months Ended | |
---|---|---|
Mar. 31, 2025 |
Mar. 31, 2024 |
|
Income Statement [Abstract] | ||
Change in unrealized (loss) gain on cash flows, income tax benefit (expense) | $ 783 | $ (454) |
NATURE OF OPERATIONS AND PRESENTATION OF FINANCIAL STATEMENTS |
3 Months Ended |
---|---|
Mar. 31, 2025 | |
Organization, Consolidation and Presentation of Financial Statements [Abstract] | |
NATURE OF OPERATIONS AND PRESENTATION OF FINANCIAL STATEMENTS | NATURE OF OPERATIONS AND PRESENTATION OF FINANCIAL STATEMENTS Corporate Organization and Business — Option Care Health, and its wholly-owned subsidiaries, provides infusion therapy and other ancillary health care services through a national network of 91 full service pharmacies, including 77 with ambulatory infusion suites. Additionally, the Company has 99 stand-alone ambulatory infusion suites, including 16 with advanced practitioner capabilities. The Company contracts with managed care organizations, third-party payers, hospitals, physicians, and other referral sources to provide pharmaceuticals and complex compounded solutions to patients for intravenous delivery in the patients’ homes or other nonhospital settings. The Company operates in one segment, infusion services. The Company’s stock is listed on the Nasdaq Global Select Market as of March 31, 2025. Basis of Presentation — The accompanying unaudited condensed consolidated financial statements have been prepared in conformity with generally accepted accounting principles (“GAAP”) in the United States and contain all adjustments, including normal recurring adjustments, necessary to present fairly the Company’s financial position, results of operations and cash flows for interim financial reporting. The results of operations for the interim periods presented are not necessarily indicative of the results of operations for the entire year. These unaudited condensed consolidated financial statements do not include all of the information and notes to the financial statements required by GAAP for complete financial statements and should be read in conjunction with the 2024 audited consolidated financial statements, including the notes thereto, as presented in our Form 10-K. Principles of Consolidation — The Company’s unaudited condensed consolidated financial statements include the accounts of Option Care Health, Inc. and its subsidiaries. All intercompany transactions and balances are eliminated in consolidation. The Company has investments in companies that are 50% owned and are accounted for as equity-method investments. The Company’s share of earnings from equity-method investments is included in the line entitled “Equity in earnings of joint ventures” in the unaudited condensed consolidated statements of comprehensive income. See Equity-Method Investments within Note 2, Summary of Significant Accounting Policies, for further discussion of the Company’s equity-method investments.
|
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES |
3 Months Ended |
---|---|
Mar. 31, 2025 | |
Accounting Policies [Abstract] | |
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES | SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Cash and Cash Equivalents — The Company considers all highly liquid investments with original maturities of three months or less to be cash equivalents. As of March 31, 2025, cash equivalents consisted of money market funds. Prepaid Expenses and Other Current Assets — Included in prepaid expenses and other current assets are rebates receivable from pharmaceutical and medical supply manufacturers of $33.9 million and $54.4 million as of March 31, 2025 and December 31, 2024, respectively. Equity-Method Investments — The Company’s investments in certain unconsolidated entities are accounted for under the equity method. The balance of these investments is included in other noncurrent assets in the accompanying condensed consolidated balance sheets. As of March 31, 2025 and December 31, 2024, the balance of the investments was $26.2 million and $24.5 million, respectively. The balance of these investments is increased to reflect the Company’s capital contributions and equity in earnings of the investees. The balance of these investments is decreased to reflect the Company’s equity in losses of the investees and for distributions received that are not in excess of the carrying amount of the investments. The Company’s proportionate share of earnings or losses of the investees is recorded in equity in earnings of joint ventures in the accompanying unaudited condensed consolidated statements of comprehensive income. The Company’s proportionate share of earnings was $1.7 million and $1.1 million for the three months ended March 31, 2025 and 2024, respectively. Distributions from the investees are treated as cash inflows from operating activities in the unaudited condensed consolidated statements of cash flows. During the three months ended March 31, 2025, the Company did not receive any distributions from the investees. During the three months ended March 31, 2024, the Company received distributions from the investees of $0.8 million. See Note 16, Related-Party Transactions, for discussion of related-party transactions with these investees. Concentrations of Business Risk — The Company generates revenue from managed care contracts and other agreements with commercial third-party payers. Revenue related to the Company’s largest payer was approximately 15% and 14% for the three months ended March 31, 2025 and 2024, respectively. There were no other managed care contracts that represent greater than 10% of revenue for the periods presented. For the three months ended March 31, 2025 and 2024, approximately 12% of the Company’s revenue was reimbursable through direct government healthcare programs, such as Medicare and Medicaid. As of March 31, 2025 and December 31, 2024, approximately 11% of the Company’s accounts receivable was related to these programs. Governmental programs pay for services based on fee schedules and rates that are determined by the related governmental agency. Laws and regulations pertaining to government programs are complex and subject to interpretation. As a result, there is at least a reasonable possibility that recorded estimates will change in the near term. The Company does not require its patients or other payers to carry collateral for any amounts owed for goods or services provided. Other than as discussed above, concentration of credit risk relating to trade accounts receivable is limited due to the Company’s diversity of patients and payers. Further, the Company generally does not provide charity care; however, Option Care Health offers a financial assistance program for patients that meet certain defined hardship criteria. For the three months ended March 31, 2025 and 2024, approximately 66% of the Company’s pharmaceutical and medical supply purchases were from four vendors. Although there are a limited number of suppliers, the Company believes that other vendors could provide similar products on comparable terms. However, a change in suppliers could cause delays in service delivery and possible losses in revenue, which could adversely affect the Company’s financial condition or operating results.
|
BUSINESS COMBINATIONS |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Business Combination, Asset Acquisition, and Joint Venture Formation [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
BUSINESS COMBINATIONS | BUSINESS COMBINATIONS Intramed Plus, Inc. — On January 24, 2025, pursuant to the securities purchase agreement dated November 27, 2024, the Company completed the acquisition of 100% of the equity interests in Intramed Plus, Inc. (“Intramed Plus”) for a purchase price, net of cash acquired, of $117.3 million. The allocation of the purchase price of Intramed Plus was accounted for as a business combination in accordance with ASC Topic 805, Business Combinations, with the total purchase price being allocated to the assets and liabilities acquired based on the relative fair value of each asset and liability. The following is a preliminary estimate of the allocation of the consideration transferred to acquired identifiable assets and assumed liabilities, net of cash acquired, as of March 31, 2025, which remains open for accounts receivable, accounts payable and intangible assets (in thousands):
(1) Referral sources and trademarks/names have been assigned a useful life of 15 years. (2) Goodwill is attributable to cost synergies from procurement and operational efficiencies and elimination of duplicative administrative costs.
|
REVENUE |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Revenue from Contract with Customer [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
REVENUE | REVENUE The following table sets forth the net revenue earned by category of payer for the three months ended March 31, 2025 and 2024 (in thousands):
|
INCOME TAXES |
3 Months Ended |
---|---|
Mar. 31, 2025 | |
Income Tax Disclosure [Abstract] | |
INCOME TAXES | INCOME TAXES During the three months ended March 31, 2025 and 2024, the Company recorded tax expense of $16.8 million and $12.2 million, respectively, which represents an effective tax rate of 26.5% and 21.4%, respectively. The variance in the Company’s effective tax rate of 26.5% for the three months ended March 31, 2025, compared to the federal statutory rate of 21.0%, is primarily attributable to the difference between federal and state tax rates, and various non-deductible expenses. The variance in the Company’s effective tax rate of 21.4% for the three months ended March 31, 2024, compared to the federal statutory rate of 21.0%, is primarily attributable to the difference between federal and state tax rates, various non-deductible expenses, and a change in state valuation allowance. During the three months ended March 31, 2024, the Company released $2.2 million of state valuation allowance. The Company maintains a valuation allowance of $3.3 million against certain state net operating losses. In assessing the realizability of deferred tax assets, the Company considers whether it is more likely than not that some or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets depends on the generation of future taxable income during the periods in which those temporary differences are deductible. In making this assessment, the Company considers the scheduled reversal of deferred tax liabilities, including the effect in available carryback and carryforward periods, projected taxable income, and tax-planning strategies. On a quarterly basis, the Company evaluates all positive and negative evidence in determining if the valuation allowance is fairly stated. The Company’s tax expense of $16.8 million and $12.2 million for the three months ended March 31, 2025 and 2024, respectively, consists of quarterly federal and state tax liabilities as well as recognized deferred federal and state tax expense. The Company has accumulated federal net operating loss carryovers that are subject to one or more Internal Revenue Code (“Code”) Section 382 limitations. This may limit the Company’s ability to utilize its federal net operating losses
|
EARNINGS PER SHARE |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Earnings Per Share [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
EARNINGS PER SHARE | EARNINGS PER SHARE The Company presents basic and diluted earnings per share for its common stock. Basic earnings per share is calculated by dividing the net income of the Company by the weighted average number of shares of common stock outstanding during the period. Diluted earnings per share is determined by adjusting the profit or loss and the weighted average number of shares of common stock outstanding for the effects of all potentially dilutive securities. The earnings are used as the basis of determining whether the inclusion of common stock equivalents would be anti-dilutive. The computation of diluted shares for the three months ended March 31, 2025 and 2024 includes the effect of shares that would be issued in connection with warrants, stock options, restricted stock awards and performance stock unit awards, as these common stock equivalents are dilutive to the earnings per share recorded in those periods. The following table presents the Company’s common stock equivalents that were excluded from the calculation of earnings per share as they would be anti-dilutive:
The following table presents the Company’s basic earnings per share and shares outstanding (in thousands, except per share data):
The following table presents the Company’s diluted earnings per share and shares outstanding (in thousands, except per share data):
|
LEASES |
3 Months Ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Leases [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
LEASES | LEASES During the three months ended March 31, 2025 and 2024, the Company incurred operating lease expenses of $8.2 million and $7.9 million, respectively, including short-term lease expenses, which were included as a component of selling, general and administrative expenses in the unaudited condensed consolidated statements of comprehensive income. As of March 31, 2025 and December 31, 2024, the weighted-average remaining lease term was 6.6 years and 6.5 years, respectively, and the weighted-average discount rate was 6.77% and 6.56%, respectively. Operating leases mature as follows (in thousands):
During the three months ended March 31, 2025 and 2024, the Company commenced new leases, extensions and amendments, resulting in non-cash operating activities in the unaudited condensed consolidated statements of cash flows of $10.8 million and $11.3 million, respectively, related to increases in the operating lease right-of-use assets and operating lease liabilities. As of March 31, 2025, the Company did not have any significant operating or financing leases that had not yet commenced.
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
LEASES | LEASES During the three months ended March 31, 2025 and 2024, the Company incurred operating lease expenses of $8.2 million and $7.9 million, respectively, including short-term lease expenses, which were included as a component of selling, general and administrative expenses in the unaudited condensed consolidated statements of comprehensive income. As of March 31, 2025 and December 31, 2024, the weighted-average remaining lease term was 6.6 years and 6.5 years, respectively, and the weighted-average discount rate was 6.77% and 6.56%, respectively. Operating leases mature as follows (in thousands):
During the three months ended March 31, 2025 and 2024, the Company commenced new leases, extensions and amendments, resulting in non-cash operating activities in the unaudited condensed consolidated statements of cash flows of $10.8 million and $11.3 million, respectively, related to increases in the operating lease right-of-use assets and operating lease liabilities. As of March 31, 2025, the Company did not have any significant operating or financing leases that had not yet commenced.
|
PROPERTY AND EQUIPMENT |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Property, Plant and Equipment [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
PROPERTY AND EQUIPMENT | PROPERTY AND EQUIPMENT Property and equipment was as follows as of March 31, 2025 and December 31, 2024 (in thousands):
Depreciation expense is recorded within cost of revenue and operating expenses within the unaudited condensed consolidated statements of comprehensive income, depending on the nature of the underlying fixed assets. The depreciation expense included in cost of revenue relates to revenue-generating assets, such as infusion pumps. The depreciation expense included in operating expenses is related to infrastructure items, such as furniture, computer and office equipment, and leasehold improvements. The following table presents the amount of depreciation expense recorded in cost of revenue and operating expenses for the three months ended March 31, 2025 and 2024 (in thousands):
|
GOODWILL AND OTHER INTANGIBLE ASSETS |
3 Months Ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Goodwill and Intangible Assets Disclosure [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
GOODWILL AND OTHER INTANGIBLE ASSETS | GOODWILL AND OTHER INTANGIBLE ASSETS Changes in the carrying amount of goodwill consist of the following for the three months ended March 31, 2025 (in thousands):
The carrying amount and accumulated amortization of intangible assets consist of the following as of March 31, 2025 and December 31, 2024 (in thousands):
Amortization expense for intangible assets was $9.1 million and $8.6 million for the three months ended March 31, 2025 and 2024, respectively.
|
INDEBTEDNESS |
3 Months Ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Debt Disclosure [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
INDEBTEDNESS | INDEBTEDNESS Long-term debt consisted of the following as of March 31, 2025 (in thousands):
Long-term debt consisted of the following as of December 31, 2024 (in thousands):
The interest rate on the First Lien Term Loan was 6.57% and 6.82% as of March 31, 2025 and December 31, 2024, respectively. The weighted average interest rate incurred on the First Lien Term Loan was 6.58% and 8.20% for the three months ended March 31, 2025 and 2024, respectively. The First Lien Term Loan matures on October 27, 2028. The interest rate on the Senior Notes was 4.375% as of March 31, 2025 and December 31, 2024. The weighted average interest rate incurred on the Senior Notes was 4.375% for the three months ended March 31, 2025 and 2024. The Senior Notes mature on October 31, 2029. As of March 31, 2025, the Company had $4.1 million of undrawn letters of credit issued and outstanding, resulting in net borrowing availability under the Revolver Facility of $395.9 million. The Revolver Facility matures on the date that is the earlier of (i) December 7, 2028 and (ii) the date that is 91 days prior to the stated maturity date applicable to any Term B Loans. Long-term debt matures as follows (in thousands):
During the three months ended March 31, 2025 and 2024, the Company engaged in hedging activities to limit its exposure to changes in interest rates. See Note 11, Derivative Instruments, for further discussion. The following table presents the estimated fair values of the Company’s debt obligations as of March 31, 2025 (in thousands):
See Note 12, Fair Value Measurements, for further discussion.
|
DERIVATIVE INSTRUMENTS |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Derivative Instruments and Hedging Activities Disclosure [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
DERIVATIVE INSTRUMENTS | DERIVATIVE INSTRUMENTS The Company utilizes derivative financial instruments for hedging and non-trading purposes to limit the Company’s exposure to its variable interest rate risk. Use of derivative financial instruments in hedging strategies subjects the Company to certain risks, such as market and credit risks. Market risk represents the possibility that the value of the derivative financial instrument will change. Credit risk related to a derivative financial instrument represents the possibility that the counterparty will not fulfill the terms of the contract. The notional, or contractual, amount of the Company’s derivative financial instruments is used to measure interest to be paid or received and does not represent the Company’s exposure due to credit risk. Credit risk is monitored through established approval procedures, including reviewing credit ratings when appropriate. In October 2021, the Company entered into an interest rate cap hedge with a notional amount of $300 million for a five-year term beginning November 30, 2021. The hedge partially offsets risk associated with the First Lien Term Loan’s variable interest rate. The interest rate cap instrument perfectly offsets the terms of the interest rates associated with the variable interest rate of the First Lien Term Loan. The following table summarizes the amount and location of the Company’s derivative instruments in the condensed consolidated balance sheets (in thousands):
The gain and loss associated with the changes in the fair value of the effective portion of the hedging instrument is recorded in other comprehensive (loss) income. The gain and loss associated with the changes in the fair value of the hedging instrument is recognized in net income through interest expense. The following table presents the pre-tax (loss) gain from derivative instruments recognized in other comprehensive (loss) income in the Company’s unaudited condensed consolidated statements of comprehensive income (in thousands):
The following table presents the amount and location of pre-tax income recognized in the Company’s unaudited condensed consolidated statements of comprehensive income related to the Company’s derivative instruments (in thousands):
|
FAIR VALUE MEASURMENTS |
3 Months Ended |
---|---|
Mar. 31, 2025 | |
Fair Value Disclosures [Abstract] | |
FAIR VALUE MEASUREMENTS | FAIR VALUE MEASUREMENTS Fair value measurements are determined by maximizing the use of observable inputs and minimizing the use of unobservable inputs. The hierarchy places the highest priority on unadjusted quoted market prices in active markets for identical assets or liabilities (Level 1 measurements) and gives the lowest priority to unobservable inputs (Level 3 measurements). The categories within the valuation hierarchy are described as follows: •Level 1 — Inputs to the fair value measurement are quoted prices in active markets for identical assets or liabilities. •Level 2 — Inputs to the fair value measurement include quoted prices in active markets for similar assets or liabilities, quoted prices for identical or similar assets or liabilities in markets that are not active, and inputs other than quoted prices that are observable for the asset or liability, either directly or indirectly. •Level 3 — Inputs to the fair value measurement are unobservable inputs or valuation techniques. While the Company believes its valuation methods are appropriate and consistent with other market participants, the use of different methodologies or assumptions to determine the fair value of certain financial instruments could result in a different fair value measurement at the reporting date. First Lien Term Loan: The fair value of the First Lien Term Loan is derived from a broker quote on the loans in the syndication (Level 2 inputs). See Note 10, Indebtedness, for further discussion of the carrying amount and fair value of the First Lien Term Loan. Senior Notes: The fair value of the Senior Notes is derived from a broker quote (Level 2 inputs). See Note 10, Indebtedness, for further discussion of the carrying amount and fair value of the Senior Notes. Interest Rate Cap: The fair value of the interest rate cap is derived from the interest rates prevalent in the market and future expectations of those interest rates (Level 2 inputs). The Company determines the fair value of the investments based on quoted prices from third-party brokers. See Note 11, Derivative Instruments, for further discussion of the fair value of the interest rate cap. Money Market Funds: The fair value of the money market funds is derived from the closing price reported by the fund sponsor and classified as cash and cash equivalents on the Company’s condensed consolidated balance sheets (Level 1 inputs). There were no other material assets or liabilities measured at fair value at March 31, 2025 and December 31, 2024.
|
COMMITMENTS AND CONTINGENCIES |
3 Months Ended |
---|---|
Mar. 31, 2025 | |
Commitments and Contingencies Disclosure [Abstract] | |
COMMITMENTS AND CONTINGENCIES | COMMITMENTS AND CONTINGENCIES The Company is involved in legal proceedings and is subject to investigations, inspections, audits, inquiries, and similar actions by governmental authorities, arising in the normal course of the Company’s business. Some of these suits may purport or may be determined to be class actions and/or involve parties seeking large and/or indeterminate amounts, including punitive or exemplary damages, and may remain unresolved for several years. From time to time, the Company may also be involved in legal proceedings as a plaintiff involving antitrust, tax, contract, intellectual property, and other matters. Gain contingencies, if any, are recognized when they are realized. The results of legal proceedings are often uncertain and difficult to predict, and the costs incurred in litigation can be substantial, regardless of the outcome. The Company does not believe that any of these pending matters, after consideration of applicable reserves and rights to indemnification, will have a material adverse effect on the Company’s condensed consolidated balance sheets. However, substantial unanticipated verdicts, fines, and rulings may occur. As a result, the Company may from time to time incur judgments, enter into settlements, or revise expectations regarding the outcome of certain matters, and such developments could have a material adverse effect on its results of operations in the period in which the amounts are accrued and/or its cash flows in the period in which the amounts are paid.
|
STOCK-BASED INCENTIVE COMPENSATION |
3 Months Ended |
---|---|
Mar. 31, 2025 | |
Share-Based Payment Arrangement [Abstract] | |
STOCK-BASED INCENTIVE COMPENSATION | STOCK-BASED INCENTIVE COMPENSATION Equity Incentive Plans — Under the Company’s 2018 Equity Incentive Plan (the “2018 Plan”), approved at the annual meeting by stockholders on May 3, 2018 and amended and restated on May 19, 2021 and May 15, 2024, the Company may issue, among other things, incentive stock options, non-qualified stock options, stock appreciation rights, restricted stock units, stock grants, and performance units to key employees and directors. The 2018 Plan is administered by the Company’s Compensation Committee, a standing committee of the Company’s Board of Directors. As of May 2021, a total of 9,101,734 shares of common stock were authorized for issuance under the 2018 Plan. In May 2024, an additional 4,000,000 shares were authorized for issuance under the 2018 Plan, resulting in a total of 13,101,734 shares of common stock authorized for issuance. The Company had stock options, restricted stock units and performance stock units outstanding related to the 2018 Plan as of March 31, 2025 and 2024. During the three months ended March 31, 2025 and 2024, total stock-based incentive compensation expense recognized by the Company related to the 2018 Plan was $8.8 million and $9.6 million, respectively.
|
STOCKHOLDERS' EQUITY |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Equity [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
STOCKHOLDERS’ EQUITY | STOCKHOLDERS’ EQUITY Warrants — As of March 31, 2025 and December 31, 2024, the Company has warrants outstanding which entitle holders to purchase an immaterial number of shares of common stock. Share Repurchase Program — The Company’s Board of Directors approved a share repurchase program of up to an aggregate $500.0 million of common stock of the Company. Under the share repurchase program, repurchases may occur in any number of methods depending on timing, market conditions, regulatory requirements, and other corporate considerations. The share repurchase program has no specified expiration date. During the three months ended March 31, 2025 and 2024, the Company purchased 3,046,215 and 1,251,739 shares of common stock for an average share price of $32.83 and $31.96, totaling $100.0 million and $40.0 million, respectively. All repurchased shares became treasury stock. As of March 31, 2025, the Company is authorized to repurchase up to a remaining $400.0 million of common stock of the Company. Shares Outstanding — The following table shows the Company’s changes in shares of common stock for the three months ended March 31, 2025 and 2024 (in thousands):
|
RELATED-PARTY TRANSACTIONS |
3 Months Ended |
---|---|
Mar. 31, 2025 | |
Related Party Transactions [Abstract] | |
RELATED-PARTY TRANSACTIONS | RELATED-PARTY TRANSACTIONS Transactions with Equity-Method Investees — The Company provides management services to its joint ventures such as accounting, invoicing and collections in addition to day-to-day managerial support of the operations of the businesses. The Company recorded management fee income of $1.8 million and $1.5 million for the three months ended March 31, 2025 and 2024, respectively. Management fees are recorded in net revenues in the accompanying unaudited condensed consolidated statements of comprehensive income. During the three months ended March 31, 2025, the Company did not receive any distributions from the investees. During the three months ended March 31, 2024, the Company received distributions from the investees of $0.8 million. The Company had amounts due to its joint ventures of $2.5 million and $1.4 million as of March 31, 2025 and December 31, 2024, respectively. Payables were included in accrued expenses and other current liabilities in the accompanying condensed consolidated balance sheets. These balances primarily relate to cash collections received by the Company on behalf of the joint ventures, offset by certain pharmaceutical inventories and other expenses paid for by the Company on behalf of the joint ventures.
|
SEGMENT REPORTING |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Segment Reporting [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
SEGMENT REPORTING | SEGMENT REPORTING The Company has adopted ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures and has revised prior year disclosures to conform with the current year presentation. The Company operates as a single reportable segment, infusion services. Infusion services derives revenue through the clinical management of infusion therapy, nursing support and care coordination in order to provide solutions to complex patient conditions in the home or other nonhospital settings. The Company’s infusion services segment activities are managed on a consolidated basis and therapies are distributed and administered in a similar manner. Operating segments have been identified based on the financial information utilized by the Company’s Chief Executive Officer, the chief operating decision maker (“CODM”). The CODM uses net income as a measure of profitability to assess segment performance and deciding on how to allocate resources such as capital investments, share repurchases, and acquisitions. The CODM does not use or receive total assets by segment to make decisions regarding resources; therefore, the total asset disclosure by segment has not been included. The following table reflects results of operations of the Company’s reportable segment (in thousands):
(1) Represents business activities related to other miscellaneous revenue streams. (2) Other segment items includes expenses for medical supplies, delivery and packaging, leases, professional services, and other expenses.
|
Pay vs Performance Disclosure - USD ($) $ in Thousands |
3 Months Ended | |
---|---|---|
Mar. 31, 2025 |
Mar. 31, 2024 |
|
Pay vs Performance Disclosure | ||
Net income | $ 46,742 | $ 44,791 |
Insider Trading Arrangements |
3 Months Ended |
---|---|
Mar. 31, 2025 | |
Trading Arrangements, by Individual | |
Rule 10b5-1 Arrangement Adopted | false |
Non-Rule 10b5-1 Arrangement Adopted | false |
Rule 10b5-1 Arrangement Terminated | false |
Non-Rule 10b5-1 Arrangement Terminated | false |
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies) |
3 Months Ended |
---|---|
Mar. 31, 2025 | |
Accounting Policies [Abstract] | |
Basis of Presentation | Basis of Presentation — The accompanying unaudited condensed consolidated financial statements have been prepared in conformity with generally accepted accounting principles (“GAAP”) in the United States and contain all adjustments, including normal recurring adjustments, necessary to present fairly the Company’s financial position, results of operations and cash flows for interim financial reporting. The results of operations for the interim periods presented are not necessarily indicative of the results of operations for the entire year. These unaudited condensed consolidated financial statements do not include all of the information and notes to the financial statements required by GAAP for complete financial statements and should be read in conjunction with the 2024 audited consolidated financial statements, including the notes thereto, as presented in our Form 10-K.
|
Principles of Consolidation | Principles of Consolidation — The Company’s unaudited condensed consolidated financial statements include the accounts of Option Care Health, Inc. and its subsidiaries. All intercompany transactions and balances are eliminated in consolidation.
|
Cash and Cash Equivalents | Cash and Cash Equivalents — The Company considers all highly liquid investments with original maturities of three months or less to be cash equivalents. As of March 31, 2025, cash equivalents consisted of money market funds.
|
Equity Method Investments | Equity-Method Investments — The Company’s investments in certain unconsolidated entities are accounted for under the equity method. The balance of these investments is included in other noncurrent assets in the accompanying condensed consolidated balance sheets. As of March 31, 2025 and December 31, 2024, the balance of the investments was $26.2 million and $24.5 million, respectively. The balance of these investments is increased to reflect the Company’s capital contributions and equity in earnings of the investees. The balance of these investments is decreased to reflect the Company’s equity in losses of the investees and for distributions received that are not in excess of the carrying amount of the investments. The Company’s proportionate share of earnings or losses of the investees is recorded in equity in earnings of joint ventures in the accompanying unaudited condensed consolidated statements of comprehensive income. The Company’s proportionate share of earnings was $1.7 million and $1.1 million for the three months ended March 31, 2025 and 2024, respectively. Distributions from the investees are treated as cash inflows from operating activities in the unaudited condensed consolidated statements of cash flows. During the three months ended March 31, 2025, the Company did not receive any distributions from the investees. During the three months ended March 31, 2024, the Company received distributions from the investees of $0.8 million. See Note 16, Related-Party Transactions, for discussion of related-party transactions with these investees.
|
Concentrations of Business Risk | Concentrations of Business Risk — The Company generates revenue from managed care contracts and other agreements with commercial third-party payers. Revenue related to the Company’s largest payer was approximately 15% and 14% for the three months ended March 31, 2025 and 2024, respectively. There were no other managed care contracts that represent greater than 10% of revenue for the periods presented. For the three months ended March 31, 2025 and 2024, approximately 12% of the Company’s revenue was reimbursable through direct government healthcare programs, such as Medicare and Medicaid. As of March 31, 2025 and December 31, 2024, approximately 11% of the Company’s accounts receivable was related to these programs. Governmental programs pay for services based on fee schedules and rates that are determined by the related governmental agency. Laws and regulations pertaining to government programs are complex and subject to interpretation. As a result, there is at least a reasonable possibility that recorded estimates will change in the near term. The Company does not require its patients or other payers to carry collateral for any amounts owed for goods or services provided. Other than as discussed above, concentration of credit risk relating to trade accounts receivable is limited due to the Company’s diversity of patients and payers. Further, the Company generally does not provide charity care; however, Option Care Health offers a financial assistance program for patients that meet certain defined hardship criteria. For the three months ended March 31, 2025 and 2024, approximately 66% of the Company’s pharmaceutical and medical supply purchases were from four vendors. Although there are a limited number of suppliers, the Company believes that other vendors could provide similar products on comparable terms. However, a change in suppliers could cause delays in service delivery and possible losses in revenue, which could adversely affect the Company’s financial condition or operating results.
|
Fair Value Measurements | FAIR VALUE MEASUREMENTS Fair value measurements are determined by maximizing the use of observable inputs and minimizing the use of unobservable inputs. The hierarchy places the highest priority on unadjusted quoted market prices in active markets for identical assets or liabilities (Level 1 measurements) and gives the lowest priority to unobservable inputs (Level 3 measurements). The categories within the valuation hierarchy are described as follows: •Level 1 — Inputs to the fair value measurement are quoted prices in active markets for identical assets or liabilities. •Level 2 — Inputs to the fair value measurement include quoted prices in active markets for similar assets or liabilities, quoted prices for identical or similar assets or liabilities in markets that are not active, and inputs other than quoted prices that are observable for the asset or liability, either directly or indirectly. •Level 3 — Inputs to the fair value measurement are unobservable inputs or valuation techniques. While the Company believes its valuation methods are appropriate and consistent with other market participants, the use of different methodologies or assumptions to determine the fair value of certain financial instruments could result in a different fair value measurement at the reporting date. First Lien Term Loan: The fair value of the First Lien Term Loan is derived from a broker quote on the loans in the syndication (Level 2 inputs). See Note 10, Indebtedness, for further discussion of the carrying amount and fair value of the First Lien Term Loan. Senior Notes: The fair value of the Senior Notes is derived from a broker quote (Level 2 inputs). See Note 10, Indebtedness, for further discussion of the carrying amount and fair value of the Senior Notes. Interest Rate Cap: The fair value of the interest rate cap is derived from the interest rates prevalent in the market and future expectations of those interest rates (Level 2 inputs). The Company determines the fair value of the investments based on quoted prices from third-party brokers. See Note 11, Derivative Instruments, for further discussion of the fair value of the interest rate cap. Money Market Funds: The fair value of the money market funds is derived from the closing price reported by the fund sponsor and classified as cash and cash equivalents on the Company’s condensed consolidated balance sheets (Level 1 inputs). There were no other material assets or liabilities measured at fair value at March 31, 2025 and December 31, 2024.
|
BUSINESS COMBINATIONS (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Business Combination, Asset Acquisition, and Joint Venture Formation [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Acquired Identifiable Assets and Assumed Liabilities | The following is a preliminary estimate of the allocation of the consideration transferred to acquired identifiable assets and assumed liabilities, net of cash acquired, as of March 31, 2025, which remains open for accounts receivable, accounts payable and intangible assets (in thousands):
(1) Referral sources and trademarks/names have been assigned a useful life of 15 years. (2) Goodwill is attributable to cost synergies from procurement and operational efficiencies and elimination of duplicative administrative costs.
|
REVENUE (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Revenue from Contract with Customer [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Net Revenue Earned by Category of Payer | The following table sets forth the net revenue earned by category of payer for the three months ended March 31, 2025 and 2024 (in thousands):
|
EARNINGS PER SHARE (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Earnings Per Share [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share | The following table presents the Company’s common stock equivalents that were excluded from the calculation of earnings per share as they would be anti-dilutive:
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Basic and Diluted Earnings Per Share | The following table presents the Company’s basic earnings per share and shares outstanding (in thousands, except per share data):
The following table presents the Company’s diluted earnings per share and shares outstanding (in thousands, except per share data):
|
LEASES (Tables) |
3 Months Ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Leases [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Maturities of Lease Liabilities, Operating | Operating leases mature as follows (in thousands):
|
PROPERTY AND EQUIPMENT (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Property, Plant and Equipment [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Property and Equipment | Property and equipment was as follows as of March 31, 2025 and December 31, 2024 (in thousands):
|
GOODWILL AND OTHER INTANGIBLE ASSETS (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Goodwill and Intangible Assets Disclosure [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Goodwill | Changes in the carrying amount of goodwill consist of the following for the three months ended March 31, 2025 (in thousands):
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Carrying Amount and Accumulated Amortization of Intangible Assets | The carrying amount and accumulated amortization of intangible assets consist of the following as of March 31, 2025 and December 31, 2024 (in thousands):
|
INDEBTEDNESS (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Debt Disclosure [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Debt | Long-term debt consisted of the following as of March 31, 2025 (in thousands):
Long-term debt consisted of the following as of December 31, 2024 (in thousands):
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Long-term Debt Maturities | Long-term debt matures as follows (in thousands):
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Estimated Fair Values of Debt Obligations | The following table presents the estimated fair values of the Company’s debt obligations as of March 31, 2025 (in thousands):
|
DERIVATIVE INSTRUMENTS (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Derivative Instruments and Hedging Activities Disclosure [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Amount and Location of Derivatives in the Balance Sheet | The following table summarizes the amount and location of the Company’s derivative instruments in the condensed consolidated balance sheets (in thousands):
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Pre-tax Gains (Losses) Recognized in the Statements of Comprehensive Income (Loss) | The following table presents the pre-tax (loss) gain from derivative instruments recognized in other comprehensive (loss) income in the Company’s unaudited condensed consolidated statements of comprehensive income (in thousands):
The following table presents the amount and location of pre-tax income recognized in the Company’s unaudited condensed consolidated statements of comprehensive income related to the Company’s derivative instruments (in thousands):
|
STOCKHOLDERS' EQUITY (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Equity [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Common Stock Outstanding Roll Forward | The following table shows the Company’s changes in shares of common stock for the three months ended March 31, 2025 and 2024 (in thousands):
|
SEGMENT REPORTING (Tables) |
3 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mar. 31, 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Segment Reporting [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Segment Reporting Information, by Segment | The following table reflects results of operations of the Company’s reportable segment (in thousands):
(1) Represents business activities related to other miscellaneous revenue streams. (2) Other segment items includes expenses for medical supplies, delivery and packaging, leases, professional services, and other expenses.
|
NATURE OF OPERATIONS AND PRESENTATION OF FINANCIAL STATEMENTS (Details) |
3 Months Ended |
---|---|
Mar. 31, 2025
pharmacy
suite
segment
| |
Business Acquisition [Line Items] | |
Number of service locations | pharmacy | 91 |
Number of service locations, including ambulatory infusion suites | pharmacy | 77 |
Number of infusion sites | suite | 99 |
Number of infusion sites, including advances practitioner capabilities | suite | 16 |
Number of operating segments | segment | 1 |
Legacy Health Systems | |
Business Acquisition [Line Items] | |
Ownership interest | 50.00% |
BUSINESS COMBINATIONS - Additional Information (Details) - USD ($) $ in Thousands |
3 Months Ended | ||
---|---|---|---|
Jan. 24, 2025 |
Mar. 31, 2025 |
Mar. 31, 2024 |
|
Business Acquisition [Line Items] | |||
Purchase price, net of cash acquired | $ 117,322 | $ 0 | |
Intramed Plus, Inc | |||
Business Acquisition [Line Items] | |||
Percentage of the combined company held | 100.00% | ||
Purchase price, net of cash acquired | $ 117,322 | ||
Intramed Plus, Inc | Referral sources (1) | |||
Business Acquisition [Line Items] | |||
Intangible assets useful life | 15 years | ||
Intramed Plus, Inc | Trademarks/names | |||
Business Acquisition [Line Items] | |||
Intangible assets useful life | 15 years |
BUSINESS COMBINATIONS - Preliminary Estimate of the Allocation Consideration Transferred (Details) - USD ($) $ in Thousands |
3 Months Ended | |||
---|---|---|---|---|
Jan. 24, 2025 |
Mar. 31, 2025 |
Mar. 31, 2024 |
Dec. 31, 2024 |
|
Business Acquisition [Line Items] | ||||
Goodwill (2) | $ 1,605,930 | $ 1,540,246 | ||
Purchase price, net of cash acquired | $ 117,322 | $ 0 | ||
Intramed Plus, Inc | ||||
Business Acquisition [Line Items] | ||||
Accounts receivable, net | $ 10,128 | |||
Inventory | 2,693 | |||
Other assets | 4,831 | |||
Accounts payable and other liabilities | (11,114) | |||
Fair value identifiable assets and liabilities | 51,638 | |||
Goodwill (2) | 65,684 | |||
Cash acquired | 2,968 | |||
Purchase price | 120,290 | |||
Less: cash acquired | (2,968) | |||
Purchase price, net of cash acquired | 117,322 | |||
Intramed Plus, Inc | Referral sources (1) | ||||
Business Acquisition [Line Items] | ||||
Finite-lived intangible assets | 36,800 | |||
Intramed Plus, Inc | Trademarks/names | ||||
Business Acquisition [Line Items] | ||||
Finite-lived intangible assets | $ 8,300 |
REVENUE - Net Revenue Earned by Category of Payer (Details) - USD ($) $ in Thousands |
3 Months Ended | |
---|---|---|
Mar. 31, 2025 |
Mar. 31, 2024 |
|
Disaggregation of Revenue [Line Items] | ||
Net revenue | $ 1,332,972 | $ 1,146,052 |
Commercial payers | ||
Disaggregation of Revenue [Line Items] | ||
Net revenue | 1,144,932 | 988,043 |
Government payers | ||
Disaggregation of Revenue [Line Items] | ||
Net revenue | 160,518 | 138,310 |
Patients | ||
Disaggregation of Revenue [Line Items] | ||
Net revenue | $ 27,522 | $ 19,699 |
INCOME TAXES (Details) - USD ($) $ in Thousands |
3 Months Ended | |
---|---|---|
Mar. 31, 2025 |
Mar. 31, 2024 |
|
Income Tax Examination [Line Items] | ||
Income tax expense | $ 16,814 | $ 12,164 |
Effective tax rate | 26.50% | 21.40% |
State jurisdiction | ||
Income Tax Examination [Line Items] | ||
Release of valuation allowance | $ 2,200 | |
Valuation allowance | $ 3,300 |
EARNINGS PER SHARE - Antidilutive Securities Excluded from Computation of Earnings Per Share (Details) - shares |
3 Months Ended | |
---|---|---|
Mar. 31, 2025 |
Mar. 31, 2024 |
|
Stock option awards | ||
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] | ||
Antidilutive securities excluded (in shares) | 702,287 | 880,815 |
Restricted stock awards | ||
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] | ||
Antidilutive securities excluded (in shares) | 604,589 | 279,144 |
Performance stock unit awards | ||
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] | ||
Antidilutive securities excluded (in shares) | 171,854 | 149,561 |
EARNINGS PER SHARE - Schedule of Basic and Diluted Earnings (Loss) (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands |
3 Months Ended | |
---|---|---|
Mar. 31, 2025 |
Mar. 31, 2024 |
|
Numerator: | ||
Net income | $ 46,742 | $ 44,791 |
Denominator: | ||
Weighted average number of common shares outstanding (in shares) | 165,460 | 173,928 |
Effect of dilutive securities (in shares) | 1,344 | 1,696 |
Weighted average number of common shares outstanding, diluted (in shares) | 166,804 | 175,624 |
Earnings per common share, basic | ||
Earnings per common share, basic (in dollars per share) | $ 0.28 | $ 0.26 |
Earnings per common share, diluted | ||
Earnings per common share, diluted (in dollars per share) | $ 0.28 | $ 0.26 |
LEASES - Additional Information (Details) - USD ($) $ in Millions |
3 Months Ended | ||
---|---|---|---|
Mar. 31, 2025 |
Mar. 31, 2024 |
Dec. 31, 2024 |
|
Leases [Abstract] | |||
Operating lease cost | $ 8.2 | $ 7.9 | |
Weighted-average remaining lease term, operating leases | 6 years 7 months 6 days | 6 years 6 months | |
Weighted-average discount rate, operating leases | 6.77% | 6.56% | |
Increase in operating lease right-of-use asset and lease liabilities | $ 10.8 | $ 11.3 |
LEASES - Maturities of Lease Liabilities (Details) $ in Thousands |
Mar. 31, 2025
USD ($)
|
---|---|
Minimum Payments | |
2025 | $ 21,946 |
2026 | 27,537 |
2027 | 22,446 |
2028 | 15,840 |
2029 | 11,233 |
Thereafter | 43,576 |
Total lease payments | 142,578 |
Less: interest | (30,290) |
Present value of lease liabilities | $ 112,288 |
GOODWILL AND OTHER INTANGIBLE ASSETS - Carrying Amount of Goodwill (Details) $ in Thousands |
3 Months Ended |
---|---|
Mar. 31, 2025
USD ($)
| |
Goodwill [Roll Forward] | |
Goodwill - net book value, begging of period | $ 1,540,246 |
Acquisitions | 65,684 |
Goodwill - net book value, end of period | $ 1,605,930 |
GOODWILL AND OTHER INTANGIBLE ASSETS - Carrying Amount and Accumulated Amortization of Intangible Assets (Details) - USD ($) $ in Thousands |
Mar. 31, 2025 |
Dec. 31, 2024 |
---|---|---|
Finite-Lived Intangible Assets [Line Items] | ||
Total gross intangible assets | $ 599,609 | $ 554,509 |
Total accumulated amortization | (262,596) | (253,499) |
Total intangible assets, net | 337,013 | 301,010 |
Referral sources | ||
Finite-Lived Intangible Assets [Line Items] | ||
Total gross intangible assets | 551,188 | 514,388 |
Total accumulated amortization | (238,602) | (230,371) |
Trademarks/names | ||
Finite-Lived Intangible Assets [Line Items] | ||
Total gross intangible assets | 47,436 | 39,136 |
Total accumulated amortization | (23,416) | (22,599) |
Other amortizable intangible assets | ||
Finite-Lived Intangible Assets [Line Items] | ||
Total gross intangible assets | 985 | 985 |
Total accumulated amortization | $ (578) | $ (529) |
GOODWILL AND OTHER INTANGIBLE ASSETS - Narrative (Details) - USD ($) $ in Millions |
3 Months Ended | |
---|---|---|
Mar. 31, 2025 |
Mar. 31, 2024 |
|
Goodwill and Intangible Assets Disclosure [Abstract] | ||
Amortization expense for intangible assets | $ 9.1 | $ 8.6 |
INDEBTEDNESS - Debt (Details) - USD ($) $ in Thousands |
Mar. 31, 2025 |
Dec. 31, 2024 |
---|---|---|
Debt Instrument [Line Items] | ||
Principal Amount | $ 1,129,988 | $ 1,131,617 |
Discount | (5,194) | (5,537) |
Debt Issuance Costs | (14,122) | (14,927) |
Net Balance | 1,110,672 | 1,111,153 |
Less: current portion | (6,512) | (6,512) |
Total long-term debt | 1,104,160 | 1,104,641 |
Senior Notes | First Lien Term Loan | ||
Debt Instrument [Line Items] | ||
Principal Amount | 629,988 | 631,617 |
Discount | (5,194) | (5,537) |
Debt Issuance Costs | (7,087) | (7,555) |
Net Balance | 617,707 | 618,525 |
Senior Notes | Senior Notes | ||
Debt Instrument [Line Items] | ||
Principal Amount | 500,000 | 500,000 |
Discount | 0 | 0 |
Debt Issuance Costs | (7,035) | (7,372) |
Net Balance | 492,965 | 492,628 |
Senior Notes | Revolver Facility | ||
Debt Instrument [Line Items] | ||
Principal Amount | 0 | 0 |
Discount | 0 | 0 |
Debt Issuance Costs | 0 | 0 |
Net Balance | $ 0 | $ 0 |
INDEBTEDNESS - Additional Information (Details) - Senior Notes - USD ($) $ in Millions |
3 Months Ended | ||
---|---|---|---|
Mar. 31, 2025 |
Mar. 31, 2024 |
Dec. 31, 2024 |
|
Credit Agreements, Entered Into 2019 | First Lien Term Loan | |||
Debt Instrument [Line Items] | |||
Effective rate on term loans at end of period | 6.57% | 6.82% | |
Weighted average interest rate paid on term loans during period | 6.58% | 8.20% | |
Credit Agreements, Entered Into 2019 | Second Lien Term Loan | |||
Debt Instrument [Line Items] | |||
Effective rate on term loans at end of period | 4.375% | 4.375% | |
Weighted average interest rate paid on term loans during period | 4.375% | 4.375% | |
Revolver Facility | Credit Agreements, Entered Into 2019 | |||
Debt Instrument [Line Items] | |||
Undrawn letters of credit issued and outstanding | $ 4.1 | ||
Revolver Facility | Second Lien Credit Agreement | |||
Debt Instrument [Line Items] | |||
Available borrowing capacity | $ 395.9 |
INDEBTEDNESS - Long Term Debt Maturities (Details) - USD ($) $ in Thousands |
Mar. 31, 2025 |
Dec. 31, 2024 |
---|---|---|
Debt Disclosure [Abstract] | ||
2025 | $ 4,884 | |
2026 | 6,512 | |
2027 | 6,512 | |
2028 | 612,080 | |
2029 | 500,000 | |
Total | $ 1,129,988 | $ 1,131,617 |
DERIVATIVE INSTRUMENTS - Additional Information (Details) - Interest rate cap designated as cash flow hedge - First Lien Term Loan - Designated as Hedging Instrument - Senior Notes |
1 Months Ended |
---|---|
Oct. 31, 2021
USD ($)
| |
Derivative [Line Items] | |
Notional amount of derivative | $ 300,000,000 |
Derivative, term of contract | 5 years |
DERIVATIVE INSTRUMENTS - Balance Sheet Location of Derivatives (Details) - USD ($) $ in Thousands |
Mar. 31, 2025 |
Dec. 31, 2024 |
---|---|---|
Derivative [Line Items] | ||
Total derivative assets | $ 11,533 | $ 14,714 |
Designated as Hedging Instrument | Prepaid expenses and other current assets | Interest rate cap designated as cash flow hedge | ||
Derivative [Line Items] | ||
Total derivative assets | 7,515 | 8,034 |
Designated as Hedging Instrument | Other noncurrent assets | Interest rate cap designated as cash flow hedge | ||
Derivative [Line Items] | ||
Total derivative assets | $ 4,018 | $ 6,680 |
DERIVATIVE INSTRUMENTS - Pre-tax Gain (Loss) on Derivative Instruments (Details) - Interest rate cap designated as cash flow hedge - USD ($) $ in Thousands |
3 Months Ended | |
---|---|---|
Mar. 31, 2025 |
Mar. 31, 2024 |
|
Derivative [Line Items] | ||
Interest rate cap designated as cash flow hedge | $ (3,181) | $ 2,005 |
Interest expense, net | ||
Derivative [Line Items] | ||
Interest rate cap designated as cash flow hedge | $ 2,191 | $ 2,980 |
STOCK-BASED INCENTIVE COMPENSATION (Details) - USD ($) $ in Millions |
1 Months Ended | 3 Months Ended | ||
---|---|---|---|---|
May 31, 2024 |
Mar. 31, 2025 |
Mar. 31, 2024 |
May 31, 2021 |
|
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items] | ||||
Number of shares authorized (in shares) | 13,101,734 | |||
2018 Plan | ||||
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items] | ||||
Number of shares authorized (in shares) | 9,101,734 | |||
Number of additional shares authorized (in shares) | 4,000,000 | |||
HC I Incentive Units | 2018 Plan | ||||
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items] | ||||
Share-based compensation expense | $ 8.8 | $ 9.6 |
STOCKHOLDERS' EQUITY (Details) - USD ($) $ / shares in Units, $ in Millions |
3 Months Ended | ||
---|---|---|---|
Mar. 31, 2025 |
Mar. 31, 2024 |
Dec. 06, 2023 |
|
Class of Warrant or Right [Line Items] | |||
Treasury stock, shares, acquired (in shares) | 3,046,215 | 1,251,739 | |
Treasury stock acquired, average cost per share (in dollars per share) | $ 32.83 | $ 31.96 | |
Shares repurchased | $ 100.0 | $ 40.0 | |
Stock repurchase program, authorized amount | $ 400.0 | ||
Common Stock | |||
Class of Warrant or Right [Line Items] | |||
Number of shares authorized to be repurchased (in shares) | 500,000,000.0 |
STOCKHOLDERS' EQUITY - Schedule of Changes in Shares of Common Stock (Details) - shares |
3 Months Ended | |
---|---|---|
Mar. 31, 2025 |
Mar. 31, 2024 |
|
Increase (Decrease) in Stockholders' Equity [Roll Forward] | ||
Balance, beginning of the year | 166,261,112 | |
Balance, end of the period | 163,744,493 | |
Common Stock | ||
Increase (Decrease) in Stockholders' Equity [Roll Forward] | ||
Balance, beginning of the year | 166,261,000 | 174,576,000 |
Equity award issuances | 529,000 | 492,000 |
Share repurchases | (3,046,000) | (1,252,000) |
Balance, end of the period | 163,744,000 | 173,816,000 |
RELATED-PARTY TRANSACTIONS (Details) - USD ($) $ in Thousands |
3 Months Ended | ||
---|---|---|---|
Mar. 31, 2025 |
Mar. 31, 2024 |
Dec. 31, 2024 |
|
Related Party Transaction [Line Items] | |||
Distributions received from the investees | $ 0 | $ 750 | |
Joint Venture | |||
Related Party Transaction [Line Items] | |||
Management fee income | 1,800 | 1,500 | |
Distributions received from the investees | $ 800 | ||
Due to joint ventures | $ 2,500 | $ 1,400 |
+UM-"FIP/HTZ@O[!E) 9
ML8+^?%JR%)=HGLI[1:M^BY+P' O-90$*US/O*KA81/:\._ 'QXWN?(/U9"7E
MLUU\36;>P!)"@;&Q"(S^7O :A;! 1.-'@^FU)JUB]WN'_MGY3KZLF,9K*;[S
MQ&0S[\R#!->L$N9!;KY@X\_(XL52:/<+F_IL2!;C2AN9-\JTSGE1_[/7)@X=
MA;/! 86P40@=[]J08WG##)M/E=R LJ<)S7XX5YTVD>.%3 )-O./"CA:EM@M^&M>X@$?0/^JM-#-_H!!: 5=4
M<"0A3[S59+E>V'@7\)-"JT[&R%:R%^+93C8D\0(K! PR;0G8/ YP#XQ9D-'X
MW3.]84N;>#H^TK^ZVDTM>ZS@7K!?E.@R\3YXB$".&Z9WHOT&?3TSR\L$4^X7
MM5UL]-%#6:.TJ/ID8U!1WCWQ2W\.)PF&V)GTLC+0>QID#
MR_LOQW.+?VOQL)]DZ5O"]Z\"]I+:M\?'J]_"\Y'8#$0K->[#\0Z_ J?R5-8-
M$X\P9R5TA_V(SO*JLDE+^Q>B5&PIH$)#7CF(@KSA!CA5LO6:K*$+E38TH#[A
M2*-;AVT9U!D$U?=$*M7VD ?&*S;QQ4W(Z%U^7OBDI9N,T_YX98KW]?G>HM
M4FDC;N;,6N
-
M]<&A?,V5L6">)>JMBTNI54V,54[O![4RVX9]UR4[4<.RY#E'F?..7U