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INCOME TAXES - Schedule of Income Tax Benefit (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
U.S. federal income tax expense (benefit):
Current	$ 51,994	$ 47,239	$ 56,474
Deferred	9,291	16,396	18,739
Federal income tax expense (benefit)	61,285	63,635	75,213
State income tax expense (benefit):
Current	12,606	10,597	20,253
Deferred	1,424	(2,456)	(3,814)
State income tax expense	14,030	8,141	16,439
Effective income tax rate	$ 75,315	$ 71,776	$ 91,652

- Definition

Amount of current income tax expense (benefit) and deferred income tax expense (benefit) pertaining to continuing operations.

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+ Details

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY - USD ($) $ in Thousands	Total	Preferred Stock	Common Stock	Treasury Stock	Paid-in Capital	Retained Earnings	Accumulated Other Comprehensive Income (Loss)
Beginning balance at Dec. 31, 2022	$ 1,386,103	$ 0	$ 18	$ (2,403)	$ 1,176,906	$ 190,423	$ 21,159
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Stock-based incentive compensation	30,479				30,479
Exercise of stock options, vesting of restricted stock, and related tax withholdings	(3,115)				(3,115)
Purchase of company stock, and related tax effects	(252,704)			(252,704)
Net income	267,090					267,090
Other comprehensive loss	(6,181)						(6,181)
Ending balance at Dec. 31, 2023	1,421,672	0	18	(255,107)	1,204,270	457,513	14,978
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Stock-based incentive compensation	36,143				36,143
Exercise of stock options, vesting of restricted stock, and related tax withholdings	(8,978)				(8,978)
Purchase of company stock, and related tax effects	(252,491)			(252,491)
Net income	211,823					211,823
Other comprehensive loss	(3,931)						(3,931)
Ending balance at Dec. 31, 2024	1,404,238	0	18	(507,598)	1,231,435	669,336	11,047
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Stock-based incentive compensation	39,956				39,956
Exercise of stock options, vesting of restricted stock, and related tax withholdings	(7,842)				(7,842)
Purchase of company stock, and related tax effects	(310,603)			(310,603)
Net income	207,585					207,585
Other comprehensive loss	(6,941)						(6,941)
Ending balance at Dec. 31, 2025	$ 1,326,393	$ 0	$ 18	$ (818,201)	$ 1,263,549	$ 876,921	$ 4,106

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

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- Definition

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+ Details

DERIVATIVE INSTRUMENTS - Additional Information (Details) - USD ($) $ in Millions	1 Months Ended
	Oct. 31, 2021	Dec. 31, 2025
Derivative [Line Items]
Total interest rate costs expected to reclassify during next 12 months		$ 2.5
First Lien Term Loan \| Interest rate cap designated as cash flows hedge \| Designated as Hedging Instrument \| Senior Notes
Derivative [Line Items]
Notional amount of derivative	$ 300.0
Derivative term of contract	5 years

STOCK-BASED INCENTIVE COMPENSATION - Schedule of Assumptions Used to Compute Fair Value of Stock Options (Details) - Stock Option	12 Months Ended
	Dec. 31, 2023
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Expected volatility	51.43%
Risk-free interest rate	4.16%
Expected life of options	6 years 2 months 12 days
Dividend rate	0.00%

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+ Details

EMPLOYEE BENEFIT PLANS	12 Months Ended
EMPLOYEE BENEFIT PLANS	Dec. 31, 2025
Retirement Benefits [Abstract]
EMPLOYEE BENEFIT PLANS	EMPLOYEE BENEFIT PLANS The Company maintains a 401(k) plan and matches 100% of employee contributions, up to 4% of employee compensation. The Company recorded expense for the defined contribution plan of $14.7 million, $13.3 million, and $13.1 million for the years ended December 31, 2025, 2024, and 2023, respectively. In the years ended December 31, 2025, 2024, and 2023, Company contributions of $14.0 million, $13.3 million, and $12.4 million, respectively, were paid.

GOODWILL AND OTHER INTANGIBLE ASSETS -Schedule of Carrying Amount and Accumulated Amortization of Intangible Assets (Details) - USD ($) $ in Thousands	Dec. 31, 2025	Dec. 31, 2024
Finite-Lived Intangible Assets [Line Items]
Total gross intangible assets	$ 598,981	$ 554,509
Total accumulated amortization	(289,803)	(253,499)
Total intangible assets, net	309,178	301,010
Referral sources
Finite-Lived Intangible Assets [Line Items]
Total gross intangible assets	551,188	514,388
Total accumulated amortization	(263,907)	(230,371)
Trademarks/names
Finite-Lived Intangible Assets [Line Items]
Total gross intangible assets	46,808	39,136
Total accumulated amortization	(25,170)	(22,599)
Other amortizable intangible assets
Finite-Lived Intangible Assets [Line Items]
Total gross intangible assets	985	985
Total accumulated amortization	$ (726)	$ (529)

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-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481283/985-20-50-2

Reference 35: http://www.xbrl.org/2003/role/disclosureRef
-Topic 926
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 5
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147483154/926-20-50-5

+ Details

COMMITMENTS AND CONTINGENCIES	12 Months Ended
COMMITMENTS AND CONTINGENCIES	Dec. 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. Material loss contingencies, if any, are accrued for when they are probable and reasonably estimable, and are disclosed when they are reasonably possible. 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 consolidated financial statements. 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.

INDEBTEDNESS - Schedule of Long-term Debt Maturities (Details) - USD ($) $ in Thousands	Dec. 31, 2025	Dec. 31, 2024
Debt Disclosure [Abstract]
2026	$ 6,780
2027	6,780
2028	6,780
2029	506,780
2030	6,780
Thereafter	642,405
Total	$ 1,176,305	$ 1,131,617

STOCK-BASED INCENTIVE COMPENSATION (Tables)

12 Months Ended

Dec. 31, 2025

Share-Based Payment Arrangement [Abstract]

Schedule of Fair Value of Awards

The assumptions used to compute the fair value of options for the year ended December 31, 2023 are as follows:


	Year Ended December 31,
	2023
Expected volatility	51.43	%
Risk-free interest rate	4.16	%
Expected life of options	6.2 years
Dividend rate	—

Schedule of Stock Option Activity

A summary of stock option activity for the year ended December 31, 2025 is as follows:


	Options	Weighted Average Exercise Price		Aggregate Intrinsic Value (thousands)		Weighted Average Remaining Contractual Life
Balance at December 31, 2024	1,483,233	$	25.79	$	1,590
Granted	—	$	—	$	—
Exercised	(96,034)	$	23.75	$	868
Forfeited and expired	(15,773)	$	26.32	$	87
Balance at December 31, 2025	1,371,426	$	25.93	$	8,130	6.4 years
Exercisable at December 31, 2025	678,166	$	23.30	$	5,805	5.7 years

Schedule of Outstanding Options by Exercise Price Range

The following table outlines the outstanding and exercisable stock options as of December 31, 2025:


	Options Outstanding				Options Exercisable
Range of Option Exercise Price	Outstanding Options	Weighted Average Exercise Price		Weighted Average Remaining Contractual Life	Options Exercisable	Weighted Average Exercise Price
$0.00 - $8.24	9,901	$	6.52	1.1 years	9,901	$	6.52
$8.24 - $16.52	55,275	$	12.39	3.6 years	55,275	$	12.39
$16.52 - $24.76	327,926	$	21.54	5.7 years	278,540	$	21.13
$24.76 - $33.00	978,324	$	28.37	6.9 years	334,450	$	27.40
All options	1,371,426				678,166

Schedule of Restricted Stock Award Activity

A summary of restricted stock award activity for the year ended December 31, 2025 is as follows:


	Restricted Stock	Weighted Average Grant Date Fair Value
Balance at December 31, 2024	1,665,412	$	29.41
Granted	907,633	$	31.40
Vested and issued	(581,779)	$	28.20
Forfeited and expired	(140,959)	$	30.66
Balance at December 31, 2025	1,850,307	$	30.70

BUSINESS ACQUISITIONS - Schedule of Preliminary Estimate of the Allocation Consideration Transferred (Details) - USD ($) $ in Thousands		12 Months Ended
	Jan. 24, 2025	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Business Combination [Line Items]
Goodwill		$ 1,606,743	$ 1,540,246	$ 1,540,246	$ 1,533,424
Purchase price, net of cash acquired		$ 117,247	$ 0	$ 12,494
Intramed Plus, Inc
Business Combination [Line Items]
Accounts receivable, net	$ 9,240
Inventory	2,693
Other assets	4,831
Accounts payable and other liabilities	(11,114)
Fair value identifiable assets and liabilities	50,750
Goodwill	66,497
Cash acquired	2,968
Purchase price	120,215
Less: cash acquired	(2,968)
Purchase price, net of cash acquired	117,247
Intramed Plus, Inc \| Referral Sources
Business Combination [Line Items]
Finite-lived intangible assets	$ 36,800
Intangible assets useful life	15 years
Intramed Plus, Inc \| Trademarks/names
Business Combination [Line Items]
Finite-lived intangible assets	$ 8,300
Intangible assets useful life	15 years

INCOME TAXES - Schedule of Deferred Income Tax Assets and Liabilities (Details) - USD ($) $ in Thousands	Dec. 31, 2025	Dec. 31, 2024
Deferred tax assets:
Price concessions	$ 5,697	$ 8,053
Compensation and benefits	7,364	6,166
Interest limitation carryforward	3,533	5,768
Operating lease liability	25,323	23,880
Net operating losses	46,459	50,860
Other	13,012	12,676
Deferred tax assets before valuation allowance	101,388	107,403
Valuation allowance	(2,839)	(3,337)
Deferred tax assets, net of valuation allowance	98,549	104,066
Deferred tax liabilities:
Accelerated depreciation	(16,914)	(12,630)
Operating lease right-of-use asset	(20,078)	(18,883)
Intangible assets	(43,445)	(48,412)
Goodwill	(67,766)	(59,303)
Other	(6,365)	(12,414)
Deferred tax liabilities	(154,568)	(151,642)
Net deferred tax liabilities	$ (56,019)	$ (47,576)

BUSINESS ACQUISITIONS

12 Months Ended

Dec. 31, 2025

Business Combination, Asset Acquisition, Transaction between Entities under Common Control, and Joint Venture Formation [Abstract]

BUSINESS ACQUISITIONS

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 $117.2 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 estimated fair value of each asset and liability. Certain adjustments were made to preliminary valuation amounts related to accounts receivable, net during the year ended December 31, 2025. The following is a final allocation of the consideration transferred to acquired identifiable assets and assumed liabilities, net of cash acquired (in thousands), as of December 31, 2025:


	Amount
Accounts receivable, net	$	9,240
Referral sources (1)	36,800
Trademarks/names (1)	8,300
Inventory	2,693
Other assets	4,831
Accounts payable and other liabilities	(11,114)
Fair value identifiable assets and liabilities	50,750
Goodwill (2)	66,497
Cash acquired	2,968
Purchase price	120,215
Less: cash acquired	(2,968)
Purchase price, net of cash acquired	$	117,247

(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.

Amedisys, Inc. — On May 3, 2023, the Company entered into a definitive merger agreement (the “Amedisys Merger Agreement”) with Amedisys, Inc. (“Amedisys”). Under the terms of the Amedisys Merger Agreement, the Company would issue new shares of its common stock to Amedisys stockholders, which would result in the Company’s stockholders holding approximately 64.5% of the combined company.

On June 26, 2023, the Company entered into an agreement to terminate the Amedisys Merger Agreement (the “Mutual Termination Agreement”). Under the terms of the Mutual Termination Agreement, the Company received a payment of $106.0 million in cash on behalf of Amedisys (the “Termination Fee”). The Termination Fee is included in Other, net in the consolidated statements of comprehensive income and in Net cash provided by operating activities in the consolidated statements of cash flows.

During the year ended December 31, 2023, the Company incurred $21.1 million in merger-related expenses, which are included in Other, net in the consolidated statements of comprehensive income and in Net cash provided by operating activities in the consolidated statements of cash flows.

Revitalized, LLC — In May 2023, pursuant to the equity purchase agreement dated May 1, 2023, the Company completed the acquisition of 100% of the membership interests in Revitalized, LLC for a purchase price, net of cash acquired, of $12.5 million, which primarily consisted of $6.7 million of goodwill and $5.5 million of intangible assets.

LEASES (Tables)

12 Months Ended

Dec. 31, 2025

Leases [Abstract]

Schedule of Maturities of Lease Liabilities, Operating

Operating leases mature as follows (in thousands):


Fiscal Year Ended December 31,	Minimum Payments
2026	$	30,992
2027	25,828
2028	19,042
2029	14,248
2030	11,061
Thereafter	41,711
Total lease payments	142,882
Less: interest	(30,367)
Present value of lease liabilities	$	112,515

SEGMENT REPORTING (Tables)

12 Months Ended

Dec. 31, 2025

Segment Reporting [Abstract]

Schedule of Results of Operations for Reportable Segment

The following table reflects results of operations of the Company’s reportable segment (in thousands):


	Year Ended December 31,
	2025		2024		2023
Infusion services net revenue	$	5,555,778	$	4,911,591	$	4,222,656
Other revenue (1)	93,741		86,611		79,668
Total Option Care Health revenue	5,649,519		4,998,202		4,302,324
(Expense) Income:
Cost of net revenues - drugs	(3,984,955)		(3,446,735)		(2,812,531)
Salaries, benefits, and other employee expense	(848,996)		(787,922)		(760,499)
Other segment items (2)	(410,124)		(380,803)		(355,498)
Depreciation and amortization expense	(67,538)		(60,909)		(59,201)
Interest expense, net	(54,558)		(49,029)		(51,248)
Equity in earnings of joint ventures	7,409		5,964		5,530
Other, net	(7,857)		4,831		89,865
Income tax expense	(75,315)		(71,776)		(91,652)
Net Income	$	207,585	$	211,823	$	267,090

(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.

EARNINGS PER SHARE (Tables)

12 Months Ended

Dec. 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:


	Year Ended December 31,
	2025	2024	2023
Stock option awards	697,024	854,545	1,214,560
Restricted stock awards	575,070	376,743	340,331
Performance stock unit awards	354,696	286,881	—

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):


	Year Ended December 31,
	2025		2024		2023
Numerator:
Net income (1)	$	207,585	$	211,823	$	267,090
Denominator:
Weighted average number of common shares outstanding	162,099		171,567		178,973
Earnings per Common Share:
Earnings per common share, basic	$	1.28	$	1.23	$	1.49

(1) Net income for the year ended December 31, 2023 includes $63.1 million related to the termination payment received on behalf of Amedisys, under the terms of the Mutual Termination Agreement, net of merger-related expenses and taxes. See Note 3, Business Acquisitions, for further discussion.

The following table presents the Company’s diluted earnings per share and shares outstanding (in thousands, except per share data):


	Year Ended December 31,
	2025		2024		2023
Numerator:
Net income (1)	$	207,585	$	211,823	$	267,090
Denominator:
Weighted average number of common shares outstanding	162,099		171,567		178,973
Effect of dilutive securities	1,266		1,278		1,402
Weighted average number of common shares outstanding, diluted	163,365		172,845		180,375
Earnings per Common Share:
Earnings per common share, diluted	$	1.27	$	1.23	$	1.48

STOCKHOLDERS' EQUITY (Details) - USD ($)			12 Months Ended
STOCKHOLDERS' EQUITY (Details) - USD ($)	Mar. 03, 2023	Feb. 28, 2023	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023	Jan. 31, 2026	Jan. 10, 2025	Dec. 06, 2023	Feb. 20, 2023	Aug. 06, 2019	Jun. 29, 2017	Mar. 09, 2015
Class of Warrant or Right [Line Items]
Share repurchase program, authorized amount			$ 192,500,000
Treasury stock, shares, acquired (in shares)	2,475,166		10,079,009	9,255,591	7,946,301
Treasury stock acquired, average cost per share (in dollars per share)			$ 30.51	$ 27.01	$ 31.46
Shares repurchased		$ 75,000,000.0	$ 307,500,000	$ 250,000,000.0	$ 250,000,000.0
Treasury stock, shares (in shares)			27,664,622	17,585,613
Preferred stock outstanding (in shares)			0	0
Common Stock Repurchase Program
Class of Warrant or Right [Line Items]
Share repurchase program, authorized amount							$ 500,000,000.0
Common Stock
Class of Warrant or Right [Line Items]
Share repurchase program, authorized amount								$ 500,000,000.0	$ 250,000,000.0
Common Stock \| Subsequent Event
Class of Warrant or Right [Line Items]
Share repurchase program, authorized amount						$ 1,000,000,000.0
2017 Warrants \| Common Stock
Class of Warrant or Right [Line Items]
Number of shares to be purchased (in shares)										2,100,000
Term of warrants											10 years
Exercise price of warrants (in dollars per share)											$ 8.00
Fair value of warrants										$ 14,100,000
Shares purchased from exercise of warrants (in shares)			0	0
Class of warrant or right, outstanding (in shares)			51,838	51,838
2015 Warrants \| Common Stock
Class of Warrant or Right [Line Items]
Number of shares to be purchased (in shares)												900,000
Term of warrants												10 years
Fair value of warrants										$ 4,600,000
Class of warrant or right, outstanding (in shares)				11,765
Number of warrants exercised (in shares)			0	0
Proceeds from warrant exercises			$ 0	$ 0
2015 Warrants \| Common Stock \| Minimum
Class of Warrant or Right [Line Items]
Exercise price of warrants (in dollars per share)												$ 20.68
2015 Warrants \| Common Stock \| Maximum
Class of Warrant or Right [Line Items]
Exercise price of warrants (in dollars per share)												$ 25.80
Common Stock \| Secondary Offering
Class of Warrant or Right [Line Items]
Additional shares issued (in shares)					23,771,926

EARNINGS PER SHARE - Schedule of Basic and Diluted Earnings (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023	Jun. 26, 2023
Earnings Per Share, Diluted, by Common Class, Including Two Class Method [Line Items]
Net income	$ 207,585	$ 211,823	$ 267,090
Weighted average common shares outstanding, basic (in shares)	162,099	171,567	178,973
Earnings per share, basic (in dollars per share)	$ 1.28	$ 1.23	$ 1.49
Effect of dilutive securities (in shares)	1,266	1,278	1,402
Weighted average number of common shares outstanding, diluted (in shares)	163,365	172,845	180,375
Earnings per share, diluted (in dollars per share)	$ 1.27	$ 1.23	$ 1.48
Amedisys, Inc.
Earnings Per Share, Diluted, by Common Class, Including Two Class Method [Line Items]
Termination fee			$ 63,100	$ 106,000

- Definition

The amount of net income (loss) for the period per each share of common stock or unit outstanding during the reporting period.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 260
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
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Reference 2: http://www.xbrl.org/2003/role/disclosureRef
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Reference 3: http://www.xbrl.org/2003/role/disclosureRef
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Reference 4: http://www.xbrl.org/2003/role/disclosureRef
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Reference 10: http://www.xbrl.org/2003/role/disclosureRef
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Reference 11: http://www.xbrl.org/2003/role/disclosureRef
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+ Details

- Definition

The amount of net income (loss) for the period available to each share of common stock or common unit outstanding during the reporting period and to each share or unit that would have been outstanding assuming the issuance of common shares or units for all dilutive potential common shares or units outstanding during the reporting period.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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-Subparagraph (e)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479343/105-10-65-9

Reference 6: http://www.xbrl.org/2003/role/disclosureRef
-Topic 718
-SubTopic 10
-Name Accounting Standards Codification
-Section 65
-Paragraph 17
-Subparagraph (d)(1)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480336/718-10-65-17

Reference 7: http://www.xbrl.org/2003/role/disclosureRef
-Topic 250
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 6
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147483443/250-10-50-6

Reference 8: http://www.xbrl.org/2003/role/exampleRef
-Topic 260
-SubTopic 10
-Name Accounting Standards Codification
-Section 55
-Paragraph 52
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482635/260-10-55-52

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Topic 805
-SubTopic 60
-Name Accounting Standards Codification
-Section 65
-Paragraph 1
-Subparagraph (g)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147476176/805-60-65-1

Reference 10: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
-SubTopic 323
-Name Accounting Standards Codification
-Section 65
-Paragraph 2
-Subparagraph (g)(3)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147478666/740-323-65-2

Reference 11: http://www.xbrl.org/2003/role/disclosureRef
-Topic 250
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 3
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147483443/250-10-50-3

Reference 12: http://www.xbrl.org/2003/role/disclosureRef
-Topic 260
-SubTopic 10
-Name Accounting Standards Codification
-Section 55
-Paragraph 15
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482635/260-10-55-15

Reference 13: http://www.xbrl.org/2003/role/disclosureRef
-Topic 815
-SubTopic 40
-Name Accounting Standards Codification
-Section 65
-Paragraph 1
-Subparagraph (e)(4)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480175/815-40-65-1

Reference 14: http://www.xbrl.org/2003/role/disclosureRef
-Topic 815
-SubTopic 40
-Name Accounting Standards Codification
-Section 65
-Paragraph 1
-Subparagraph (f)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480175/815-40-65-1

Reference 15: http://www.xbrl.org/2003/role/disclosureRef
-Topic 250
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 11
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147483443/250-10-50-11

Reference 16: http://www.xbrl.org/2003/role/disclosureRef
-Topic 250
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 11
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147483443/250-10-50-11

Reference 17: http://www.xbrl.org/2003/role/disclosureRef
-Topic 250
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 7
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147483443/250-10-50-7

Reference 18: http://www.xbrl.org/2003/role/disclosureRef
-Topic 260
-SubTopic 10
-Name Accounting Standards Codification
-Section 45
-Paragraph 2
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482689/260-10-45-2

Reference 19: http://www.xbrl.org/2003/role/disclosureRef
-Topic 260
-SubTopic 10
-Name Accounting Standards Codification
-Section 45
-Paragraph 60B
-Subparagraph (d)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482689/260-10-45-60B

Reference 20: http://www.xbrl.org/2003/role/disclosureRef
-Topic 220
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
-Paragraph 2
-Subparagraph (SX 210.5-03(25))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147483621/220-10-S99-2

Reference 21: http://www.xbrl.org/2003/role/disclosureRef
-Topic 942
-SubTopic 220
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.9-04(27))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147478524/942-220-S99-1

Reference 22: http://www.xbrl.org/2003/role/disclosureRef
-Topic 944
-SubTopic 220
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.7-04(23))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147477250/944-220-S99-1

Reference 23: http://www.xbrl.org/2003/role/disclosureRef
-Topic 260
-SubTopic 10
-Name Accounting Standards Codification
-Section 45
-Paragraph 7
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482689/260-10-45-7

Reference 24: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 20
-Name Accounting Standards Codification
-Section 65
-Paragraph 4
-Subparagraph (f)(4)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481538/470-20-65-4

+ Details

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

+ References

+ Details

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income	$ 207,585	$ 211,823	$ 267,090
Adjustments to reconcile net income to net cash provided by operations:
Depreciation and amortization expense	70,690	63,498	62,200
Non-cash operating lease costs	25,008	22,581	18,533
Deferred income taxes, net	8,443	12,656	12,766
Loss on extinguishment of debt	4,744	377	0
Amortization of deferred financing costs	4,147	4,628	4,446
Equity in earnings of joint ventures	(7,409)	(5,964)	(5,530)
Stock-based incentive compensation expense	39,956	36,143	30,479
Distribution from equity method investments	4,000	2,400	4,000
Other adjustments	1,033	(4,504)	(1,244)
Changes in operating assets and liabilities:
Accounts receivable, net	(54,593)	(32,075)	224
Inventories	(81,469)	(114,127)	(51,000)
Prepaid expenses and other current assets	17,756	(15,601)	(6,290)
Accounts payable	19,523	183,395	47,703
Accrued compensation and employee benefits	6,292	(29,480)	15,546
Accrued expenses and other current liabilities	9,894	6,133	(1,727)
Operating lease liabilities	(24,034)	(21,911)	(17,529)
Other noncurrent assets and liabilities	6,881	3,420	(8,372)
Net cash provided by operating activities	258,447	323,392	371,295
CASH FLOWS FROM INVESTING ACTIVITIES:
Acquisition of property and equipment	(41,307)	(35,606)	(41,866)
Proceeds from sale of assets	0	0	3,743
Business acquisitions, net of cash acquired	(117,247)	0	(12,494)
Other investing activities	(2,529)	(864)	(5,889)
Net cash used in investing activities	(161,083)	(36,470)	(56,506)
CASH FLOWS FROM FINANCING ACTIVITIES:
Stock-based compensation tax withholdings	(10,599)	(12,382)	(3,115)
Purchase of company stock and related excise taxes	(309,951)	(252,726)	(250,261)
Proceeds from issuance of debt	229,472	49,959	0
Repayments of debt principal	(4,951)	(6,384)	(6,000)
Retirement of debt obligations	(180,239)	0	0
Deferred financing costs	(3,382)	(77)	0
Other financing activities	2,345	3,404	(5,750)
Net cash used in financing activities	(277,305)	(218,206)	(265,126)
NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS	(179,941)	68,716	49,663
Cash and cash equivalents - beginning of period	412,565	343,849	294,186
CASH AND CASH EQUIVALENTS - END OF PERIOD	232,624	412,565	343,849
Supplemental disclosure of cash flows information:
Cash paid for interest	64,658	71,553	69,804
Income Taxes Paid, Net	67,287	64,522	75,241
Cash paid for operating leases	$ 30,737	$ 28,505	$ 27,391

BUSINESS ACQUISITIONS (Tables)

12 Months Ended

Dec. 31, 2025

Business Combination, Asset Acquisition, Transaction between Entities under Common Control, and Joint Venture Formation [Abstract]

Schedule of Acquired Identifiable Assets and Assumed Liabilities

The following is a final allocation of the consideration transferred to acquired identifiable assets and assumed liabilities, net of cash acquired (in thousands), as of December 31, 2025:


	Amount
Accounts receivable, net	$	9,240
Referral sources (1)	36,800
Trademarks/names (1)	8,300
Inventory	2,693
Other assets	4,831
Accounts payable and other liabilities	(11,114)
Fair value identifiable assets and liabilities	50,750
Goodwill (2)	66,497
Cash acquired	2,968
Purchase price	120,215
Less: cash acquired	(2,968)
Purchase price, net of cash acquired	$	117,247

(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.

PROPERTY AND EQUIPMENT (Tables)

12 Months Ended

Dec. 31, 2025

Property, Plant and Equipment [Abstract]

Schedule of Property and Equipment

Property and equipment was as follows as of December 31, 2025 and 2024 (in thousands):


	December 31, 2025		December 31, 2024
Infusion pumps	$	36,497	$	37,659
Equipment, furniture and other	28,087		24,055
Leasehold improvements	126,651		116,675
Computer software, purchased and internally developed	58,608		46,532
Assets under development	19,207		22,990
	269,050		247,911
Less: accumulated depreciation	(129,814)		(120,544)
Property and equipment, net	$	139,236	$	127,367

The following table presents the amount of depreciation expense recorded in cost of revenue and operating expenses for the years ended December 31, 2025, 2024, and 2023 (in thousands):


	Year ended December 31,
	2025		2024		2023
Depreciation expense in cost of revenue	$	3,152	$	2,590	$	2,999
Depreciation expense in operating expenses	30,606		26,503		24,820
Total depreciation expense	$	33,758	$	29,093	$	27,819

SEGMENT REPORTING (Details) - USD ($) $ in Thousands	12 Months Ended
SEGMENT REPORTING (Details) - USD ($) $ in Thousands	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Segment Reporting Information [Line Items]
Infusion services net revenue	$ 5,649,519	$ 4,998,202	$ 4,302,324
(Expense) Income:
Depreciation and amortization expense	(67,538)	(60,909)	(59,201)
Interest expense, net	(54,558)	(49,029)	(51,248)
Equity in earnings of joint ventures	7,409	5,964	5,530
Other, net	(7,857)	4,831	89,865
Income tax expense	(75,315)	(71,776)	(91,652)
NET INCOME	207,585	211,823	267,090
Reportable Segment
Segment Reporting Information [Line Items]
Infusion services net revenue	5,555,778	4,911,591	4,222,656
Other revenue	93,741	86,611	79,668
Total Option Care Health revenue	5,649,519	4,998,202	4,302,324
(Expense) Income:
Cost of net revenues - drugs	(3,984,955)	(3,446,735)	(2,812,531)
Salaries, benefits, and other employee expense	(848,996)	(787,922)	(760,499)
Other segment items	(410,124)	(380,803)	(355,498)
Depreciation and amortization expense	(67,538)	(60,909)	(59,201)
Interest expense, net	(54,558)	(49,029)	(51,248)
Equity in earnings of joint ventures	7,409	5,964	5,530
Other, net	(7,857)	4,831	89,865
Income tax expense	(75,315)	(71,776)	(91,652)
NET INCOME	$ 207,585	$ 211,823	$ 267,090

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME - USD ($) shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Income Statement [Abstract]
NET REVENUE	$ 5,649,519	$ 4,998,202	$ 4,302,324
COST OF REVENUE	4,561,624	3,985,209	3,321,101
GROSS PROFIT	1,087,895	1,012,993	981,223
OPERATING COSTS AND EXPENSES:
Selling, general and administrative expenses	682,451	630,251	607,427
Depreciation and amortization expense	67,538	60,909	59,201
Total operating expenses	749,989	691,160	666,628
OPERATING INCOME	337,906	321,833	314,595
OTHER INCOME (EXPENSE):
Interest expense, net	(54,558)	(49,029)	(51,248)
Equity in earnings of joint ventures	7,409	5,964	5,530
Other, net	(7,857)	4,831	89,865
Total other (expense) income	(55,006)	(38,234)	44,147
INCOME BEFORE INCOME TAXES	282,900	283,599	358,742
INCOME TAX EXPENSE	75,315	71,776	91,652
NET INCOME	207,585	211,823	267,090
OTHER COMPREHENSIVE INCOME (LOSS), NET OF TAX:
Change in unrealized (loss) gain on cash flow hedges, net of income tax benefit (expense) of $2,272, $1,284, and $2,158, respectively	(6,941)	(3,931)	(6,181)
OTHER COMPREHENSIVE (LOSS) INCOME	(6,941)	(3,931)	(6,181)
NET COMPREHENSIVE INCOME	$ 200,644	$ 207,892	$ 260,909
EARNINGS PER COMMON SHARE:
Earnings per share, basic (in dollars per share)	$ 1.28	$ 1.23	$ 1.49
Earnings per share, diluted (in dollars per share)	$ 1.27	$ 1.23	$ 1.48
Weighted average common shares outstanding, basic (in shares)	162,099	171,567	178,973
Weighted average common shares outstanding, diluted (in shares)	163,365	172,845	180,375

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies)	12 Months Ended
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies)	Dec. 31, 2025
Accounting Policies [Abstract]
Basis of Presentation	Basis of Presentation — The accompanying consolidated financial statements have been prepared in conformity with generally accepted accounting principles (“GAAP”) in the United States. GAAP
Principles of Consolidation	Principles of Consolidation — The Company’s 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 December 31, 2025 and 2024, cash equivalents consisted of money market funds.
Accounts Receivable	Accounts Receivable — The Company’s accounts receivable are reported at the net realizable value amount that reflects the consideration the Company expects to receive in exchange for providing services, which is inclusive of adjustments for price concessions. The majority of accounts receivable are due from private insurance carriers and governmental healthcare programs, such as Medicare and Medicaid. Price concessions may result from patient hardships, patient uncollectible accounts sent to collection agencies, lack of recovery due to not receiving prior authorization, differing interpretations of covered therapies in payer contracts, different pricing methodologies, or various other reasons. In accordance with Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) Topic 606, Revenue from Contracts with Customers (“ASC 606”), an allowance for doubtful accounts is established only as a result of an adverse change in the Company’s payers’ ability to pay outstanding billings.
Inventories	Inventories — Inventories, which consist primarily of pharmaceuticals, are stated at the lower of first‑in, first‑out cost or net realizable value basis, which the Company believes is reflective of the physical flow of inventories.
Leases	Leases — The Company has lease agreements for facilities, warehouses, office space and property and equipment. At the inception of a contract, the Company determines if the contract is a lease or contains an embedded lease arrangement. Operating leases are included in the operating lease right-of-use asset (“ROU asset”) and operating lease liabilities in the consolidated financial statements. ROU assets, which represent the Company’s right to use the leased assets, and operating lease liabilities, which represent the present value of unpaid lease payments, are both recognized by the Company at the lease commencement date. The Company utilizes its estimated incremental borrowing rate at the lease commencement date to determine the present value of unpaid lease obligations. The rates are estimated primarily using a methodology dependent on the Company’s financial condition, creditworthiness, and availability of certain observable data. In particular, the Company considers its actual cost of borrowing for collateralized loans and its credit rating, along with the corporate bond yield curve in estimating its incremental borrowing rates. ROU assets are recorded as the amount of operating lease liability, adjusted for prepayments, accrued lease payments, initial direct costs, lease incentives, and impairment of the ROU asset. Tenant improvement allowances used to fund leasehold improvements are recognized when earned and reduce the related ROU asset. Tenant improvement allowances are recognized through the ROU asset as a reduction of expense over the term of the lease. Leases may contain rent escalations; however, the Company recognizes the lease expense on a straight-line basis over the expected lease term. The Company reviews the terms of any lease renewal options to determine if it is reasonably certain that the renewal options will be exercised. The Company has determined that the expected lease term is typically the minimum non-cancelable period of the lease. The Company has lease agreements that contain both lease and non-lease components which the Company has elected to account for as a single lease component for all asset classes. Leases with an initial term of 12 months or less are not recorded on the consolidated balance sheet and are expensed on a straight-line basis over the term of the lease. The Company’s lease agreements do not contain any material residual value guarantees or material restrictive covenants.
Goodwill, Intangible Assets, Property and Equipment, and Referral Sources	Goodwill, Intangible Assets, Property and Equipment, and Referral Sources — Goodwill represents the excess of the purchase price over the fair value of assets acquired and liabilities assumed. The Company accounts for goodwill under ASC Topic 350, Intangibles-Goodwill and Other. The Company tests goodwill for impairment annually, or more frequently whenever events or circumstances indicate that impairment may exist. Goodwill is stated at cost less accumulated impairment losses. The Company completes its goodwill impairment test annually in the fourth quarter on a qualitative basis. See Note 10, Goodwill and Other Intangible Assets, for further discussion of the Company’s goodwill and other intangible assets. Intangible assets arising from the Company’s acquisitions are amortized on a straight‑line basis over the estimated useful life of each asset. Referral sources have a useful life ranging from fifteen to twenty years. Trademarks/names have a useful life ranging from ten to fifteen years. The other amortizable intangible assets have a useful life of approximately five years. The Company does not have any indefinite‑lived intangible assets.
Property and Equipment	Property and equipment is recorded at cost, net of accumulated depreciation. Depreciation on owned property and equipment is provided for on a straight‑line basis over the estimated useful lives of owned assets. Leasehold improvements are amortized over the estimated useful life of the property or over the term of the lease, whichever is shorter. Estimated useful lives are seven years for infusion pumps and three to thirteen years for equipment. Major repairs, which extend the useful life of an asset, are capitalized in the property and equipment accounts. Routine maintenance and repairs are expensed as incurred. Computer software is included in property and equipment and consists of purchased software and internally-developed software. The Company capitalizes application-stage development costs for significant internally-developed software projects. Once the software is ready for its intended use, these costs are amortized on a straight‑line basis over the software’s estimated useful life, generally five years. Costs recognized in the preliminary project phase and the post-implementation phase, as well as maintenance and training costs, are expensed as incurred. See “Recently Issued Accounting Pronouncements” for discussion of ASU 2025-06 and upcoming changes to accounting for software costs. The Company assesses long‑lived assets for impairment whenever events or circumstances indicate that a certain asset or asset group may be impaired. If circumstances require that a long-lived asset or asset group be tested for possible impairment, the Company first compares undiscounted cash flows expected to be generated by that asset or asset group to its carrying amount. If the carrying amount of the long-lived asset or asset group is not recoverable on an undiscounted cash flows basis, an impairment is recognized to the extent that the carrying amount exceeds its fair value.
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 consolidated balance sheets. As of December 31, 2025 and 2024, the balance of the investments was $27.9 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 consolidated statements of comprehensive income. The Company’s proportionate share of earnings was $7.4 million, $6.0 million, and $5.5 million for the years ended December 31, 2025, 2024, and 2023, respectively. Distributions from the investees are treated as cash inflows from operating activities in the consolidated statements of cash flows. During the years ended December 31, 2025, 2024, and 2023, the Company received distributions from the investees of $4.0 million, $2.4 million, and $4.0 million, respectively. See Note 17, Related-Party Transactions, for discussion of related-party transactions with these investees.
Hedging Instruments	Hedging Instruments — The Company uses derivative financial instruments to limit its exposure to increases in the interest rate of its variable rate debt instruments. The derivative financial instruments are recognized on the consolidated balance sheets at fair value. See Note 12, Derivative Instruments, for additional information. At inception of the hedge, the Company designated the derivative instruments as a hedge of the cash flows related to the interest on the variable rate debt. For all instruments designated as hedges, the Company documents the hedging relationships and its risk management objective of the hedging relationship. For all hedging instruments, the terms of the hedge perfectly offset the hedged expected cash flows.
Revenue Recognition	Revenue Recognition — Net revenue is reported at the net realizable value amount that reflects the consideration the Company expects to receive in exchange for providing goods and services. Revenues are from government payers, commercial payers, and patients for goods and services provided and are based on a gross price based on payer contracts, fee schedules, or other arrangements less any implicit price concessions. Due to the nature of the healthcare industry and the reimbursement environment in which the Company operates, certain estimates are required to record revenue and accounts receivable at their net realizable values at the time goods or services are provided. Inherent in these estimates is the risk that they will have to be revised or updated as additional information becomes available. The Company assesses the expected consideration to be received at the time of patient acceptance, based on the verification of the patient’s insurance coverage, historical information with the patient, similar patients, or the payer. Performance obligations are determined based on the nature of the services provided by the Company. The majority of the Company’s performance obligations are to provide infusion services to deliver medicine, nutrients, or fluids directly into the body. The Company provides a variety of infusion-related therapies to patients, which frequently include multiple deliverables of pharmaceutical drugs and related nursing services. After applying the criteria from ASC 606, the Company concluded that multiple performance obligations exist in its contracts with its customers. Revenue is allocated to each performance obligation based on relative standalone price, determined based on reimbursement rates established in the third-party payer contracts. Pharmaceutical drug revenue is recognized at the time the pharmaceutical drug is delivered to the patient, and nursing revenue is recognized on the date of service. The Company's outstanding performance obligations relate to contracts with a duration of less than one year. Therefore, the Company has elected to apply the practical expedient provided by ASC 606 and is not required to disclose the aggregate amount of the transaction price allocated to performance obligations that are unsatisfied or partially unsatisfied at the end of the reporting period. Any unsatisfied or partially unsatisfied performance obligations at the end of a reporting period are generally completed prior to the patient being discharged.
Cost of Revenue	Cost of Revenue — Cost of revenue consists of the actual cost of pharmaceuticals and other medical supplies dispensed to patients, as well as all other costs directly related to the production of revenue. These costs include warehousing costs, purchasing costs, freight costs, cash discounts, volume-based rebates, wages and related costs for pharmacists and nurses, along with depreciation expense relating to revenue-generating assets, such as infusion pumps. The Company also receives rebates from pharmaceutical and medical supply manufacturers. Rebates are generally volume-based incentives and are recorded as a reduction of inventory and are accounted for as a reduction of cost of goods sold when the related inventory is sold.
Selling, General and Administrative Expenses	Selling, General and Administrative Expenses — Selling, general and administrative expenses mainly consist of salaries for administrative employees that directly and indirectly support the operations, occupancy costs, marketing expenditures, insurance, and professional fees.
Stock Based Incentive Compensation	Stock Based Incentive Compensation — The Company accounts for stock-based incentive compensation expense in accordance with ASC Topic 718, Compensation-Stock Compensation (“ASC 718”). Stock-based incentive compensation expense is based on the grant date fair value. The Company estimates the fair value of stock option awards using a Black-Scholes option pricing model and the fair value of restricted stock unit awards using the closing price of the Company’s common stock on the grant date. For awards with a service-based vesting condition, the Company recognizes expense on a straight-line basis over the service period of the award. For awards with performance-based vesting conditions, the Company will recognize expense when it is probable that the performance-based conditions will be met. When the Company determines that it is probable that the performance-based conditions will be met, a cumulative catch-up of expense will be recorded as if the award had been vesting on a straight-line basis from the award date. The award will continue to be expensed on a straight-line basis through the remainder of the vesting period and will be updated if the Company determines that there has been a change in the probability of achieving the performance-based conditions. The Company records the impact of forfeited awards in the period in which the forfeiture occurs.
Business Acquisitions	Business Acquisitions — The Company accounts for business acquisitions in accordance with ASC Topic 805, Business Combinations, with assets and liabilities being recorded at their acquisition date fair value and goodwill being calculated as the purchase price in excess of the net identifiable assets.
Income Taxes	Income Taxes — The Company accounts for income taxes using the asset and liability method. Deferred tax assets and liabilities are reported for book-tax basis differences and are measured based on currently enacted tax laws using rates expected to apply to taxable income in the years in which the differences are expected to reverse. The effect of a change in tax rate on deferred taxes is recognized in income tax expense in the period that includes the enactment date of the change. In assessing the realizability of deferred tax assets, management considers whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. Valuation allowances are established when necessary to reduce deferred tax assets to the amounts more likely than not to be realized. The Company recognizes income tax positions that are more likely than not to be sustained on their technical merits. The Company measures recognized income tax positions at the maximum benefit that is more likely than not, based on cumulative probability, realizable upon final settlement of the position. Interest and penalties related to unrecognized tax benefits are reported in income tax expense (benefit). Tax related interest and penalties are classified as a component of income tax expense (benefit).
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 14%, 15%, and 14% for the years ended December 31, 2025, 2024, and 2023, respectively. There were no other managed care contracts that represent greater than 10% of revenue for the years presented. For the years ended December 31, 2025, 2024, and 2023, approximately 12% of the Company’s revenue was reimbursable through direct government healthcare programs such as Medicare and Medicaid. As of December 31, 2025 and 2024, approximately 13% and 11%, respectively, 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, concentrations of credit risk relating to trade accounts receivable are 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 year ended December 31, 2025, approximately 68% of the Company’s pharmaceutical and medical supply purchases were from four vendors. For the year ended December 31, 2024, approximately 58% of the Company’s pharmaceutical and medical supply purchases were from three vendors. For the year ended December 31, 2023, approximately 72% of the Company’s pharmaceutical and medical supply purchases were from four vendors. Most of the pharmaceutical and medical supplies that we purchase are available from multiple distributors, and we believe they are available in sufficient quantities to meet our needs and the needs of our patients. 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 — The fair value measurement accounting standard, ASC Topic 820, Fair Value Measurement (“ASC 820”), provides a framework for measuring fair value and defines fair value as the price that would be received to sell an asset or paid to transfer a liability. Fair value is a market-based measurement that should be determined using assumptions that market participants would use in pricing an asset or liability. The standard establishes a valuation hierarchy for inputs used in measuring fair value that maximizes the use of observable inputs and minimizes the use of unobservable inputs by requiring that the most observable inputs be used when available. Observable inputs are inputs market participants would use in valuing the asset or liability developed based on independent market data sources. Unobservable inputs are inputs that reflect the Company’s assumptions about the factors market participants would use in valuing the asset or liability developed based upon the best information available. The valuation hierarchy is composed of three categories. The categorization within the valuation hierarchy is based on the lowest level of input that is significant to the fair value measurement. 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. 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 three levels of inputs within the fair value hierarchy are defined in Note 2, Summary of Significant Accounting Policies. 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 11, 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 11, 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 12, 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 consolidated balance sheets (Level 1 inputs). There were no other material assets or liabilities measured at fair value at December 31, 2025 or 2024.
Recently Issued Accounting Pronouncements	Recently Issued Accounting Pronouncements — In December 2025, the FASB issued ASU 2025-11, Interim Reporting (Topic 270): Narrow-Scope Improvements. This ASU improves the navigability of the required interim disclosures, clarifies when the guidance in Topic 270 is applicable, and provides additional guidance on what disclosures should be provided in interim reporting periods. The amendments also require entities to disclose events since the end of the last annual reporting period that have a material impact on the entity. The FASB does not intend to change the fundamental nature of interim reporting or expand or reduce current interim disclosure requirements, but rather intends to provide clarity on the current interim reporting requirements. The Company is required to adopt this ASU for interim reporting periods within annual reporting periods beginning after December 15, 2027, with early adoption permitted. The Company is currently evaluating the impact of this ASU on its results of operations, cash flows, financial position, and disclosures. In September 2025, the FASB issued ASU 2025-06, Intangibles - Goodwill and Other - Internal-Use Software (Subtopic 350-40): Targeted Improvements to the Accounting for Internal-Use Software. This ASU modernizes the accounting for software costs that are accounted for under Subtopic 350-40 and improves the operability of the guidance by removing all references to software development project stages so that the guidance is neutral to different software development methods, including methods that entities may use to develop software in the future. The FASB expects that capitalization of internal-use software costs generally will not change significantly for most types of software under the amendments in this update. The Company is required to adopt this ASU for annual reporting periods beginning after December 15, 2027, and interim reporting periods within those annual reporting periods, with early adoption permitted. This ASU was adopted as of January 1, 2026 and will be applied prospectively to the 2026 annual reporting period. The adoption will not have any material impact on the Company’s results of operations, cash flows, financial position, or disclosures. In November 2024, the FASB issued ASU 2024-03, Income Statement - Reporting Comprehensive Income - Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses. This ASU improves the disclosures around a public business entity’s expenses and addresses requests from investors for more detailed information about the types of expenses (including purchases of inventory, employee compensation, depreciation, amortization, and depletion) in commonly presented expense captions (such as cost of sales, SG&A, and research and development). The amendments in this ASU do not change or remove current presentation requirements or current expense disclosure requirements. However, the amendments affect where this information appears in the notes to financial statements because entities are required to include certain current disclosures in the same tabular format disclosure as the other disaggregation requirements in the amendments. The Company is required to adopt this ASU for annual reporting periods beginning after December 15, 2026, and interim reporting periods beginning after December 15, 2027, with early adoption permitted. The Company is currently evaluating the impact of this ASU on its results of operations, cash flows, financial position, and disclosures. In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures. This ASU addresses investor requests for more transparency about income tax information through improvements to income tax disclosures primarily related to the rate reconciliation and income taxes paid information. The ASU improves the transparency of income tax disclosures by requiring consistent categories and greater disaggregation of information in the rate reconciliation and income taxes paid disaggregated by jurisdiction. The ASU allows investors to better assess, in their capital allocation decisions, how an entity’s worldwide operations and related tax risks and tax planning and operational opportunities affect its income tax rate and prospects for future cash flows. This ASU also improves the effectiveness and comparability of disclosures by adding disclosures of pretax income (loss) and income tax expense (benefit) to be consistent with U.S. Securities and Exchange Commission (“SEC”) Regulation S-X and removing disclosures that no longer are considered cost beneficial or relevant. The Company is required to adopt this ASU for annual periods beginning after December 15, 2024, with early adoption permitted. This ASU was adopted during the year ended December 31, 2025 and applied prospectively. The adoption did not have any material impact on the Company’s results of operations, cash flows, financial position, or disclosures. See Note 6, Income Taxes, for further discussion. In October 2023, the FASB issued ASU 2023-06, Disclosure Improvements: Codification Amendments in Response to the SEC’s Disclosure Update and Simplification Initiative. This ASU is the result of the Board’s decision to incorporate into the Codification 14 disclosures referred by the SEC. The ASU represents changes to clarify or improve disclosure and presentation requirements of a variety of Topics. Many of the amendments allow users to more easily compare entities subject to the SEC’s existing disclosures with those entities that were not previously subject to the SEC’s requirements. Also, the amendments align the requirements in the Codification with the SEC’s regulations. The effective date for each amendment will be the date on which the SEC’s removal of that related disclosure from Regulation S-X or Regulation S-K becomes effective, with early adoption permitted. If by June 30, 2027, the SEC has not removed the applicable requirement from Regulation S-X or Regulation S-K, the pending content of the related amendment will be removed from the Codification and will not become effective. The Company is currently evaluating the impact of this ASU on its results of operations, cash flows, financial position, and disclosures.

PROPERTY AND EQUIPMENT

12 Months Ended

Dec. 31, 2025

Property, Plant and Equipment [Abstract]

PROPERTY AND EQUIPMENT

Property and equipment was as follows as of December 31, 2025 and 2024 (in thousands):


	December 31, 2025		December 31, 2024
Infusion pumps	$	36,497	$	37,659
Equipment, furniture and other	28,087		24,055
Leasehold improvements	126,651		116,675
Computer software, purchased and internally developed	58,608		46,532
Assets under development	19,207		22,990
	269,050		247,911
Less: accumulated depreciation	(129,814)		(120,544)
Property and equipment, net	$	139,236	$	127,367

Depreciation expense is recorded within cost of revenue and operating expenses within the 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 years ended December 31, 2025, 2024, and 2023 (in thousands):


	Year ended December 31,
	2025		2024		2023
Depreciation expense in cost of revenue	$	3,152	$	2,590	$	2,999
Depreciation expense in operating expenses	30,606		26,503		24,820
Total depreciation expense	$	33,758	$	29,093	$	27,819

INDEBTEDNESS - Schedule of Estimated Fair Values of Debt Obligations (Details) $ in Thousands	Dec. 31, 2025 USD ($)
Debt Instrument [Line Items]
Total debt instruments	$ 1,160,832
Markets for Identical Item (Level 1)
Debt Instrument [Line Items]
Total debt instruments	0
Significant Other Observable Inputs (Level 2)
Debt Instrument [Line Items]
Total debt instruments	1,167,187
Significant Unobservable Inputs (Level 3)
Debt Instrument [Line Items]
Total debt instruments	0
Senior Notes
Debt Instrument [Line Items]
Total debt instruments	494,016
Senior Notes \| First Lien Term Loan
Debt Instrument [Line Items]
Total debt instruments	666,816
Senior Notes \| Markets for Identical Item (Level 1)
Debt Instrument [Line Items]
Total debt instruments	0
Senior Notes \| Markets for Identical Item (Level 1) \| First Lien Term Loan
Debt Instrument [Line Items]
Total debt instruments	0
Senior Notes \| Significant Other Observable Inputs (Level 2)
Debt Instrument [Line Items]
Total debt instruments	487,500
Senior Notes \| Significant Other Observable Inputs (Level 2) \| First Lien Term Loan
Debt Instrument [Line Items]
Total debt instruments	679,687
Senior Notes \| Significant Unobservable Inputs (Level 3)
Debt Instrument [Line Items]
Total debt instruments	0
Senior Notes \| Significant Unobservable Inputs (Level 3) \| First Lien Term Loan
Debt Instrument [Line Items]
Total debt instruments	$ 0

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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+ Details

- Definition

The fair value amount of long-term debt whether such amount is presented as a separate caption or as a parenthetical disclosure. Additionally, this element may be used in connection with the fair value disclosures required in the footnote disclosures to the financial statements. The element may be used in both the balance sheet and disclosure in the same submission.

+ References

+ Details

EMPLOYEE BENEFIT PLANS (Details) - USD ($) $ in Millions	12 Months Ended
EMPLOYEE BENEFIT PLANS (Details) - USD ($) $ in Millions	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Retirement Benefits [Abstract]
Employer matching contribution percent	100.00%
Employer matching contribution percent of employees' gross pay	4.00%
Defined contribution plan expense	$ 14.7	$ 13.3	$ 13.1
Company contributions	$ 14.0	$ 13.3	$ 12.4

REVENUE - Schedule of Net Revenue Earned by Category of Payer (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Disaggregation of Revenue [Line Items]
Infusion services net revenue	$ 5,649,519	$ 4,998,202	$ 4,302,324
Commercial payers
Disaggregation of Revenue [Line Items]
Infusion services net revenue	4,902,394	4,348,991	3,747,568
Government payers
Disaggregation of Revenue [Line Items]
Infusion services net revenue	681,583	584,271	500,891
Patients
Disaggregation of Revenue [Line Items]
Infusion services net revenue	$ 65,542	$ 64,940	$ 53,865

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise.

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+ Details

CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Dec. 31, 2025	Dec. 31, 2024
CURRENT ASSETS:
Cash and cash equivalents	$ 232,624	$ 412,565
Accounts receivable, net	473,566	409,733
Inventories	471,149	388,131
Prepaid expenses and other current assets	87,629	112,198
Total current assets	1,264,968	1,322,627
NONCURRENT ASSETS:
Property and equipment, net	139,236	127,367
Operating lease right-of-use asset	91,250	86,528
Intangible assets, net	21,897	16,993
Referral sources, net	287,281	284,017
Goodwill	1,606,743	1,540,246
Other noncurrent assets	44,394	43,965
Total noncurrent assets	2,190,801	2,099,116
TOTAL ASSETS	3,455,769	3,421,743
CURRENT LIABILITIES:
Accounts payable	639,829	610,779
Accrued compensation and employee benefits	70,414	63,028
Accrued expenses and other current liabilities	88,329	77,783
Current portion of operating lease liability	23,996	22,044
Current portion of long-term debt	6,780	6,512
Total current liabilities	829,348	780,146
NONCURRENT LIABILITIES:
Long-term debt, net of discount, deferred financing costs and current portion	1,154,052	1,104,641
Operating lease liability, net of current portion	88,519	84,776
Deferred income taxes	56,019	47,576
Other noncurrent liabilities	1,438	366
Total noncurrent liabilities	1,300,028	1,237,359
Total liabilities	2,129,376	2,017,505
STOCKHOLDERS’ EQUITY:
Preferred stock; $0.0001 par value; 12,500,000 shares authorized, no shares outstanding as of December 31, 2025 and 2024	0	0
Common stock; $0.0001 par value: 250,000,000 shares authorized, 184,522,423 shares issued and 156,857,801 shares outstanding as of December 31, 2025; 183,846,725 shares issued and 166,261,112 shares outstanding as of December 31, 2024	18	18
Treasury stock; 27,664,622 and 17,585,613 shares outstanding, at cost, as of December 31, 2025 and 2024, respectively	(818,201)	(507,598)
Paid-in capital	1,263,549	1,231,435
Retained earnings	876,921	669,336
Accumulated other comprehensive income (loss)	4,106	11,047
Total stockholders’ equity	1,326,393	1,404,238
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY	$ 3,455,769	$ 3,421,743

GOODWILL AND OTHER INTANGIBLE ASSETS

12 Months Ended

Dec. 31, 2025

Goodwill and Intangible Assets Disclosure [Abstract]

GOODWILL AND OTHER INTANGIBLE ASSETS

Goodwill is not amortized, but is evaluated for impairment annually in the fourth quarter of the fiscal year, or more frequently if an event occurs or circumstances change that would more likely than not reduce the fair value of a reporting unit below its carrying value.

Circumstances that could trigger an interim impairment test include: a significant adverse change in the business climate or legal factors, an adverse action or assessment by a regulator, unanticipated competition, the loss of key personnel, a change in reporting units, the likelihood that a reporting unit or significant portion of a reporting unit will be sold or otherwise disposed of, and the results of testing for recoverability of a significant asset group within a reporting unit.

A qualitative impairment analysis was performed in the fourth quarter of 2025, 2024, and 2023, to assess whether it is more likely than not that the fair value of the Company’s reporting units are less than their carrying value. The Company assessed relevant events and circumstances including macroeconomic conditions, industry and market considerations, overall financial performance, entity-specific events, and changes in the Company’s stock price. The Company determined that there was no goodwill impairment in 2025, 2024, or 2023.

The determination of fair value for acquisitions and the allocation of that value requires the Company to make significant estimates and assumptions. These estimates and assumptions primarily include, but are not limited to, the selection of appropriate peer group companies; control premiums appropriate for acquisitions in the industries in which the Company competes; the discount rate; terminal growth rates; and forecasts of revenue, operating income, depreciation and amortization, and capital expenditures. Actual financial results could differ from those estimates due to the inherent uncertainty involved in making such estimates. Changes in assumptions concerning future financial results or other underlying assumptions could have a significant impact on either the fair value of the reporting unit, the amount of the goodwill impairment charge, or both. The Company did not recognize any accumulated impairment losses at the beginning of the period.

Changes in the carrying amount of goodwill consist of the following activity for the years ended December 31, 2025, 2024, and 2023 (in thousands):


	Amount
Balance at December 31, 2022	$	1,533,424
Acquisitions	6,998
Purchase accounting adjustments	(176)
Balance at December 31, 2023	$	1,540,246
Acquisitions	—
Purchase accounting adjustments	—
Balance at December 31, 2024	$	1,540,246
Acquisitions	65,684
Purchase accounting adjustments	813
Balance at December 31, 2025	$	1,606,743

The carrying amount and accumulated amortization of intangible assets consist of the following as of December 31, 2025 and 2024 (in thousands):


	December 31, 2025		December 31, 2024
Gross intangible assets:
Referral sources	$	551,188	$	514,388
Trademarks/names	46,808		39,136
Other amortizable intangible assets	985		985
Total gross intangible assets	598,981		554,509

Accumulated amortization:
Referral sources	(263,907)		(230,371)
Trademarks/names	(25,170)		(22,599)
Other amortizable intangible assets	(726)		(529)
Total accumulated amortization	(289,803)		(253,499)
Total intangible assets, net	$	309,178	$	301,010

Amortization expense for intangible assets was $36.9 million, $34.4 million, and $34.2 million for the years ended December 31, 2025, 2024, and 2023, respectively.

Expected future amortization expense for intangible assets recorded at December 31, 2025, is as follows (in thousands):


	Amount
2026	$	37,078
2027	36,937
2028	36,887
2029	36,881
2030	22,745
Thereafter	138,650
Total	$	309,178

Insider Trading Arrangements	3 Months Ended
Insider Trading Arrangements	Dec. 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

REVENUE

12 Months Ended

Dec. 31, 2025

Revenue from Contract with Customer [Abstract]

REVENUE

The following table sets forth the net revenue earned by category of payer for the years ended December 31, 2025, 2024, and 2023 (in thousands):


	Year Ended December 31,
	2025		2024		2023
Commercial payers	$	4,902,394	$	4,348,991	$	3,747,568
Government payers	681,583		584,271		500,891
Patients	65,542		64,940		53,865
Net revenue	$	5,649,519	$	4,998,202	$	4,302,324

- Definition

The entire disclosure of revenue from contract with customer to transfer good or service and to transfer nonfinancial asset. Includes, but is not limited to, disaggregation of revenue, credit loss recognized from contract with customer, judgment and change in judgment related to contract with customer, and asset recognized from cost incurred to obtain or fulfill contract with customer. Excludes insurance and lease contracts.

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+ Details

FAIR VALUE MEASURMENTS	12 Months Ended
FAIR VALUE MEASURMENTS	Dec. 31, 2025
Fair Value Disclosures [Abstract]
FAIR VALUE MEASURMENTS	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 three levels of inputs within the fair value hierarchy are defined in Note 2, Summary of Significant Accounting Policies. 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 11, 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 11, 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 12, 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 consolidated balance sheets (Level 1 inputs). There were no other material assets or liabilities measured at fair value at December 31, 2025 or 2024.

- Definition

The entire disclosure for the fair value of financial instruments (as defined), including financial assets and financial liabilities (collectively, as defined), and the measurements of those instruments as well as disclosures related to the fair value of non-financial assets and liabilities. Such disclosures about the financial instruments, assets, and liabilities would include: (1) the fair value of the required items together with their carrying amounts (as appropriate); (2) for items for which it is not practicable to estimate fair value, disclosure would include: (a) information pertinent to estimating fair value (including, carrying amount, effective interest rate, and maturity, and (b) the reasons why it is not practicable to estimate fair value; (3) significant concentrations of credit risk including: (a) information about the activity, region, or economic characteristics identifying a concentration, (b) the maximum amount of loss the entity is exposed to based on the gross fair value of the related item, (c) policy for requiring collateral or other security and information as to accessing such collateral or security, and (d) the nature and brief description of such collateral or security; (4) quantitative information about market risks and how such risks are managed; (5) for items measured on both a recurring and nonrecurring basis information regarding the inputs used to develop the fair value measurement; and (6) for items presented in the financial statement for which fair value measurement is elected: (a) information necessary to understand the reasons for the election, (b) discussion of the effect of fair value changes on earnings, (c) a description of [similar groups] items for which the election is made and the relation thereof to the balance sheet, the aggregate carrying value of items included in the balance sheet that are not eligible for the election; (7) all other required (as defined) and desired information.

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+ Details

EARNINGS PER SHARE - Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share (Details) - shares	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Stock option awards
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded (in shares)	697,024	854,545	1,214,560
Restricted stock awards
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded (in shares)	575,070	376,743	340,331
Performance stock unit awards
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded (in shares)	354,696	286,881	0

EARNINGS PER SHARE

12 Months Ended

Dec. 31, 2025

Earnings Per Share [Abstract]

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 years ended December 31, 2025, 2024, and 2023 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:


	Year Ended December 31,
	2025	2024	2023
Stock option awards	697,024	854,545	1,214,560
Restricted stock awards	575,070	376,743	340,331
Performance stock unit awards	354,696	286,881	—

The following table presents the Company’s basic earnings per share and shares outstanding (in thousands, except per share data):


	Year Ended December 31,
	2025		2024		2023
Numerator:
Net income (1)	$	207,585	$	211,823	$	267,090
Denominator:
Weighted average number of common shares outstanding	162,099		171,567		178,973
Earnings per Common Share:
Earnings per common share, basic	$	1.28	$	1.23	$	1.49

The following table presents the Company’s diluted earnings per share and shares outstanding (in thousands, except per share data):


	Year Ended December 31,
	2025		2024		2023
Numerator:
Net income (1)	$	207,585	$	211,823	$	267,090
Denominator:
Weighted average number of common shares outstanding	162,099		171,567		178,973
Effect of dilutive securities	1,266		1,278		1,402
Weighted average number of common shares outstanding, diluted	163,365		172,845		180,375
Earnings per Common Share:
Earnings per common share, diluted	$	1.27	$	1.23	$	1.48

DERIVATIVE INSTRUMENTS - Schedule of Pre-tax Gain (Loss) on Derivative Instruments (Details) - Interest rate cap designated as cash flows hedge - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Derivative [Line Items]
Pre-tax gains (losses) on interest rate derivatives recognized	$ (9,213)	$ (5,215)	$ (8,339)
Interest expense, net
Derivative [Line Items]
Gain (loss) location of derivative instruments	$ 8,638	$ 11,527	$ 10,974

INCOME TAXES - Narrative (Details) - USD ($)	12 Months Ended
INCOME TAXES - Narrative (Details) - USD ($)	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Income Tax Examination [Line Items]
Income tax expense (benefit)	$ 75,315,000	$ 71,776,000	$ 91,652,000
Effective income tax rate	26.60%	25.30%	25.50%
Termination fee income			$ 21,800,000
Valuation allowance	$ 2,839,000	$ 3,337,000
Net operating losses	46,459,000	50,860,000
Interest limitation carryforward	3,533,000	5,768,000
Unrecognized tax benefits	0	0	0
Interest Limitation Carryforwards
Income Tax Examination [Line Items]
Interest limitation carryforward	3,500,000
State
Income Tax Examination [Line Items]
Valuation allowance released	400,000	$ 2,200,000	$ 5,800,000
Valuation allowance	2,800,000
State \| Federal Net Operating Loss Carryfowards Available To Offset Future Taxable Income
Income Tax Examination [Line Items]
Net operating losses	12,800,000
Federal
Income Tax Examination [Line Items]
Operating loss carryforwards	22,700,000
Federal \| Merger Operating Loss Carryforward
Income Tax Examination [Line Items]
Net operating losses	33,700,000
Federal \| Indefinite Carryforward Period
Income Tax Examination [Line Items]
Operating loss carryforwards	$ 11,000,000.0

LEASES

12 Months Ended

Dec. 31, 2025

Leases [Abstract]

LEASES

During the years ended December 31, 2025, 2024, and 2023, the Company incurred operating lease expenses of $35.1 million, $32.7 million, and $30.6 million, respectively, including short-term lease expenses, which were included as a component of selling, general and administrative expenses in the consolidated statements of comprehensive income. As of December 31, 2025 and 2024, the weighted-average remaining lease term was 6.5 years and the weighted-average discount rate was 6.97% and 6.56%, respectively.

Operating leases mature as follows (in thousands):


Fiscal Year Ended December 31,	Minimum Payments
2026	$	30,992
2027	25,828
2028	19,042
2029	14,248
2030	11,061
Thereafter	41,711
Total lease payments	142,882
Less: interest	(30,367)
Present value of lease liabilities	$	112,515

During the years ended December 31, 2025, 2024, and 2023, the Company commenced new leases, extensions and amendments, resulting in non-cash operating activities in the consolidated statements of cash flows of $27.1 million, $25.0 million, and $30.5 million, respectively, related to the increases in the operating lease ROU asset and operating lease liabilities. As of December 31, 2025, the Company did not have any significant operating or financing leases that had not yet commenced.

LEASES

Operating leases mature as follows (in thousands):


Fiscal Year Ended December 31,	Minimum Payments
2026	$	30,992
2027	25,828
2028	19,042
2029	14,248
2030	11,061
Thereafter	41,711
Total lease payments	142,882
Less: interest	(30,367)
Present value of lease liabilities	$	112,515

NATURE OF OPERATIONS AND PRESENTATION OF FINANCIAL STATEMENTS (Details)	12 Months Ended
	Dec. 31, 2025 pharmacy suite segment
Business Combination [Line Items]
Number of service locations \| pharmacy	87
Number of service locations, including ambulatory infusion suites \| pharmacy	73
Number of infusion sites \| suite	109
Number of infusion sites, including advances practitioner capabilities \| suite	27
Number of operating segments \| segment	1
Number of reportable segments \| segment	1
Legacy Health Systems
Business Combination [Line Items]
Ownership interest (as a percent)	50.00%

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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+ Details

STOCK-BASED INCENTIVE COMPENSATION - Schedule of Stock Option Activity (Details) - USD ($) $ / shares in Units, $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024
Options
Beginning balance (in shares)	1,483,233
Granted (in shares)	0	0
Exercised (in shares)	(96,034)
Forfeited and expired (in shares)	(15,773)
Ending balance (in shares)	1,371,426	1,483,233
Exercisable (in shares)	678,166
Weighted Average Exercise Price
Beginning balance (in dollars per share)	$ 25.79
Granted (in dollars per share)	0
Exercised (in dollars per share)	23.75
Forfeited and expired (in dollars per share)	26.32
Ending balance (in dollars per share)	25.93	$ 25.79
Exercisable (in dollars per share)	$ 23.30
Aggregate Intrinsic Value
Balance at December 31, 2024	$ 1,590
Granted	0
Exercised	868
Forfeited and expired	87
Balance at December 31, 2025	8,130	$ 1,590
Exercisable at December 31, 2025	$ 5,805
Weighted Average Remaining Contractual Life	6 years 4 months 24 days
Weighted Average Remaining Contractual Life Exercisable	5 years 8 months 12 days

INDEBTEDNESS

12 Months Ended

Dec. 31, 2025

Debt Disclosure [Abstract]

INDEBTEDNESS

Long-term debt consisted of the following as of December 31, 2025 (in thousands):


	Principal Amount		Discount		Debt Issuance Costs		Net Balance
Revolver Facility	$	—	$	—	$	—	$	—
First Lien Term Loan	676,305		(4,552)		(4,937)		666,816
Senior Notes	500,000		—		(5,984)		494,016
	$	1,176,305	$	(4,552)	$	(10,921)	1,160,832
Less: current portion							(6,780)
Total long-term debt							$	1,154,052

Long-term debt consisted of the following as of December 31, 2024 (in thousands):


	Principal Amount		Discount		Debt Issuance Costs		Net Balance
Revolver Facility	$	—	$	—	$	—	$	—
First Lien Term Loan	631,617		(5,537)		(7,555)		618,525
Senior Notes	500,000		—		(7,372)		492,628
	$	1,131,617	$	(5,537)	$	(14,927)	1,111,153
Less: current portion							(6,512)
Total long-term debt							$	1,104,641

On September 22, 2025, the Company entered into the fourth amendment (“the Fourth Amendment”) to the amended and restated First Lien Credit Agreement (the “Credit Agreement”) dated as of October 27, 2021. The Fourth Amendment, among other things, (i) refinances the existing term loans with a new class of term loans (the “First Lien Term Loan”), reduces the interest rate on the First Lien Term Loan from Term Secured Overnight Financing Rate (“SOFR”) plus 2.25% to Term SOFR plus 1.75% and extends the maturity date of the First Lien Term Loan to September 22, 2032, (ii) provides for an additional $49.6 million of incremental First Lien Term Loan indebtedness, and (iii) extends the maturity date of the revolving credit commitments under the Credit Agreement (the “Revolver Facility”) to September 22, 2030.

The principal balance of the First Lien Term Loan is repayable in quarterly installments of $1.7 million plus interest, with a final payment of all remaining outstanding principal due on September 22, 2032. Under the Fourth Amendment, interest on the First Lien Term Loan is payable monthly on either (i) SOFR plus an applicable margin of 1.75% for Term SOFR Loans (as such term is defined in the Fourth Amendment); or (ii) a base rate determined in accordance with the Fourth Amendment, plus 0.75% for Base Rate Loans (as such term is defined in the Fourth Amendment). The interest rate on the First Lien Term Loan was 5.67% and 6.82% as of December 31, 2025 and 2024, respectively. The weighted average interest rate incurred on the First Lien Term Loan was 6.34% and 7.61% for the years ended December 31, 2025 and 2024, respectively.

As part of the above refinancing, certain lenders exited while others joined, resulting in both repayment and proceeds. The Company assessed whether the repayment of the First Lien Term Loan indebtedness resulted in an insubstantial modification or an extinguishment of the existing debt for each loan in the syndication by grouping lenders as follows: (i) Lenders participating in both the First Lien Term Loan and 4.375% Senior Notes; (ii) previous lenders that exited; and (iii) new lenders. The Company determined that proceeds from the issuance of debt totaled $229.8 million, resulting in a cash inflow from financing activities, net of $0.3 million in fees incurred, in the consolidated statements of cash flows. The Company also recognized $180.2 million of retirement of debt obligations, resulting in a cash outflow from financing activities, in the consolidated statements of cash flows.

In connection with the refinancing of the First Lien Term Loan, the Company incurred $6.7 million in debt issuance costs and third-party fees, of which $3.5 million was capitalized, $2.8 million was expensed as a component of selling, general and administrative expenses and $0.4 million was expensed as a loss on extinguishment as a component of other expense in the consolidated statements of comprehensive income. The Company recognized a loss on extinguishment of debt of $4.7 million included in the line entitled “Other, net” in the consolidated statements of comprehensive income, of which $0.4 million related to debt issuance costs incurred with the First Lien Term Loan refinancing, as discussed above, and $4.3 million related to existing deferred financing fees that were written off upon extinguishment.

As part of the above refinancing, the Company incurred $0.3 million in fees related to the Revolver Facility, all of which were capitalized and included as a cash outflow from financing activities within the consolidated statements of cash flows.

On May 8, 2024, the Company entered into the third amendment to the amended and restated Credit Agreement dated as of October 27, 2021 (the “Third Amendment”). The Third Amendment, among other things, (i) increases borrowings by $50.0 million and (ii) reduces the interest rate on the First Lien Term Loan from Term SOFR (including a credit spread adjustment) plus 2.75% to Term SOFR plus 2.25% and removes the credit spread adjustment with respect to such First Lien Term Loan.

The Company assessed whether the repayment of the First Lien Term Loan indebtedness resulted in an insubstantial modification or an extinguishment of the existing debt for each loan in the syndication by grouping lenders as follows: (i) Lenders participating in both the First Lien Term Loan and Senior Notes; (ii) previous lenders that exited; and (iii) new lenders. The Company determined that $0.4 million of the First Lien Term Loan were extinguished. The First Lien Term Loan had insubstantial modifications for lenders that participated in both debt instruments, which resulted in a cash inflow from financing activities of $50.0 million in the consolidated statements of cash flows. The Company incurred $1.6 million in fees, of which $0.1 million was capitalized, relative to the First Lien Term Loan and an immaterial amount of the total fees incurred was netted against the $50.0 million of debt proceeds as financing activities within the consolidated statements of cash flows. The Company recognized a loss on extinguishment of debt of $0.4 million included in the line entitled “Other, net” in the consolidated statements of comprehensive income.

Effective June 30, 2023, the Company entered into an agreement, dated as of June 8, 2023, to amend the First Lien Term Loan to replace LIBOR and related definitions and provisions with SOFR as the new reference rate. The Company entered into the First Lien Term Loan Agreement (the “First Lien Credit Agreement Amendment”), which commenced in October 2021 (the “October 2021 Refinancing”) to provide $600.0 million of refinanced borrowings.

On December 7, 2023, the Company entered into the second amendment to the amended and restated Credit Agreement dated as of October 27, 2021 (the “Second Amendment”). The Second Amendment, among other things, creates a Revolver Facility which provides for borrowings up to $400.0 million. As of December 31, 2025, the Company had $4.0 million of undrawn letters of credit issued and outstanding, resulting in net borrowing availability under the Revolver Facility of $396.0 million. As of December 31, 2024, 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) September 22, 2030 and (ii) the date that is 91 days prior to the stated maturity date applicable to the Senior Notes to the extent any amount of the Senior Notes remains unpaid and outstanding as of the date that is 91 days prior to the stated maturity date applicable to the Senior Notes. Borrowings under the Revolver Facility bear interest at a rate equal to, at the option of the Company, either (i) the Term SOFR applicable thereto plus the Applicable Rate or (ii) the then-applicable Base Rate plus the Applicable Rate, which Applicable Rate shall be, subject to certain caveats thereto, as follows (i) until delivery of financial statements and related Compliance Certificate for the first full fiscal quarter ending after the effective date of the Fourth Amendment, (A) for Term SOFR Loans, 1.75%, or (B) for Base Rate Loans, 0.75% and (ii) thereafter, the Applicable Rate for Term SOFR Loans and Base Rate Loans, based upon the Total Net Leverage Ratio as set forth in the most recent Compliance Certificate received by the Administrative Agent pursuant to the terms of the Credit Agreement.

Concurrently with the creation of the Revolver Facility, the Company terminated the asset-based lending revolving credit facility (the “ABL Facility”) with a maturity date of October 27, 2026. Prior to the transition to the Revolver Facility, the ABL Facility had been in effect from August 6, 2019 to December 7, 2023. Effective January 13, 2023, the Company entered into an agreement to amend the ABL Facility and increase the amount of borrowing availability from $175.0 million by $50.0 million to $225.0 million total borrowing availability. As a result of the amended agreement, SOFR was established as the new reference rate, replacing LIBOR. Prior to the termination of the ABL Facility in December 2023, the ABL Facility bore interest at a rate equal to, at the Company’s election, either (i) a base rate determined in accordance with the ABL Credit Agreement plus an applicable margin, which is equal to between 0.25% and 0.75% based on the historical excess availability as a percentage of the Line Cap (as such term is defined in the ABL Credit Agreement); and (ii) SOFR (with a floor of 0.00% per annum) plus an applicable margin, which is equal to between 1.25% and 1.75% based on the historical excess availability as a percentage of the Line Cap. The ABL Facility contained commitment fees payable on the unused portion ranging from 0.25% to 0.375%, depending on various factors including the Company’s leverage ratio, type of loan and rate type, and letter of credit fees of 2.50%. Borrowings under the ABL Facility were secured by a first priority security interest in the Company’s and each of its subsidiaries’ inventory, accounts receivable, cash, deposit accounts and certain assets and property related thereto (the “ABL Priority Collateral”), in each case subject to certain exceptions, and a third priority security interest in each of the Company’s subsidiaries’ capital stock (subject to certain exceptions) and substantially all of the Company’s property and assets (other than the ABL Priority Collateral).

In conjunction with the October 2021 Refinancing, the Company also issued $500.0 million in aggregate principal of Senior Notes. The Senior Notes bear interest at a rate of 4.375% per annum payable semi-annually in arrears on October 31 and April 30 of each year, commencing on April 30, 2022. The Senior Notes mature on October 31, 2029. The interest rate on the Senior Notes was 4.375% as of both December 31, 2025 and 2024. The weighted average interest rate incurred on the Senior Notes was 4.375% for both years ended December 31, 2025 and 2024.

Long-term debt matures as follows (in thousands):


Fiscal Year Ended December 31,	Minimum Payments
2026	$	6,780
2027	6,780
2028	6,780
2029	506,780
2030	6,780
Thereafter	642,405
Total	$	1,176,305

During the year ended December 31, 2025, the Company engaged in hedging activities to limit its exposure to changes in interest rates. See Note 12, Derivative Instruments, for further discussion.

The following table presents the estimated fair values of the Company’s debt obligations as of December 31, 2025 (in thousands):


Financial Instrument	Carrying Value as of December 31, 2025		Markets for Identical Item (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)
First Lien Term Loan	$	666,816	$	—	$	679,687	$	—
Senior Notes	494,016		—		487,500		—
Total debt instruments	$	1,160,832	$	—	$	1,167,187	$	—

See Note 13, Fair Value Measurements, for further discussion.

- Definition

The entire disclosure for information about short-term and long-term debt arrangements, which includes amounts of borrowings under each line of credit, note payable, commercial paper issue, bonds indenture, debenture issue, own-share lending arrangements and any other contractual agreement to repay funds, and about the underlying arrangements, rationale for a classification as long-term, including repayment terms, interest rates, collateral provided, restrictions on use of assets and activities, whether or not in compliance with debt covenants, and other matters important to users of the financial statements, such as the effects of refinancing and noncompliance with debt covenants.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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+ Details

STOCKHOLDERS' EQUITY

12 Months Ended

Dec. 31, 2025

Equity [Abstract]

STOCKHOLDERS' EQUITY

STOCKHOLDERS’ EQUITY

During the year ended December 31, 2023, HC I completed secondary offerings of 23,771,926 shares of common stock. As of December 31, 2023, HC I no longer held shares of the Company’s common stock.

2017 Warrants — Prior to the Merger, BioScrip issued warrants to certain debt holders pursuant to a Warrant Purchase Agreement dated as of June 29, 2017. In conjunction with the Merger, the 2017 Warrants were amended to entitle the purchasers of the warrants to purchase 2.1 million shares of common stock. The 2017 Warrants have a 10-year term and an exercise price of $8.00 per share and may be exercised by payment of the exercise price in cash or surrender of shares of common stock into which the 2017 Warrants are being converted in an aggregate amount sufficient to cover the exercise price. The 2017 Warrants are classified as equity instruments, and the fair value of these warrants of $14.1 million was recorded in paid-in capital as of the Merger Date. During the years ended December 31, 2025 and 2024, warrant holders did not elect to exercise any warrants to purchase shares of common stock. At December 31, 2025 and 2024, the remaining warrant holders are entitled to purchase 51,838 shares of common stock.

2015 Warrants — Prior to the Merger, BioScrip issued warrants pursuant to a Common Stock Warrant Agreement dated as of March 9, 2015 which entitle the holders to purchase 0.9 million shares of common stock. The 2015 Warrants have a 10-year term and have exercise prices in a range of $20.68 per share to $25.80 per share. The 2015 Warrants were assumed by the Company in conjunction with the Merger and are classified as equity instruments, and the fair value of these warrants of $4.6 million was recorded in paid in capital as of the Merger Date. During the years ended December 31, 2025 and 2024, warrant holders exercised an immaterial number of warrants to purchase shares of common stock. During the years ended December 31, 2025 and 2024, no cash proceeds were received from warrant exercises. The 2015 warrants expired on June 30, 2025. At December 31, 2025, any outstanding warrants are no longer exercisable. At December 31, 2024 the remaining warrant holders are entitled to purchase 11,765 shares of common stock.

Share Repurchase Program — On February 20, 2023, the Company’s Board of Directors authorized a share repurchase program of up to an aggregate $250.0 million of common stock of the Company. On December 6, 2023, the Company’s Board of Directors approved an increase to its share repurchase program authorization from $250.0 million to $500.0 million. This program was completed in December 2024. On January 10, 2025, the Company’s Board of Directors authorized a 2025 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 years ended December 31, 2025, 2024, and 2023, the Company purchased 10,079,009, 9,255,591, and 7,946,301 shares of common stock under this program for an average share price of $30.51, $27.01, and $31.46, totaling $307.5 million, $250.0 million, and $250.0 million, respectively. All repurchased shares became treasury stock. As of December 31, 2025, the Company is authorized to repurchase up to a remaining $192.5 million of common stock of the Company. In January 2026, the Company’s Board of Directors approved an increase to its 2025 share repurchase program authorization from $500.0 million to $1.0 billion.

Shares Outstanding — The following table shows the Company’s changes in shares of common stock for the years ended December 31, 2025, 2024, and 2023 (in thousands):


						Number of Shares
Balance at December 31, 2022						181,958
Equity award issuances						564
Share repurchases						(7,946)
Balance at December 31, 2023						174,576
Equity award issuances						941
Share repurchases						(9,256)
Balance at December 31, 2024						166,261
Equity award issuances						676
Share repurchases						(10,079)
Balance at December 31, 2025						156,858

Treasury Stock — As of December 31, 2025 and 2024, the Company held 27,664,622 and 17,585,613 shares of treasury stock, respectively.

Preferred Stock — The Company had no preferred stock outstanding as of December 31, 2025 or 2024.

- Definition

The entire disclosure for equity.

+ References

+ Details

SEGMENT REPORTING

12 Months Ended

Dec. 31, 2025

Segment Reporting [Abstract]

SEGMENT REPORTING

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):


	Year Ended December 31,
	2025		2024		2023
Infusion services net revenue	$	5,555,778	$	4,911,591	$	4,222,656
Other revenue (1)	93,741		86,611		79,668
Total Option Care Health revenue	5,649,519		4,998,202		4,302,324
(Expense) Income:
Cost of net revenues - drugs	(3,984,955)		(3,446,735)		(2,812,531)
Salaries, benefits, and other employee expense	(848,996)		(787,922)		(760,499)
Other segment items (2)	(410,124)		(380,803)		(355,498)
Depreciation and amortization expense	(67,538)		(60,909)		(59,201)
Interest expense, net	(54,558)		(49,029)		(51,248)
Equity in earnings of joint ventures	7,409		5,964		5,530
Other, net	(7,857)		4,831		89,865
Income tax expense	(75,315)		(71,776)		(91,652)
Net Income	$	207,585	$	211,823	$	267,090

(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.

- Definition

The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
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+ Details

INCOME TAXES - Schedule of Income Tax Reconciliation (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Amount
U.S. federal statutory income tax rate	$ 59,409
State and local income taxes, net of federal income tax effect	11,382
Research and development tax credits	(555)
Share-based compensation impacts	4,779
Other	300
Effective income tax rate	$ 75,315	$ 71,776	$ 91,652
Percent
U.S. federal statutory tax rate	21.00%	21.00%	21.00%
State and local income taxes, net of federal income tax effect	4.00%	3.50%	4.80%
Research and development tax credits	(0.20%)
Share-based compensation impacts	1.70%	1.20%	0.70%
Other	0.10%
Effective income tax rate	26.60%	25.30%	25.50%

INDEBTEDNESS - Additional Information (Details) - USD ($)					12 Months Ended
	Sep. 22, 2025	Sep. 21, 2025	May 08, 2024	May 07, 2024	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023	Dec. 07, 2023	Jan. 13, 2023	Jan. 12, 2023	Oct. 31, 2021
Debt Instrument [Line Items]
Proceeds from issuance of debt					$ 229,472,000	$ 49,959,000	$ 0
Payments to extinguish debt					4,951,000	6,384,000	6,000,000
Debt issuance costs					10,921,000	14,927,000
Loss on extinguishment of debt					4,744,000	377,000	0
Net cash used in financing activities					(277,305,000)	(218,206,000)	$ (265,126,000)
Senior Notes \| Revolver Facility
Debt Instrument [Line Items]
Debt issuance costs					0	0
First Lien Term Loan \| Senior Notes
Debt Instrument [Line Items]
Debt issuance costs					4,937,000	$ 7,555,000
First Lien Term Loan \| Senior Notes \| Revolver Facility
Debt Instrument [Line Items]
Debt issuance costs and third party fees	$ 300,000
Repayments of Senior Debt	180,200,000
First Lien Term Loan \| First Lien Term Loan \| Senior Notes
Debt Instrument [Line Items]
Proceeds from issuance of debt	229,800,000
First Lien Credit Agreement, Third Amendment \| First Lien Term Loan \| Senior Notes
Debt Instrument [Line Items]
Debt instrument, increase (decrease) in borrowing capacity	$ 49,600,000
Debt instrument, periodic payment, principal					$ 1,700,000
Effective rate on term loans at end of period					5.67%	6.82%
Weighted average interest rate paid on term loans during period					6.34%	7.61%
Proceeds from issuance of debt					$ 50,000,000.0
Debt issuance costs and third party fees					1,600,000
Payments to extinguish debt					400,000
Debt issuance costs					100,000
Loss on extinguishment of debt					400,000
Debt instrument, face amount			$ 50,000,000.0
Net cash used in financing activities					$ 50,000,000.0
First Lien Credit Agreement, Third Amendment \| First Lien Term Loan \| Senior Notes \| SOFR
Debt Instrument [Line Items]
Basis spread on variable rate	1.75%	2.25%	2.25%	2.75%	1.75%
First Lien Credit Agreement, Third Amendment \| First Lien Term Loan \| Senior Notes \| Base Rate
Debt Instrument [Line Items]
Basis spread on variable rate					0.75%
Senior Unsecured Notes due 2029 \| First Lien Term Loan \| Senior Notes
Debt Instrument [Line Items]
Effective rate on term loans at end of period	4.375%
First Lien Term Loan Refinancing \| First Lien Term Loan \| Senior Notes
Debt Instrument [Line Items]
Debt issuance costs and third party fees	$ 6,700,000
Debt issuance costs	3,500,000
First Lien Term Loan Refinancing \| First Lien Term Loan \| Senior Notes \| Selling, General and Administrative Expenses
Debt Instrument [Line Items]
Amortization of Debt Issuance Costs	2,800,000
First Lien Term Loan Refinancing \| First Lien Term Loan \| Senior Notes \| Loss on Extinguishment
Debt Instrument [Line Items]
Loss on extinguishment of debt	400,000
First Lien Term Loan Refinancing \| First Lien Term Loan \| Senior Notes \| Other, Net
Debt Instrument [Line Items]
Loss on extinguishment of debt	4,700,000
Deferred Debt Issuance Cost, Writeoff	$ 4,300,000
New First Lien Term Loan \| First Lien Term Loan \| Senior Notes
Debt Instrument [Line Items]
Debt instrument, face amount											$ 600,000,000.0
Second Lien Credit Agreement \| Senior Notes \| Revolver Facility
Debt Instrument [Line Items]
Debt instrument, face amount								$ 400,000,000.0
Available borrowing capacity					$ 396,000,000.0
Second Lien Credit Agreement \| Senior Notes \| SOFR \| Revolver Facility
Debt Instrument [Line Items]
Basis spread on variable rate					1.75%
Second Lien Credit Agreement \| Senior Notes \| Base Rate \| Revolver Facility
Debt Instrument [Line Items]
Basis spread on variable rate					0.75%
Credit Agreements, Entered Into 2019 \| Senior Notes \| Revolver Facility
Debt Instrument [Line Items]
Debt instrument, face amount									$ 225,000,000.0	$ 175,000,000.0
Undrawn letters of credit issued and outstanding					$ 4,000,000.0	$ 4,100,000
Available borrowing capacity						$ 395,900,000
Increase in borrowing capacity									$ 50,000,000.0
Commitment fee percentage							2.50%
Credit Agreements, Entered Into 2019 \| Senior Notes \| Revolver Facility \| Minimum
Debt Instrument [Line Items]
Commitment fee, unused portion							0.25%
Credit Agreements, Entered Into 2019 \| Senior Notes \| Revolver Facility \| Maximum
Debt Instrument [Line Items]
Commitment fee, unused portion							0.375%
Credit Agreements, Entered Into 2019 \| Senior Notes \| SOFR \| Revolver Facility \| Minimum
Debt Instrument [Line Items]
Basis spread on variable rate							1.25%
Credit Agreements, Entered Into 2019 \| Senior Notes \| SOFR \| Revolver Facility \| Maximum
Debt Instrument [Line Items]
Basis spread on variable rate							1.75%
Credit Agreements, Entered Into 2019 \| Senior Notes \| Base Rate \| Revolver Facility \| Minimum
Debt Instrument [Line Items]
Basis spread on variable rate							0.25%
Credit Agreements, Entered Into 2019 \| Senior Notes \| Base Rate \| Revolver Facility \| Maximum
Debt Instrument [Line Items]
Basis spread on variable rate							0.75%
Credit Agreements, Entered Into 2019 \| Senior Notes \| Interest Rate Floor \| Revolver Facility
Debt Instrument [Line Items]
Basis spread on variable rate							0.00%
Credit Agreements, Entered Into 2019 \| Second Lien Term Loan \| Senior Notes
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%
New Senior Unsecured Notes \| Senior Notes
Debt Instrument [Line Items]
Effective rate on term loans at end of period					4.375%
Debt instrument, face amount											$ 500,000,000.0

GOODWILL AND OTHER INTANGIBLE ASSETS - Schedule of Future Amortization Expense of Intangible Assets (Details) - USD ($) $ in Thousands	Dec. 31, 2025	Dec. 31, 2024
Goodwill and Intangible Assets Disclosure [Abstract]
2026	$ 37,078
2027	36,937
2028	36,887
2029	36,881
2030	22,745
Thereafter	138,650
Total intangible assets, net	$ 309,178	$ 301,010

DERIVATIVE INSTRUMENTS - Schedule of Balance Sheet Location of Derivatives (Details) - USD ($) $ in Thousands	Dec. 31, 2025	Dec. 31, 2024
Derivative
Total derivative assets	$ 5,501	$ 14,714
Derivative Asset, Statement of Financial Position [Extensible Enumeration]	Other noncurrent assets, Prepaid expenses and other current assets	Other noncurrent assets, Prepaid expenses and other current assets
Designated as Hedging Instrument \| Prepaid expenses and other current assets \| Interest rate cap designated as cash flows hedge
Derivative
Total derivative assets	$ 5,501	$ 8,034
Designated as Hedging Instrument \| Other noncurrent assets \| Interest rate cap designated as cash flows hedge
Derivative
Total derivative assets	$ 0	$ 6,680

- Definition

Fair value, after the effects of master netting arrangements, of a financial asset or other contract with one or more underlyings, notional amount or payment provision or both, and the contract can be net settled by means outside the contract or delivery of an asset. Includes assets not subject to a master netting arrangement and not elected to be offset.

+ References

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+ Details

LEASES - Schedule of Maturities of Lease Liabilities (Details) $ in Thousands	Dec. 31, 2025 USD ($)
Leases [Abstract]
2026	$ 30,992
2027	25,828
2028	19,042
2029	14,248
2030	11,061
Thereafter	41,711
Total lease payments	142,882
Less: interest	(30,367)
Present value of lease liabilities	$ 112,515

DERIVATIVE INSTRUMENTS (Tables)

12 Months Ended

Dec. 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 consolidated balance sheets (in thousands):


	Fair Value - Derivatives in Asset Position
Derivative	Balance Sheet Caption	December 31, 2025		December 31, 2024
Interest rate cap designated as cash flows hedge	Prepaid expenses and other current assets	$	5,501	$	8,034
Interest rate cap designated as cash flows hedge	Other noncurrent assets	—		6,680
Total derivative assets		$	5,501	$	14,714

Schedule of Pre-tax Income (Loss) 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 consolidated statements of comprehensive income (in thousands):


	Year Ended December 31,
Derivative	2025		2024		2023
Interest rate cap designated as cash flows hedge	$	(9,213)	$	(5,215)	$	(8,339)

The following table presents the amount and location of pre-tax income (loss) recognized in the Company’s consolidated statement of comprehensive income related to the Company’s derivative instruments (in thousands):


		Year Ended December 31,
Derivative	Income Statement Caption	2025		2024		2023
Interest rate cap designated as cash flows hedge	Interest expense, net	$	8,638	$	11,527	$	10,974

INDEBTEDNESS - Schedule of Debt (Details) - USD ($) $ in Thousands	Dec. 31, 2025	Dec. 31, 2024
Debt Instrument [Line Items]
Principal Amount	$ 1,176,305	$ 1,131,617
Discount	(4,552)	(5,537)
Debt Issuance Costs	(10,921)	(14,927)
Net Balance	1,160,832	1,111,153
Less: current portion	(6,780)	(6,512)
Total long-term debt	1,154,052	1,104,641
Senior Notes \| First Lien Term Loan
Debt Instrument [Line Items]
Principal Amount	676,305	631,617
Discount	(4,552)	(5,537)
Debt Issuance Costs	(4,937)	(7,555)
Net Balance	666,816	618,525
Senior Notes \| Senior Notes
Debt Instrument [Line Items]
Principal Amount	500,000	500,000
Discount	0	0
Debt Issuance Costs	(5,984)	(7,372)
Net Balance	494,016	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

Audit Information	12 Months Ended
Audit Information	Dec. 31, 2025
Audit Information [Abstract]
Auditor Name	KPMG LLP
Auditor Location	Chicago, Illinois
Auditor Firm ID	185

Cybersecurity Risk Management and Strategy Disclosure	12 Months Ended
Cybersecurity Risk Management and Strategy Disclosure	Dec. 31, 2025
Cybersecurity Risk Management, Strategy, and Governance [Line Items]
Cybersecurity Risk Management Processes for Assessing, Identifying, and Managing Threats [Text Block]	We have developed and implemented a cybersecurity framework designed to identify, detect, protect, respond to and recover from risks stemming from threats to the security of our information, systems and network using a governance-led risk-based approach. The framework is informed, in part, by the National Institute of Standards and Technology (NIST) Cybersecurity Framework, although this does not necessarily mean that we meet all technical standards, specifications or requirements outlined in the NIST framework. Additionally, we maintain a Systems and Organization Controls (SOC) 2 Type 2 attestation. Our goal is to maintain an information technology infrastructure that implements physical, administrative, and technical controls and is supplemented by a strong culture of security across the organization. These controls are adjusted based on risk and designed to protect the confidentiality, integrity, and availability of our information systems, including the customer information, personal information, and proprietary information stored on our networks. We have a cybersecurity incident response plan and dedicated teams to respond to cybersecurity incidents. When a cybersecurity incident occurs, we have cross-functional teams that are responsible for leading the initial assessment of priority and severity. Our information security team assists in taking remedial action in response to an incident, and external experts may also be engaged as appropriate. Our overarching approach to cybersecurity risk management centers on governance, people, processes, and technology. We provide security awareness training to help employees understand their role in protecting our information. This includes mandatory annual cybersecurity training and monthly phishing simulations. We also perform periodic internal tabletops or simulation exercises involving technical experts, business and functional leaders, as well as separate exercises with select critical third-party service providers. We conduct third-party assessments of potential new vendors who process, store or transmit our data. This includes a formal security review which may consist of review of documentation related to a vendor’s security attestations, such as SOC 2 Type 2 or HITRUST certifications. We leverage third-party auditing companies to assess our cybersecurity program and procedures and reaffirm our NIST CSF Maturity level, our compliance with SOC 2 standards as well as the HIPAA Security Rule. These assessments aid in continual improvement of our program and help us identify and address cybersecurity related risks. We also consider cybersecurity, along with our other top risks, within our enterprise risk management framework. This framework involves internal reporting at the business and enterprise levels, considering key risk indicators, trends and countermeasures. Our Senior Vice President, Chief Information Security Officer (CISO) serves on the Enterprise Risk Committee that assesses our enterprise-wide risks and oversees risk mitigation activities. We have not identified risks from known cybersecurity threats, including as a result of any prior cybersecurity incidents, that have materially affected us or our results of operations, cash flow or financial condition. However, the scope and impact of any future incident, or the identification of new information related to prior cybersecurity incidents, cannot be predicted. See “Item 1A. Risk Factors” for more information about our cybersecurity-related risks.
Cybersecurity Risk Management Processes Integrated [Flag]	true
Cybersecurity Risk Management Processes Integrated [Text Block]	We have developed and implemented a cybersecurity framework designed to identify, detect, protect, respond to and recover from risks stemming from threats to the security of our information, systems and network using a governance-led risk-based approach. The framework is informed, in part, by the National Institute of Standards and Technology (NIST) Cybersecurity Framework, although this does not necessarily mean that we meet all technical standards, specifications or requirements outlined in the NIST framework. Additionally, we maintain a Systems and Organization Controls (SOC) 2 Type 2 attestation. Our goal is to maintain an information technology infrastructure that implements physical, administrative, and technical controls and is supplemented by a strong culture of security across the organization. These controls are adjusted based on risk and designed to protect the confidentiality, integrity, and availability of our information systems, including the customer information, personal information, and proprietary information stored on our networks. We have a cybersecurity incident response plan and dedicated teams to respond to cybersecurity incidents. When a cybersecurity incident occurs, we have cross-functional teams that are responsible for leading the initial assessment of priority and severity. Our information security team assists in taking remedial action in response to an incident, and external experts may also be engaged as appropriate.
Cybersecurity Risk Management Third Party Engaged [Flag]	true
Cybersecurity Risk Third Party Oversight and Identification Processes [Flag]	true
Cybersecurity Risk Materially Affected or Reasonably Likely to Materially Affect Registrant [Flag]	false
Cybersecurity Risk Board of Directors Oversight [Text Block]	The Quality, Technology and Compliance Committee (“QTCC”) of our Board of Directors provides board-level oversight of cybersecurity risk. As part of its oversight role, the QTCC receives reports about our practices, programs, or notable threats or incidents related to cybersecurity throughout the year, including through periodic updates from our CISO and other leaders. The QTCC provides regular reports to the full Board about these matters and other areas within its responsibility, and the CISO and other leaders provide updates regarding cybersecurity matters to the full Board as appropriate.
Cybersecurity Risk Board Committee or Subcommittee Responsible for Oversight [Text Block]	Our CISO reports to our Chief Information Officer and leads our overall cybersecurity function.
Cybersecurity Risk Process for Informing Board Committee or Subcommittee Responsible for Oversight [Text Block]	Our CISO reports to our Chief Information Officer and leads our overall cybersecurity function. Our CISO has over 20 years of experience in various security roles, which include managing information security, developing cybersecurity strategy, and implementing cybersecurity programs. Our CISO collaborates with senior leaders and other members of our organization to identify and analyze cybersecurity risks and implement controls as appropriate and feasible to mitigate these risks. The CISO also supervises efforts to prevent, detect, mitigate and remediate cybersecurity risks and incidents through various means, including by collaborating with internal and external stakeholders. Our CISO is supported by a management-led Security Council, which consists of our Chief Executive Officer, Chief Financial Officer and other senior leaders throughout our organization. The Security Council reviews and discusses our cybersecurity program as well as emerging cyber risks, threats, and industry trends, among other topics.
Cybersecurity Risk Role of Management [Text Block]	The Quality, Technology and Compliance Committee (“QTCC”) of our Board of Directors provides board-level oversight of cybersecurity risk. As part of its oversight role, the QTCC receives reports about our practices, programs, or notable threats or incidents related to cybersecurity throughout the year, including through periodic updates from our CISO and other leaders. The QTCC provides regular reports to the full Board about these matters and other areas within its responsibility, and the CISO and other leaders provide updates regarding cybersecurity matters to the full Board as appropriate. Our CISO reports to our Chief Information Officer and leads our overall cybersecurity function. Our CISO has over 20 years of experience in various security roles, which include managing information security, developing cybersecurity strategy, and implementing cybersecurity programs. Our CISO collaborates with senior leaders and other members of our organization to identify and analyze cybersecurity risks and implement controls as appropriate and feasible to mitigate these risks. The CISO also supervises efforts to prevent, detect, mitigate and remediate cybersecurity risks and incidents through various means, including by collaborating with internal and external stakeholders. Our CISO is supported by a management-led Security Council, which consists of our Chief Executive Officer, Chief Financial Officer and other senior leaders throughout our organization. The Security Council reviews and discusses our cybersecurity program as well as emerging cyber risks, threats, and industry trends, among other topics.
Cybersecurity Risk Management Positions or Committees Responsible [Flag]	true
Cybersecurity Risk Management Positions or Committees Responsible [Text Block]	Our CISO reports to our Chief Information Officer and leads our overall cybersecurity function.
Cybersecurity Risk Management Expertise of Management Responsible [Text Block]	Our CISO has over 20 years of experience in various security roles, which include managing information security, developing cybersecurity strategy, and implementing cybersecurity programs.
Cybersecurity Risk Process for Informing Management or Committees Responsible [Text Block]	As part of its oversight role, the QTCC receives reports about our practices, programs, or notable threats or incidents related to cybersecurity throughout the year, including through periodic updates from our CISO and other leaders. The QTCC provides regular reports to the full Board about these matters and other areas within its responsibility, and the CISO and other leaders provide updates regarding cybersecurity matters to the full Board as appropriate. Our CISO reports to our Chief Information Officer and leads our overall cybersecurity function. Our CISO has over 20 years of experience in various security roles, which include managing information security, developing cybersecurity strategy, and implementing cybersecurity programs. Our CISO collaborates with senior leaders and other members of our organization to identify and analyze cybersecurity risks and implement controls as appropriate and feasible to mitigate these risks. The CISO also supervises efforts to prevent, detect, mitigate and remediate cybersecurity risks and incidents through various means, including by collaborating with internal and external stakeholders. Our CISO is supported by a management-led Security Council, which consists of our Chief Executive Officer, Chief Financial Officer and other senior leaders throughout our organization. The Security Council reviews and discusses our cybersecurity program as well as emerging cyber risks, threats, and industry trends, among other topics.
Cybersecurity Risk Management Positions or Committees Responsible Report to Board [Flag]	true

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES	12 Months Ended
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES	Dec. 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 December 31, 2025 and 2024, cash equivalents consisted of money market funds. Accounts Receivable — The Company’s accounts receivable are reported at the net realizable value amount that reflects the consideration the Company expects to receive in exchange for providing services, which is inclusive of adjustments for price concessions. The majority of accounts receivable are due from private insurance carriers and governmental healthcare programs, such as Medicare and Medicaid. Price concessions may result from patient hardships, patient uncollectible accounts sent to collection agencies, lack of recovery due to not receiving prior authorization, differing interpretations of covered therapies in payer contracts, different pricing methodologies, or various other reasons. In accordance with Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) Topic 606, Revenue from Contracts with Customers (“ASC 606”), an allowance for doubtful accounts is established only as a result of an adverse change in the Company’s payers’ ability to pay outstanding billings. In addition, the Company assesses if there have been any changes to historical credit losses to determine if an allowance for credit losses is needed. The Company had an immaterial allowance for doubtful accounts and credit losses as of December 31, 2025 and 2024. Included in accounts receivable are earned but unbilled gross receivables of $155.1 million and $105.3 million as of December 31, 2025 and 2024, respectively. Delays ranging from one day up to several weeks between the date of service and billing can occur due to standard billing practices and delays in obtaining certain required payer-specific documentation from internal and external sources. See “Revenue Recognition” for a further discussion of the Company’s revenue recognition policy. Inventories — Inventories, which consist primarily of pharmaceuticals, are stated at the lower of first‑in, first‑out cost or net realizable value basis, which the Company believes is reflective of the physical flow of inventories. Prepaid Expenses and Other Current Assets — Included in prepaid expenses and other current assets are volume-based rebates receivable from pharmaceutical and medical supply manufacturers of $35.3 million and $54.4 million for the years ended December 31, 2025 and 2024, respectively. Leases — The Company has lease agreements for facilities, warehouses, office space and property and equipment. At the inception of a contract, the Company determines if the contract is a lease or contains an embedded lease arrangement. Operating leases are included in the operating lease right-of-use asset (“ROU asset”) and operating lease liabilities in the consolidated financial statements. ROU assets, which represent the Company’s right to use the leased assets, and operating lease liabilities, which represent the present value of unpaid lease payments, are both recognized by the Company at the lease commencement date. The Company utilizes its estimated incremental borrowing rate at the lease commencement date to determine the present value of unpaid lease obligations. The rates are estimated primarily using a methodology dependent on the Company’s financial condition, creditworthiness, and availability of certain observable data. In particular, the Company considers its actual cost of borrowing for collateralized loans and its credit rating, along with the corporate bond yield curve in estimating its incremental borrowing rates. ROU assets are recorded as the amount of operating lease liability, adjusted for prepayments, accrued lease payments, initial direct costs, lease incentives, and impairment of the ROU asset. Tenant improvement allowances used to fund leasehold improvements are recognized when earned and reduce the related ROU asset. Tenant improvement allowances are recognized through the ROU asset as a reduction of expense over the term of the lease. Leases may contain rent escalations; however, the Company recognizes the lease expense on a straight-line basis over the expected lease term. The Company reviews the terms of any lease renewal options to determine if it is reasonably certain that the renewal options will be exercised. The Company has determined that the expected lease term is typically the minimum non-cancelable period of the lease. The Company has lease agreements that contain both lease and non-lease components which the Company has elected to account for as a single lease component for all asset classes. Leases with an initial term of 12 months or less are not recorded on the consolidated balance sheet and are expensed on a straight-line basis over the term of the lease. The Company’s lease agreements do not contain any material residual value guarantees or material restrictive covenants. See Note 8, Leases, for further discussion of leases. Goodwill, Intangible Assets, Property and Equipment, and Referral Sources — Goodwill represents the excess of the purchase price over the fair value of assets acquired and liabilities assumed. The Company accounts for goodwill under ASC Topic 350, Intangibles-Goodwill and Other. The Company tests goodwill for impairment annually, or more frequently whenever events or circumstances indicate that impairment may exist. Goodwill is stated at cost less accumulated impairment losses. The Company completes its goodwill impairment test annually in the fourth quarter on a qualitative basis. See Note 10, Goodwill and Other Intangible Assets, for further discussion of the Company’s goodwill and other intangible assets. Intangible assets arising from the Company’s acquisitions are amortized on a straight‑line basis over the estimated useful life of each asset. Referral sources have a useful life ranging from fifteen to twenty years. Trademarks/names have a useful life ranging from ten to fifteen years. The other amortizable intangible assets have a useful life of approximately five years. The Company does not have any indefinite‑lived intangible assets. Property and equipment is recorded at cost, net of accumulated depreciation. Depreciation on owned property and equipment is provided for on a straight‑line basis over the estimated useful lives of owned assets. Leasehold improvements are amortized over the estimated useful life of the property or over the term of the lease, whichever is shorter. Estimated useful lives are seven years for infusion pumps and three to thirteen years for equipment. Major repairs, which extend the useful life of an asset, are capitalized in the property and equipment accounts. Routine maintenance and repairs are expensed as incurred. Computer software is included in property and equipment and consists of purchased software and internally-developed software. The Company capitalizes application-stage development costs for significant internally-developed software projects. Once the software is ready for its intended use, these costs are amortized on a straight‑line basis over the software’s estimated useful life, generally five years. Costs recognized in the preliminary project phase and the post-implementation phase, as well as maintenance and training costs, are expensed as incurred. See “Recently Issued Accounting Pronouncements” for discussion of ASU 2025-06 and upcoming changes to accounting for software costs. The Company assesses long‑lived assets for impairment whenever events or circumstances indicate that a certain asset or asset group may be impaired. If circumstances require that a long-lived asset or asset group be tested for possible impairment, the Company first compares undiscounted cash flows expected to be generated by that asset or asset group to its carrying amount. If the carrying amount of the long-lived asset or asset group is not recoverable on an undiscounted cash flows basis, an impairment is recognized to the extent that the carrying amount exceeds its fair value. 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 consolidated balance sheets. As of December 31, 2025 and 2024, the balance of the investments was $27.9 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 consolidated statements of comprehensive income. The Company’s proportionate share of earnings was $7.4 million, $6.0 million, and $5.5 million for the years ended December 31, 2025, 2024, and 2023, respectively. Distributions from the investees are treated as cash inflows from operating activities in the consolidated statements of cash flows. During the years ended December 31, 2025, 2024, and 2023, the Company received distributions from the investees of $4.0 million, $2.4 million, and $4.0 million, respectively. See Note 17, Related-Party Transactions, for discussion of related-party transactions with these investees. Hedging Instruments — The Company uses derivative financial instruments to limit its exposure to increases in the interest rate of its variable rate debt instruments. The derivative financial instruments are recognized on the consolidated balance sheets at fair value. See Note 12, Derivative Instruments, for additional information. At inception of the hedge, the Company designated the derivative instruments as a hedge of the cash flows related to the interest on the variable rate debt. For all instruments designated as hedges, the Company documents the hedging relationships and its risk management objective of the hedging relationship. For all hedging instruments, the terms of the hedge perfectly offset the hedged expected cash flows. Revenue Recognition — Net revenue is reported at the net realizable value amount that reflects the consideration the Company expects to receive in exchange for providing goods and services. Revenues are from government payers, commercial payers, and patients for goods and services provided and are based on a gross price based on payer contracts, fee schedules, or other arrangements less any implicit price concessions. Due to the nature of the healthcare industry and the reimbursement environment in which the Company operates, certain estimates are required to record revenue and accounts receivable at their net realizable values at the time goods or services are provided. Inherent in these estimates is the risk that they will have to be revised or updated as additional information becomes available. The Company assesses the expected consideration to be received at the time of patient acceptance, based on the verification of the patient’s insurance coverage, historical information with the patient, similar patients, or the payer. Performance obligations are determined based on the nature of the services provided by the Company. The majority of the Company’s performance obligations are to provide infusion services to deliver medicine, nutrients, or fluids directly into the body. The Company provides a variety of infusion-related therapies to patients, which frequently include multiple deliverables of pharmaceutical drugs and related nursing services. After applying the criteria from ASC 606, the Company concluded that multiple performance obligations exist in its contracts with its customers. Revenue is allocated to each performance obligation based on relative standalone price, determined based on reimbursement rates established in the third-party payer contracts. Pharmaceutical drug revenue is recognized at the time the pharmaceutical drug is delivered to the patient, and nursing revenue is recognized on the date of service. The Company's outstanding performance obligations relate to contracts with a duration of less than one year. Therefore, the Company has elected to apply the practical expedient provided by ASC 606 and is not required to disclose the aggregate amount of the transaction price allocated to performance obligations that are unsatisfied or partially unsatisfied at the end of the reporting period. Any unsatisfied or partially unsatisfied performance obligations at the end of a reporting period are generally completed prior to the patient being discharged. See Note 4, Revenue for further discussion of revenue. Cost of Revenue — Cost of revenue consists of the actual cost of pharmaceuticals and other medical supplies dispensed to patients, as well as all other costs directly related to the production of revenue. These costs include warehousing costs, purchasing costs, freight costs, cash discounts, volume-based rebates, wages and related costs for pharmacists and nurses, along with depreciation expense relating to revenue-generating assets, such as infusion pumps. The Company also receives rebates from pharmaceutical and medical supply manufacturers. Rebates are generally volume-based incentives and are recorded as a reduction of inventory and are accounted for as a reduction of cost of goods sold when the related inventory is sold. Selling, General and Administrative Expenses — Selling, general and administrative expenses mainly consist of salaries for administrative employees that directly and indirectly support the operations, occupancy costs, marketing expenditures, insurance, and professional fees. Stock Based Incentive Compensation — The Company accounts for stock-based incentive compensation expense in accordance with ASC Topic 718, Compensation-Stock Compensation (“ASC 718”). Stock-based incentive compensation expense is based on the grant date fair value. The Company estimates the fair value of stock option awards using a Black-Scholes option pricing model and the fair value of restricted stock unit awards using the closing price of the Company’s common stock on the grant date. For awards with a service-based vesting condition, the Company recognizes expense on a straight-line basis over the service period of the award. For awards with performance-based vesting conditions, the Company will recognize expense when it is probable that the performance-based conditions will be met. When the Company determines that it is probable that the performance-based conditions will be met, a cumulative catch-up of expense will be recorded as if the award had been vesting on a straight-line basis from the award date. The award will continue to be expensed on a straight-line basis through the remainder of the vesting period and will be updated if the Company determines that there has been a change in the probability of achieving the performance-based conditions. The Company records the impact of forfeited awards in the period in which the forfeiture occurs. Business Acquisitions — The Company accounts for business acquisitions in accordance with ASC Topic 805, Business Combinations, with assets and liabilities being recorded at their acquisition date fair value and goodwill being calculated as the purchase price in excess of the net identifiable assets. See Note 3, Business Acquisitions, for further discussion of the Company’s business acquisitions. Income Taxes — The Company accounts for income taxes using the asset and liability method. Deferred tax assets and liabilities are reported for book-tax basis differences and are measured based on currently enacted tax laws using rates expected to apply to taxable income in the years in which the differences are expected to reverse. The effect of a change in tax rate on deferred taxes is recognized in income tax expense in the period that includes the enactment date of the change. In assessing the realizability of deferred tax assets, management considers whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. Valuation allowances are established when necessary to reduce deferred tax assets to the amounts more likely than not to be realized. The Company recognizes income tax positions that are more likely than not to be sustained on their technical merits. The Company measures recognized income tax positions at the maximum benefit that is more likely than not, based on cumulative probability, realizable upon final settlement of the position. Interest and penalties related to unrecognized tax benefits are reported in income tax expense (benefit). Tax related interest and penalties are classified as a component of income tax expense (benefit). 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 14%, 15%, and 14% for the years ended December 31, 2025, 2024, and 2023, respectively. There were no other managed care contracts that represent greater than 10% of revenue for the years presented. For the years ended December 31, 2025, 2024, and 2023, approximately 12% of the Company’s revenue was reimbursable through direct government healthcare programs such as Medicare and Medicaid. As of December 31, 2025 and 2024, approximately 13% and 11%, respectively, 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, concentrations of credit risk relating to trade accounts receivable are 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 year ended December 31, 2025, approximately 68% of the Company’s pharmaceutical and medical supply purchases were from four vendors. For the year ended December 31, 2024, approximately 58% of the Company’s pharmaceutical and medical supply purchases were from three vendors. For the year ended December 31, 2023, approximately 72% of the Company’s pharmaceutical and medical supply purchases were from four vendors. Most of the pharmaceutical and medical supplies that we purchase are available from multiple distributors, and we believe they are available in sufficient quantities to meet our needs and the needs of our patients. 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 — The fair value measurement accounting standard, ASC Topic 820, Fair Value Measurement (“ASC 820”), provides a framework for measuring fair value and defines fair value as the price that would be received to sell an asset or paid to transfer a liability. Fair value is a market-based measurement that should be determined using assumptions that market participants would use in pricing an asset or liability. The standard establishes a valuation hierarchy for inputs used in measuring fair value that maximizes the use of observable inputs and minimizes the use of unobservable inputs by requiring that the most observable inputs be used when available. Observable inputs are inputs market participants would use in valuing the asset or liability developed based on independent market data sources. Unobservable inputs are inputs that reflect the Company’s assumptions about the factors market participants would use in valuing the asset or liability developed based upon the best information available. The valuation hierarchy is composed of three categories. The categorization within the valuation hierarchy is based on the lowest level of input that is significant to the fair value measurement. 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. Recently Issued Accounting Pronouncements — In December 2025, the FASB issued ASU 2025-11, Interim Reporting (Topic 270): Narrow-Scope Improvements. This ASU improves the navigability of the required interim disclosures, clarifies when the guidance in Topic 270 is applicable, and provides additional guidance on what disclosures should be provided in interim reporting periods. The amendments also require entities to disclose events since the end of the last annual reporting period that have a material impact on the entity. The FASB does not intend to change the fundamental nature of interim reporting or expand or reduce current interim disclosure requirements, but rather intends to provide clarity on the current interim reporting requirements. The Company is required to adopt this ASU for interim reporting periods within annual reporting periods beginning after December 15, 2027, with early adoption permitted. The Company is currently evaluating the impact of this ASU on its results of operations, cash flows, financial position, and disclosures. In September 2025, the FASB issued ASU 2025-06, Intangibles - Goodwill and Other - Internal-Use Software (Subtopic 350-40): Targeted Improvements to the Accounting for Internal-Use Software. This ASU modernizes the accounting for software costs that are accounted for under Subtopic 350-40 and improves the operability of the guidance by removing all references to software development project stages so that the guidance is neutral to different software development methods, including methods that entities may use to develop software in the future. The FASB expects that capitalization of internal-use software costs generally will not change significantly for most types of software under the amendments in this update. The Company is required to adopt this ASU for annual reporting periods beginning after December 15, 2027, and interim reporting periods within those annual reporting periods, with early adoption permitted. This ASU was adopted as of January 1, 2026 and will be applied prospectively to the 2026 annual reporting period. The adoption will not have any material impact on the Company’s results of operations, cash flows, financial position, or disclosures. In November 2024, the FASB issued ASU 2024-03, Income Statement - Reporting Comprehensive Income - Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses. This ASU improves the disclosures around a public business entity’s expenses and addresses requests from investors for more detailed information about the types of expenses (including purchases of inventory, employee compensation, depreciation, amortization, and depletion) in commonly presented expense captions (such as cost of sales, SG&A, and research and development). The amendments in this ASU do not change or remove current presentation requirements or current expense disclosure requirements. However, the amendments affect where this information appears in the notes to financial statements because entities are required to include certain current disclosures in the same tabular format disclosure as the other disaggregation requirements in the amendments. The Company is required to adopt this ASU for annual reporting periods beginning after December 15, 2026, and interim reporting periods beginning after December 15, 2027, with early adoption permitted. The Company is currently evaluating the impact of this ASU on its results of operations, cash flows, financial position, and disclosures. In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures. This ASU addresses investor requests for more transparency about income tax information through improvements to income tax disclosures primarily related to the rate reconciliation and income taxes paid information. The ASU improves the transparency of income tax disclosures by requiring consistent categories and greater disaggregation of information in the rate reconciliation and income taxes paid disaggregated by jurisdiction. The ASU allows investors to better assess, in their capital allocation decisions, how an entity’s worldwide operations and related tax risks and tax planning and operational opportunities affect its income tax rate and prospects for future cash flows. This ASU also improves the effectiveness and comparability of disclosures by adding disclosures of pretax income (loss) and income tax expense (benefit) to be consistent with U.S. Securities and Exchange Commission (“SEC”) Regulation S-X and removing disclosures that no longer are considered cost beneficial or relevant. The Company is required to adopt this ASU for annual periods beginning after December 15, 2024, with early adoption permitted. This ASU was adopted during the year ended December 31, 2025 and applied prospectively. The adoption did not have any material impact on the Company’s results of operations, cash flows, financial position, or disclosures. See Note 6, Income Taxes, for further discussion. In October 2023, the FASB issued ASU 2023-06, Disclosure Improvements: Codification Amendments in Response to the SEC’s Disclosure Update and Simplification Initiative. This ASU is the result of the Board’s decision to incorporate into the Codification 14 disclosures referred by the SEC. The ASU represents changes to clarify or improve disclosure and presentation requirements of a variety of Topics. Many of the amendments allow users to more easily compare entities subject to the SEC’s existing disclosures with those entities that were not previously subject to the SEC’s requirements. Also, the amendments align the requirements in the Codification with the SEC’s regulations. The effective date for each amendment will be the date on which the SEC’s removal of that related disclosure from Regulation S-X or Regulation S-K becomes effective, with early adoption permitted. If by June 30, 2027, the SEC has not removed the applicable requirement from Regulation S-X or Regulation S-K, the pending content of the related amendment will be removed from the Codification and will not become effective. The Company is currently evaluating the impact of this ASU on its results of operations, cash flows, financial position, and disclosures.

STOCK-BASED INCENTIVE COMPENSATION - Schedule of Restricted Stock Award Activity (Details) - Restricted Stock	12 Months Ended
	Dec. 31, 2025 $ / shares shares
Restricted Stock
Beginning balance (in shares) \| shares	1,665,412
Granted (in shares) \| shares	907,633
Vested and issued (in shares) \| shares	(581,779)
Forfeited and expired (in shares) \| shares	(140,959)
Ending balance (in shares) \| shares	1,850,307
Weighted Average Grant Date Fair Value
Beginning balance (in dollars per share) \| $ / shares	$ 29.41
Granted (in dollars per share) \| $ / shares	31.40
Vested and issued (in dollars per share) \| $ / shares	28.20
Forfeited and expired (in dollars per share) \| $ / shares	30.66
Ending balance (in dollars per share) \| $ / shares	$ 30.70

DERIVATIVE INSTRUMENTS

12 Months Ended

Dec. 31, 2025

Derivative Instruments and Hedging Activities Disclosure [Abstract]

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 $300.0 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 consolidated balance sheets (in thousands):


	Fair Value - Derivatives in Asset Position
Derivative	Balance Sheet Caption	December 31, 2025		December 31, 2024
Interest rate cap designated as cash flows hedge	Prepaid expenses and other current assets	$	5,501	$	8,034
Interest rate cap designated as cash flows hedge	Other noncurrent assets	—		6,680
Total derivative assets		$	5,501	$	14,714

The gain and loss associated with the changes in the fair value of the effective portion of hedging instruments are recorded into 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 consolidated statements of comprehensive income (in thousands):


	Year Ended December 31,
Derivative	2025		2024		2023
Interest rate cap designated as cash flows hedge	$	(9,213)	$	(5,215)	$	(8,339)


		Year Ended December 31,
Derivative	Income Statement Caption	2025		2024		2023
Interest rate cap designated as cash flows hedge	Interest expense, net	$	8,638	$	11,527	$	10,974

The Company expects to reclassify $2.5 million of total interest rate costs from accumulated other comprehensive income (loss) against interest expense during the next 12 months.

- Definition

The entire disclosure for derivative instruments and hedging activities including, but not limited to, risk management strategies, non-hedging derivative instruments, assets, liabilities, revenue and expenses, and methodologies and assumptions used in determining the amounts.

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-URI https://asc.fasb.org/1943274/2147480434/815-10-50-4K

Reference 16: http://www.xbrl.org/2003/role/disclosureRef
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Reference 17: http://www.xbrl.org/2003/role/disclosureRef
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Reference 18: http://www.xbrl.org/2003/role/disclosureRef
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Reference 19: http://www.xbrl.org/2003/role/disclosureRef
-Topic 815
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Reference 20: http://www.xbrl.org/2003/role/disclosureRef
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Reference 21: http://www.xbrl.org/2003/role/disclosureRef
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Reference 22: http://www.xbrl.org/2003/role/disclosureRef
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Reference 23: http://www.xbrl.org/2003/role/disclosureRef
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Reference 26: http://www.xbrl.org/2003/role/disclosureRef
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Reference 28: http://www.xbrl.org/2003/role/disclosureRef
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Reference 29: http://www.xbrl.org/2003/role/disclosureRef
-Topic 815
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-Publisher FASB
-URI https://asc.fasb.org/815/tableOfContent

Reference 30: http://www.xbrl.org/2003/role/disclosureRef
-Topic 815
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-Section 50
-Paragraph 5
-Subparagraph (f)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480237/815-40-50-5

Reference 31: http://www.xbrl.org/2003/role/disclosureRef
-Topic 815
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-Name Accounting Standards Codification
-Section 50
-Paragraph 5C
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480434/815-10-50-5C

+ Details

INDEBTEDNESS (Tables)

12 Months Ended

Dec. 31, 2025

Debt Disclosure [Abstract]

Schedule of Debt

Long-term debt consisted of the following as of December 31, 2025 (in thousands):


	Principal Amount		Discount		Debt Issuance Costs		Net Balance
Revolver Facility	$	—	$	—	$	—	$	—
First Lien Term Loan	676,305		(4,552)		(4,937)		666,816
Senior Notes	500,000		—		(5,984)		494,016
	$	1,176,305	$	(4,552)	$	(10,921)	1,160,832
Less: current portion							(6,780)
Total long-term debt							$	1,154,052

Long-term debt consisted of the following as of December 31, 2024 (in thousands):


	Principal Amount		Discount		Debt Issuance Costs		Net Balance
Revolver Facility	$	—	$	—	$	—	$	—
First Lien Term Loan	631,617		(5,537)		(7,555)		618,525
Senior Notes	500,000		—		(7,372)		492,628
	$	1,131,617	$	(5,537)	$	(14,927)	1,111,153
Less: current portion							(6,512)
Total long-term debt							$	1,104,641

Schedule of Long-term Debt Maturities

Long-term debt matures as follows (in thousands):


Fiscal Year Ended December 31,	Minimum Payments
2026	$	6,780
2027	6,780
2028	6,780
2029	506,780
2030	6,780
Thereafter	642,405
Total	$	1,176,305

Schedule of Estimated Fair Values of Debt Obligations

The following table presents the estimated fair values of the Company’s debt obligations as of December 31, 2025 (in thousands):


Financial Instrument	Carrying Value as of December 31, 2025		Markets for Identical Item (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)
First Lien Term Loan	$	666,816	$	—	$	679,687	$	—
Senior Notes	494,016		—		487,500		—
Total debt instruments	$	1,160,832	$	—	$	1,167,187	$	—

INCOME TAXES - Schedule of Income Tax Reconciliation Rate (Details)	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Income Tax Disclosure [Abstract]
U.S. federal statutory tax rate	21.00%	21.00%	21.00%
State and local income taxes, net of federal income tax effect	4.00%	3.50%	4.80%
Valuation allowance		(0.80%)	(1.50%)
Share-based compensation impacts	1.70%	1.20%	0.70%
Other, net		0.40%	0.50%
Effective income tax rate	26.60%	25.30%	25.50%

INCOME TAXES (Tables)

12 Months Ended

Dec. 31, 2025

Income Tax Disclosure [Abstract]

Schedule of Income Tax Expense (Benefit)

The income tax expense (benefit) consists of the following for the years ended December 31, 2025, 2024, and 2023 (in thousands):


	Year Ended December 31,
	2025		2024		2023
U.S. federal income tax expense (benefit):
Current	$	51,994	$	47,239	$	56,474
Deferred	9,291		16,396		18,739
	61,285		63,635		75,213
State income tax expense (benefit):
Current	12,606		10,597		20,253
Deferred	1,424		(2,456)		(3,814)
	14,030		8,141		16,439
Total income tax expense	$	75,315	$	71,776	$	91,652

Schedule of Effective Income Tax Rate Reconciliation

The following table is a reconciliation of the U.S. federal statutory rate of 21% to the Company’s effective rate for the year ended December 31, 2025 in accordance with the guidance in ASU 2023-09 (in thousands, except for percentages):


	Year Ended December 31, 2025
	Amount		Percent
U.S. federal statutory income tax rate	$	59,409	21.0	%
State and local income taxes, net of federal income tax effect (1)	11,382		4.0	%
Tax credits:
Research and development tax credits	(555)		(0.2)	%
Nontaxable or nondeductible items:
Share-based compensation impacts	4,779		1.7	%
Other	300		0.1	%
Effective income tax rate	$	75,315	26.6	%

(1) State tax in California, Florida, New York and Pennsylvania made up more than 50% of the tax effect in this category.

The following table is a reconciliation of the U.S. federal statutory rate of 21% to the Company’s effective rate for the years ended December 31, 2024 and 2023 in accordance with the guidance prior to the adoption of ASU 2023-09:


	Year Ended December 31,
	2024		2023
U.S. federal statutory tax rate	21.0	%	21.0	%
State and local income taxes, net of federal income tax effect	3.5	%	4.8	%
Valuation allowance	(0.8)	%	(1.5)	%
Share-based compensation impacts	1.2	%	0.7	%
Other, net	0.4	%	0.5	%
Effective income tax rate	25.3	%	25.5	%

Schedule of Income Taxes Paid

Also in accordance with ASU 2023-09, the following table reflects income taxes paid disaggregated by Federal and State for the year ended December 31, 2025 (in thousands):


	Amount
Federal	$	57,500
State	9,787
Total income taxes paid	$	67,287

Schedule of Deferred Tax Assets and Liabilities

The components of deferred income tax assets and liabilities were as follows as of December 31, 2025 and 2024 (in thousands):


	December 31, 2025		December 31, 2024
Deferred tax assets:
Price concessions	$	5,697	$	8,053
Compensation and benefits	7,364		6,166
Interest limitation carryforward	3,533		5,768
Operating lease liability	25,323		23,880
Net operating losses	46,459		50,860
Other	13,012		12,676
Deferred tax assets before valuation allowance	101,388		107,403
Valuation allowance	(2,839)		(3,337)
Deferred tax assets, net of valuation allowance	98,549		104,066

Deferred tax liabilities:
Accelerated depreciation	(16,914)		(12,630)
Operating lease right-of-use asset	(20,078)		(18,883)
Intangible assets	(43,445)		(48,412)
Goodwill	(67,766)		(59,303)
Other	(6,365)		(12,414)
Deferred tax liabilities	(154,568)		(151,642)
Net deferred tax liabilities	$	(56,019)	$	(47,576)

Schedule of Valuation Allowance

The following table presents the valuation allowance for deferred tax assets for the years ended December 31, 2025, 2024 and 2023 (in thousands):


			Additions
Description	Balance at Beginning of Period		Charged (Benefit) to Costs and Expenses		Charged (Benefit) to Other Accounts		Balance at End of Period
2023: Valuation allowance for deferred tax assets	$	13,056	$	(6,685)	$	—	$	6,371
2024: Valuation allowance for deferred tax assets	$	6,371	$	(3,034)	$	—	$	3,337
2025: Valuation allowance for deferred tax assets	$	3,337	$	(498)	$	—	$	2,839

INCOME TAXES

12 Months Ended

Dec. 31, 2025

Income Tax Disclosure [Abstract]

INCOME TAXES

The income tax expense (benefit) consists of the following for the years ended December 31, 2025, 2024, and 2023 (in thousands):


	Year Ended December 31,
	2025		2024		2023
U.S. federal income tax expense (benefit):
Current	$	51,994	$	47,239	$	56,474
Deferred	9,291		16,396		18,739
	61,285		63,635		75,213
State income tax expense (benefit):
Current	12,606		10,597		20,253
Deferred	1,424		(2,456)		(3,814)
	14,030		8,141		16,439
Total income tax expense	$	75,315	$	71,776	$	91,652

Beginning with the year ended December 31, 2025, the Company has prospectively adopted the guidance in ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Taxes Disclosures (“ASU 2023-09”). The following table is a reconciliation of the U.S. federal statutory rate of 21% to the Company’s effective rate for the year ended December 31, 2025 in accordance with the guidance in ASU 2023-09 (in thousands, except for percentages):


	Year Ended December 31, 2025
	Amount		Percent
U.S. federal statutory income tax rate	$	59,409	21.0	%
State and local income taxes, net of federal income tax effect (1)	11,382		4.0	%
Tax credits:
Research and development tax credits	(555)		(0.2)	%
Nontaxable or nondeductible items:
Share-based compensation impacts	4,779		1.7	%
Other	300		0.1	%
Effective income tax rate	$	75,315	26.6	%

(1) State tax in California, Florida, New York and Pennsylvania made up more than 50% of the tax effect in this category.

Also in accordance with ASU 2023-09, the following table reflects income taxes paid disaggregated by Federal and State for the year ended December 31, 2025 (in thousands):


	Amount
Federal	$	57,500
State	9,787
Total income taxes paid	$	67,287


	Year Ended December 31,
	2024		2023
U.S. federal statutory tax rate	21.0	%	21.0	%
State and local income taxes, net of federal income tax effect	3.5	%	4.8	%
Valuation allowance	(0.8)	%	(1.5)	%
Share-based compensation impacts	1.2	%	0.7	%
Other, net	0.4	%	0.5	%
Effective income tax rate	25.3	%	25.5	%

The Company recorded income tax expense of $75.3 million, $71.8 million, and $91.7 million, which represents an effective tax rate of 26.6%, 25.3%, and 25.5% for the years ended December 31, 2025, 2024, and 2023, respectively. The Company released $0.4 million, $2.2 million, and $5.8 million of state valuation allowances for the years ended December 31, 2025, 2024, and 2023, respectively. The income tax expense for the year ended December 31, 2023 includes $21.8 million of tax expense related to the Termination Fee payment received on behalf of Amedisys, under the terms of the Mutual Termination Agreement, net of merger-related expenses.

The variance in the Company’s effective tax rate of 26.6%, 25.3%, and 25.5% for the years ended December 31, 2025, 2024, and 2023, respectively, compared to the federal statutory rate of 21%, as well as year-over-year changes, was primarily attributable to the inclusion of state taxes in multiple jurisdictions, various non-deductible expenses, and changes in state valuation allowance.

The components of deferred income tax assets and liabilities were as follows as of December 31, 2025 and 2024 (in thousands):


	December 31, 2025		December 31, 2024
Deferred tax assets:
Price concessions	$	5,697	$	8,053
Compensation and benefits	7,364		6,166
Interest limitation carryforward	3,533		5,768
Operating lease liability	25,323		23,880
Net operating losses	46,459		50,860
Other	13,012		12,676
Deferred tax assets before valuation allowance	101,388		107,403
Valuation allowance	(2,839)		(3,337)
Deferred tax assets, net of valuation allowance	98,549		104,066

Deferred tax liabilities:
Accelerated depreciation	(16,914)		(12,630)
Operating lease right-of-use asset	(20,078)		(18,883)
Intangible assets	(43,445)		(48,412)
Goodwill	(67,766)		(59,303)
Other	(6,365)		(12,414)
Deferred tax liabilities	(154,568)		(151,642)
Net deferred tax liabilities	$	(56,019)	$	(47,576)

Deferred tax assets are generally required to be reduced by a valuation allowance if it is more likely than not that some portion or all of the deferred tax assets will not be realized. For the year ended December 31, 2025, the Company maintains a valuation allowance of $2.8 million against certain state net operating losses (“NOL”). In assessing the realizability of deferred tax assets, the Company considers whether it is more likely than not that some or all 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. 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, in making this assessment. On a quarterly basis, the Company evaluates all positive and negative evidence in determining if the valuation allowance is fairly stated.

At December 31, 2025, the Company had $33.7 million of tax-effected federal NOL carryforwards all of which are currently available to offset future taxable income in the United States and reflected as a deferred tax asset of the company. Tax-effected federal NOL carryforwards of $22.7 million expire beginning in 2028 through 2036, and $11.0 million of tax-effected federal NOLs have an indefinite carryforward period. At December 31, 2025, the Company had $3.5 million tax-effected amounts of interest limitation carryforwards which have an indefinite carryforward period. At December 31, 2025, the Company also had $12.8 million tax-effected amounts of cumulative state NOL carryforwards available to offset future taxable income in various states. These state NOL carryforwards will expire beginning in 2026 through 2044, with some having an indefinite carryforward period.

At December 31, 2025, 2024, and 2023, there were no unrecognized tax benefits for uncertain tax positions. Tax related interest and penalties are classified as a component of income tax expense.

The following table presents the valuation allowance for deferred tax assets for the years ended December 31, 2025, 2024 and 2023 (in thousands):


			Additions
Description	Balance at Beginning of Period		Charged (Benefit) to Costs and Expenses		Charged (Benefit) to Other Accounts		Balance at End of Period
2023: Valuation allowance for deferred tax assets	$	13,056	$	(6,685)	$	—	$	6,371
2024: Valuation allowance for deferred tax assets	$	6,371	$	(3,034)	$	—	$	3,337
2025: Valuation allowance for deferred tax assets	$	3,337	$	(498)	$	—	$	2,839

The company files income tax returns in the U.S. and various state and local jurisdictions. There are no ongoing Federal or state income tax audits as of December 31, 2025. The statute remains open for examination by the Internal Revenue Service beginning with year 2022 and in state jurisdictions for periods beginning in 2021.

On July 4, 2025, the One Big Beautiful Bill Act (“OBBBA”) was enacted in the United States. The OBBBA includes significant provisions, such as the permanent extension of certain expiring provisions of the Tax Cuts and Jobs Act, modifications to the international tax framework and the restoration of favorable tax treatment for certain business provisions. The legislation has multiple effective dates, with certain provisions effective in 2025 and others implemented through 2027. The Company has reflected the applicable provisions of the OBBBA into its consolidated financial statements for the year ended December 31, 2025, and there is no material impact on the Company’s effective tax rate.

- Definition

The entire disclosure for income tax.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 942
-SubTopic 740
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147477617/942-740-50-1

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Topic 235
-SubTopic 10
-Name Accounting Standards Codification
-Section S50
-Paragraph 1
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480738/235-10-S50-1

Reference 3: http://www.xbrl.org/2003/role/disclosureRef
-Topic 944
-SubTopic 740
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147478822/944-740-50-1

Reference 4: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 12
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482685/740-10-50-12

Reference 5: http://www.xbrl.org/2003/role/exampleRef
-Topic 740
-SubTopic 10
-Name Accounting Standards Codification
-Section 55
-Paragraph 231
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482663/740-10-55-231

Reference 6: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 12C
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482685/740-10-50-12C

Reference 7: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 12B
-Publisher FASB
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Reference 8: http://www.xbrl.org/2003/role/disclosureRef
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-SubTopic 270
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-Section 50
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Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
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Reference 10: http://www.xbrl.org/2003/role/disclosureRef
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Reference 11: http://www.xbrl.org/2003/role/disclosureRef
-Topic 235
-SubTopic 10
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-Section S99
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-Subparagraph (SX 210.4-08(h)(2))
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-URI https://asc.fasb.org/1943274/2147480678/235-10-S99-1

Reference 12: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
-Name Accounting Standards Codification
-Publisher FASB
-URI https://asc.fasb.org/740/tableOfContent

Reference 13: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
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-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482685/740-10-50-14

Reference 14: http://www.xbrl.org/2003/role/disclosureRef
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-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482685/740-10-50-21

Reference 15: http://www.xbrl.org/2003/role/disclosureRef
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-Section 50
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-Subparagraph (b)
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-URI https://asc.fasb.org/1943274/2147482685/740-10-50-17

Reference 16: http://www.xbrl.org/2003/role/disclosureRef
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-Topic 740
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-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482603/740-30-50-2

+ Details

PROPERTY AND EQUIPMENT (Details) - USD ($) $ in Thousands	12 Months Ended
PROPERTY AND EQUIPMENT (Details) - USD ($) $ in Thousands	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 269,050	$ 247,911
Less: accumulated depreciation	(129,814)	(120,544)
Property and equipment, net	139,236	127,367
Depreciation expense	33,758	29,093	$ 27,819
Depreciation expense in cost of revenue
Property, Plant and Equipment [Line Items]
Depreciation expense	3,152	2,590	2,999
Depreciation expense in operating expenses
Property, Plant and Equipment [Line Items]
Depreciation expense	30,606	26,503	$ 24,820
Infusion pumps
Property, Plant and Equipment [Line Items]
Property and equipment, gross	36,497	37,659
Equipment, furniture and other
Property, Plant and Equipment [Line Items]
Property and equipment, gross	28,087	24,055
Leasehold improvements
Property, Plant and Equipment [Line Items]
Property and equipment, gross	126,651	116,675
Computer software, purchased and internally developed
Property, Plant and Equipment [Line Items]
Property and equipment, gross	58,608	46,532
Assets under development
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 19,207	$ 22,990

BUSINESS ACQUISITIONS - Additional Information (Details) - USD ($) $ in Thousands		1 Months Ended	12 Months Ended
	Jan. 24, 2025	May 31, 2023	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023	Jun. 26, 2023	May 03, 2023	Dec. 31, 2022
Business Combination [Line Items]
Business acquisitions, net of cash acquired			$ 117,247	$ 0	$ 12,494
Business combination, acquisition-related expenses					$ 21,100
Business Combination, Separately Recognized Transaction, Acquisition-Related Cost, Expensed, Statement of Income or Comprehensive Income [Extensible Enumeration]					Other, net
Goodwill			$ 1,606,743	$ 1,540,246	$ 1,540,246			$ 1,533,424
Intramed Plus, Inc
Business Combination [Line Items]
Percentage of the combined company held	100.00%
Business acquisitions, net of cash acquired	$ 117,247
Goodwill	$ 66,497
Amedisys, Inc.
Business Combination [Line Items]
Termination fee					$ 63,100	$ 106,000
Amedisys, Inc. \| Option Care, Combined Company
Business Combination [Line Items]
Company's stockholders, ownership percentage following merger							64.50%
Revitalized, LLC
Business Combination [Line Items]
Percentage of the combined company held		100.00%
Purchase price, net of cash acquired		$ 12,500
Goodwill		6,700
Intangible assets		$ 5,500

STOCK-BASED INCENTIVE COMPENSATION - Narrative (Details) - USD ($)	1 Months Ended	12 Months Ended
	May 31, 2024	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023	May 31, 2021
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Weighted-average grant-date fair value per share (in dollars per share)				$ 15.72
Stock-based compensation tax withholdings		$ 0	$ 0	$ 0
Value of shares surrendered to satisfy tax withholding obligations		$ 4,300,000	4,900,000	0
Initial percentage of target shares granted		100.00%
Stock Option
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Share-based compensation expense		$ 4,600,000	5,900,000	6,500,000
Unrecognized compensation expense		$ 1,200,000
Weighted average period of recognition		2 months 12 days
Restricted Stock
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Share-based compensation expense		$ 24,400,000	21,400,000	16,600,000
Unrecognized compensation expense		28,800,000
Value of shares surrendered to satisfy tax withholding obligations		$ 6,100,000	7,100,000	4,400,000
Weighted average period of recognition		10 months 24 days
Value of shares vested in period		$ 16,400,000	19,400,000	9,900,000
Restricted Stock \| Director
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Vesting period		3 years
Performance Stock Units
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Vesting period		3 years
Share-based compensation expense		$ 11,000,000.0	$ 8,800,000	7,500,000
Unrecognized compensation expense		$ 14,200,000
2024 Performance Stock Units
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Weighted average period of recognition		1 year 2 months 12 days
Minimum
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Percentage of target shares granted		0.00%
Minimum \| Stock Option
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Vesting period		3 years
Exercisable range of years		7 years
Minimum \| Restricted Stock
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Vesting period		1 year
Minimum \| Performance Stock Units
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Average performance period		2 years
Maximum
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Exercisable range of years		10 years
Percentage of target shares granted		200.00%
Maximum \| Stock Option
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Vesting period		4 years
Exercisable range of years		10 years
Maximum \| Restricted Stock
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Vesting period		4 years
Maximum \| Performance Stock Units
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Average performance period		3 years
The 2018 Plan
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]
Number of shares authorized (in shares)		13,101,734	13,101,734		9,101,734
Number of additional shares authorized (in shares)	4,000,000
Share-based compensation expense		$ 40,000,000.0	$ 36,100,000	$ 30,500,000

CONSOLIDATED BALANCE SHEETS (Parenthetical) - $ / shares	Dec. 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)	184,522,423	183,846,725
Common stock, shares, outstanding (in shares)	156,857,801	166,261,112
Treasury stock, shares (in shares)	27,664,622	17,585,613

GOODWILL AND OTHER INTANGIBLE ASSETS - Narrative (Details) - USD ($)	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill impairment	$ 0	$ 0	$ 0
Amortization expense for intangible assets	$ 36,900,000	$ 34,400,000	$ 34,200,000

- Definition

The aggregate expense charged against earnings to allocate the cost of intangible assets (nonphysical assets not used in production) in a systematic and rational manner to the periods expected to benefit from such assets.

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+ Details

- Definition

Amount of impairment loss from asset representing future economic benefit arising from other asset acquired in business combination or from joint venture formation or both, that is not individually identified and separately recognized.

+ References + Details

STOCKHOLDERS' EQUITY - Schedule of Changes in Shares of Common Stock (Details) - shares	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Balance, beginning of the year	166,261,112
Balance, end of the period	156,857,801	166,261,112
Common Stock
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Balance, beginning of the year	166,261,000	174,576,000	181,958,000
Equity award issuances	676,000	941,000	564,000
Share repurchases	(10,079,000)	(9,256,000)	(7,946,000)
Balance, end of the period	156,858,000	166,261,000	174,576,000

- Definition

Number of shares that have been repurchased during the period and have not been retired and are not held in treasury. Some state laws may govern the circumstances under which an entity may acquire its own stock and prescribe the accounting treatment therefore. This element is used when state law does not recognize treasury stock.

+ References + Details

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Additional Information (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Concentration Risk [Line Items]
Unbilled receivables	$ 155,100	$ 105,300
Rebate receivable	35,300	54,400
Investments in equity-method investees	27,900	24,500
Equity in earnings of joint ventures	7,409	5,964	$ 5,530
Distribution from equity method investments	$ 4,000	$ 2,400	$ 4,000
Infusion pumps
Concentration Risk [Line Items]
Leasehold improvements, useful life (in years)	7 years
Revenue from Contract with Customer Benchmark \| Customer Concentration Risk \| Largest Payer
Concentration Risk [Line Items]
Concentration risk (as a percent)	14.00%	15.00%	14.00%
Revenue from Contract with Customer Benchmark \| Governmental Programs \| Government Healthcare Programs
Concentration Risk [Line Items]
Concentration risk (as a percent)	12.00%	12.00%	12.00%
Accounts Receivable Benchmark \| Governmental Programs \| Government Healthcare Programs
Concentration Risk [Line Items]
Concentration risk (as a percent)	13.00%	11.00%
Cost of Goods and Service, Product and Service Benchmark \| Medical Supply Vendors \| Four Vendors
Concentration Risk [Line Items]
Concentration risk (as a percent)			72.00%
Cost of Goods and Service, Product and Service Benchmark \| Medical Supply Vendors \| Three Vendors
Concentration Risk [Line Items]
Concentration risk (as a percent)	68.00%	58.00%
Other amortizable intangible assets
Concentration Risk [Line Items]
Intangible asset useful life (in years)	5 years
Computer Software
Concentration Risk [Line Items]
Intangible asset useful life (in years)	5 years
Minimum \| Equipment
Concentration Risk [Line Items]
Leasehold improvements, useful life (in years)	3 years
Minimum \| Referral sources
Concentration Risk [Line Items]
Intangible asset useful life (in years)	15 years
Minimum \| Trademarks and Trade Names
Concentration Risk [Line Items]
Intangible asset useful life (in years)	10 years
Maximum \| Equipment
Concentration Risk [Line Items]
Leasehold improvements, useful life (in years)	13 years
Maximum \| Referral sources
Concentration Risk [Line Items]
Intangible asset useful life (in years)	20 years
Maximum \| Trademarks and Trade Names
Concentration Risk [Line Items]
Intangible asset useful life (in years)	15 years

STOCKHOLDERS' EQUITY (Tables)

12 Months Ended

Dec. 31, 2025

Equity [Abstract]

Schedule of Changes in Shares of Common Stock

The following table shows the Company’s changes in shares of common stock for the years ended December 31, 2025, 2024, and 2023 (in thousands):


						Number of Shares
Balance at December 31, 2022						181,958
Equity award issuances						564
Share repurchases						(7,946)
Balance at December 31, 2023						174,576
Equity award issuances						941
Share repurchases						(9,256)
Balance at December 31, 2024						166,261
Equity award issuances						676
Share repurchases						(10,079)
Balance at December 31, 2025						156,858

INCOME TAXES - Schedule of Income Taxes Paid (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Income Tax Disclosure [Abstract]
Federal	$ 57,500
State	9,787
Total income taxes paid	$ 67,287	$ 64,522	$ 75,241

GOODWILL AND OTHER INTANGIBLE ASSETS (Tables)

12 Months Ended

Dec. 31, 2025

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of the Carrying Amount of Goodwill

Changes in the carrying amount of goodwill consist of the following activity for the years ended December 31, 2025, 2024, and 2023 (in thousands):


	Amount
Balance at December 31, 2022	$	1,533,424
Acquisitions	6,998
Purchase accounting adjustments	(176)
Balance at December 31, 2023	$	1,540,246
Acquisitions	—
Purchase accounting adjustments	—
Balance at December 31, 2024	$	1,540,246
Acquisitions	65,684
Purchase accounting adjustments	813
Balance at December 31, 2025	$	1,606,743

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 December 31, 2025 and 2024 (in thousands):


	December 31, 2025		December 31, 2024
Gross intangible assets:
Referral sources	$	551,188	$	514,388
Trademarks/names	46,808		39,136
Other amortizable intangible assets	985		985
Total gross intangible assets	598,981		554,509

Accumulated amortization:
Referral sources	(263,907)		(230,371)
Trademarks/names	(25,170)		(22,599)
Other amortizable intangible assets	(726)		(529)
Total accumulated amortization	(289,803)		(253,499)
Total intangible assets, net	$	309,178	$	301,010

Schedule of Future Amortization Expense for Intangible Assets

Expected future amortization expense for intangible assets recorded at December 31, 2025, is as follows (in thousands):


	Amount
2026	$	37,078
2027	36,937
2028	36,887
2029	36,881
2030	22,745
Thereafter	138,650
Total	$	309,178

- Definition

Tabular disclosure of goodwill by reportable segment and in total which includes a rollforward schedule.

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+ Details

Insider Trading Policies and Procedures	12 Months Ended
Insider Trading Policies and Procedures	Dec. 31, 2025
Insider Trading Policies and Procedures [Line Items]
Insider Trading Policies and Procedures Adopted	true

STOCK-BASED INCENTIVE COMPENSATION - Schedule of Outstanding and Exercisable Stock Options (Details)	12 Months Ended
	Dec. 31, 2025 $ / shares shares
Options Outstanding
Options Outstanding (in shares) \| shares	1,371,426
Options Exercisable
Options Exercisable (in shares) \| shares	678,166
$0.00 - $8.24
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Lower range limit (in dollars per share)	$ 0.00
Upper range limit (in dollars per share)	$ 8.24
Options Outstanding
Options Outstanding (in shares) \| shares	9,901
Weighted Average Exercise Price (in dollars per share)	$ 6.52
Weighted Average Remaining Contractual Life	1 year 1 month 6 days
Options Exercisable
Options Exercisable (in shares) \| shares	9,901
Weighted Average Exercise Price (in dollars per share)	$ 6.52
$8.24 - $16.52
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Lower range limit (in dollars per share)	8.24
Upper range limit (in dollars per share)	$ 16.52
Options Outstanding
Options Outstanding (in shares) \| shares	55,275
Weighted Average Exercise Price (in dollars per share)	$ 12.39
Weighted Average Remaining Contractual Life	3 years 7 months 6 days
Options Exercisable
Options Exercisable (in shares) \| shares	55,275
Weighted Average Exercise Price (in dollars per share)	$ 12.39
$16.52 - $24.76
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Lower range limit (in dollars per share)	16.52
Upper range limit (in dollars per share)	$ 24.76
Options Outstanding
Options Outstanding (in shares) \| shares	327,926
Weighted Average Exercise Price (in dollars per share)	$ 21.54
Weighted Average Remaining Contractual Life	5 years 8 months 12 days
Options Exercisable
Options Exercisable (in shares) \| shares	278,540
Weighted Average Exercise Price (in dollars per share)	$ 21.13
$24.76 - $33.00
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Lower range limit (in dollars per share)	24.76
Upper range limit (in dollars per share)	$ 33.00
Options Outstanding
Options Outstanding (in shares) \| shares	978,324
Weighted Average Exercise Price (in dollars per share)	$ 28.37
Weighted Average Remaining Contractual Life	6 years 10 months 24 days
Options Exercisable
Options Exercisable (in shares) \| shares	334,450
Weighted Average Exercise Price (in dollars per share)	$ 27.40

RELATED-PARTY TRANSACTIONS (Details) - USD ($) $ in Thousands			12 Months Ended
	Mar. 03, 2023	Feb. 28, 2023	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Related Party Transaction [Line Items]
Management fee income			$ 5,649,519	$ 4,998,202	$ 4,302,324
Distribution from equity method investments			4,000	2,400	4,000
Shares repurchased		$ 75,000	$ 307,500	$ 250,000	$ 250,000
Treasury stock, shares, acquired (in shares)	2,475,166		10,079,009	9,255,591	7,946,301
Joint Venture
Related Party Transaction [Line Items]
Management fee income			$ 7,500	$ 6,200	$ 5,300
Due to joint ventures			$ 2,700	$ 1,400

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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+ Details

GOODWILL AND OTHER INTANGIBLE ASSETS - Schedule of Carrying Amount of Goodwill (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Goodwill [Roll Forward]
Goodwill - net book value, beginning of period	$ 1,540,246	$ 1,540,246	$ 1,533,424
Acquisitions	65,684	0	6,998
Purchase accounting adjustments	813	0	(176)
Goodwill - net book value, end of period	$ 1,606,743	$ 1,540,246	$ 1,540,246

- Definition

Amount, after accumulated impairment loss, of asset representing future economic benefit arising from other asset acquired in business combination or from joint venture formation or both, that is not individually identified and separately recognized.

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+ Details

RELATED-PARTY TRANSACTIONS	12 Months Ended
RELATED-PARTY TRANSACTIONS	Dec. 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 $7.5 million, $6.2 million, and $5.3 million for the years ended December 31, 2025, 2024, and 2023, respectively. Management fees are recorded in net revenues in the accompanying consolidated statements of comprehensive income. During the years ended December 31, 2025, 2024, and 2023, the Company received distributions from the investees of $4.0 million, $2.4 million, and $4.0 million, respectively. The Company had amounts due to its joint ventures totaling $2.7 million and $1.4 million as of December 31, 2025 and 2024, respectively. Receivables were included in prepaid expenses and other current assets in the accompanying balance sheets, while payables were included in accrued expenses and other current liabilities in the accompanying 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. Share Repurchase Agreement — On February 28, 2023, we entered into a Share Repurchase Agreement (the “Share Repurchase Agreement”) with HC Group Holdings I, LLC. (“HC I”) pursuant to which we agreed to repurchase, subject to the terms and conditions contained therein, up to $75.0 million of our common stock then held by HC I at the same purchase price per share as the underwriter in a concurrent underwritten public offering of our common stock held by HC I. On March 3, 2023, the transactions contemplated by the Share Repurchase Agreement closed, and we repurchased directly from HC I 2,475,166 shares of our common stock.

- Definition

The entire disclosure for related party transactions. Examples of related party transactions include transactions between (a) a parent company and its subsidiary; (b) subsidiaries of a common parent; (c) and entity and its principal owners; and (d) affiliates.

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+ Details

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (Parenthetical) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Income Statement [Abstract]
Change in unrealized (loss) gain on cash flow hedges, income tax benefit (expense)	$ 2,272	$ 1,284	$ 2,158

INCOME TAXES - Schedule of Valuation Allowance for Deferred Tax Assets (Details) - Valuation Allowance, Deferred Tax Assets - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Change in Deferred Tax Asset Valuation Allowance
Beginning balance	$ 3,337	$ 6,371	$ 13,056
Charged (Benefit) to Costs and Expenses	(498)	(3,034)	(6,685)
Charged (Benefit) to Other Accounts	0	0	0
Ending balance	$ 2,839	$ 3,337	$ 6,371

REVENUE (Tables)

12 Months Ended

Dec. 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 years ended December 31, 2025, 2024, and 2023 (in thousands):


	Year Ended December 31,
	2025		2024		2023
Commercial payers	$	4,902,394	$	4,348,991	$	3,747,568
Government payers	681,583		584,271		500,891
Patients	65,542		64,940		53,865
Net revenue	$	5,649,519	$	4,998,202	$	4,302,324

LEASES - Additional Information (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Leases [Abstract]
Operating lease cost	$ 35.1	$ 32.7	$ 30.6
Weighted-average remaining lease term, operating leases (in years)	6 years 6 months	6 years 6 months
Weighted-average discount rate, operating leases (as a percent)	6.97%	6.56%
Increase in operating lease right-of-use asset and lease liabilities	$ 27.1	$ 25.0	$ 30.5

COVER PAGE - USD ($)	12 Months Ended
COVER PAGE - USD ($)	Dec. 31, 2025	Feb. 19, 2026	Jun. 30, 2025
Cover [Abstract]
Document Type	10-K
Document Annual Report	true
Document Period End Date	Dec. 31, 2025
Current Fiscal Year End Date	--12-31
Document Transition Report	false
Entity File Number	001-11993
Entity Registrant Name	OPTION CARE HEALTH, INC.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	05-0489664
Entity Address, Address Line One	3000 Lakeside Dr.
Entity Address, Address Line Two	Suite 300N
Entity Address, City or Town	Bannockburn
Entity Address, State or Province	IL
Entity Address, Postal Zip Code	60015
City Area Code	312
Local Phone Number	940-2443
Title of 12(b) Security	Common Stock, $0.0001 par value per share
Trading Symbol	OPCH
Security Exchange Name	NASDAQ
Entity Well-known Seasoned Issuer	Yes
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
ICFR Auditor Attestation Flag	true
Document Financial Statement Error Correction Flag	false
Entity Shell Company	false
Entity Public Float			$ 5,271,294,634
Entity Common Stock, Shares Outstanding		156,447,972
Documents Incorporated by Reference	Portions of the registrant’s definitive proxy statement for its 2026 Annual Meeting of Stockholders to be filed with the Securities and Exchange Commission (the “SEC”) within 120 days after the close of the registrant’s fiscal year are incorporated by reference into Part III of this Annual Report on Form 10-K.
Entity Central Index Key	0001014739
Document Fiscal Year Focus	2025
Document Fiscal Period Focus	FY
Amendment Flag	false

NATURE OF OPERATIONS AND PRESENTATION OF FINANCIAL STATEMENTS	12 Months Ended
	Dec. 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, provide infusion therapy and other ancillary healthcare services through a national network of 87 full service pharmacies, including 73 with ambulatory infusion suites. Additionally, the Company has 109 stand-alone ambulatory infusion sites, including 27 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 December 31, 2025, under the stock ticker OPCH. Basis of Presentation — The accompanying consolidated financial statements have been prepared in conformity with generally accepted accounting principles (“GAAP”) in the United States. GAAP requires management to make certain estimates and assumptions in determining assets, liabilities, revenue, expenses, and related disclosures. Actual amounts could differ materially from those estimates. Principles of Consolidation — The Company’s 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 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.

STOCK-BASED INCENTIVE COMPENSATION

12 Months Ended

Dec. 31, 2025

Share-Based Payment Arrangement [Abstract]

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 as of December 31, 2025 and 2024. During the years ended December 31, 2025, 2024, and 2023, the Company recognized total compensation expense related to the 2018 Plan of $40.0 million, $36.1 million, and $30.5 million, respectively.

Stock Options — Options granted under the 2018 Plan typically vest over a three- or four-year period and, in certain instances, may fully vest upon a change in control of the Company. The options also typically have an exercise price that may not be less than 100% of its fair market value on the date of grant and are exercisable seven to ten years after the date of grant, subject to earlier termination in certain circumstances.

Compensation expense from stock options is recognized on a straight-line basis over the requisite service period. During the years ended December 31, 2025, 2024, and 2023, the Company recognized compensation expense related to stock options of $4.6 million, $5.9 million, and $6.5 million, respectively.

There were no options granted during the years ended December 31, 2025 and 2024. The weighted average grant-date fair value of options granted during the year ended December 31, 2023 was $15.72. The fair value of stock options granted was estimated on the date of grant using a Black-Scholes pricing model. The assumptions used to compute the fair value of options for the year ended December 31, 2023 are as follows:


	Year Ended December 31,
	2023
Expected volatility	51.43	%
Risk-free interest rate	4.16	%
Expected life of options	6.2 years
Dividend rate	—

A summary of stock option activity for the year ended December 31, 2025 is as follows:


	Options	Weighted Average Exercise Price		Aggregate Intrinsic Value (thousands)		Weighted Average Remaining Contractual Life
Balance at December 31, 2024	1,483,233	$	25.79	$	1,590
Granted	—	$	—	$	—
Exercised	(96,034)	$	23.75	$	868
Forfeited and expired	(15,773)	$	26.32	$	87
Balance at December 31, 2025	1,371,426	$	25.93	$	8,130	6.4 years
Exercisable at December 31, 2025	678,166	$	23.30	$	5,805	5.7 years

During the years ended December 31, 2025, 2024, and 2023, an immaterial number of shares were surrendered to satisfy tax withholding obligations on the exercise of stock options. No cash was received from stock option exercises under share-based payment arrangements for the years ended December 31, 2025, 2024, and 2023.

The maximum term of stock options under these plans is ten years. Options outstanding as of December 31, 2025 expire on various dates ranging from February 2027 through July 2033. The following table outlines the outstanding and exercisable stock options as of December 31, 2025:


	Options Outstanding				Options Exercisable
Range of Option Exercise Price	Outstanding Options	Weighted Average Exercise Price		Weighted Average Remaining Contractual Life	Options Exercisable	Weighted Average Exercise Price
$0.00 - $8.24	9,901	$	6.52	1.1 years	9,901	$	6.52
$8.24 - $16.52	55,275	$	12.39	3.6 years	55,275	$	12.39
$16.52 - $24.76	327,926	$	21.54	5.7 years	278,540	$	21.13
$24.76 - $33.00	978,324	$	28.37	6.9 years	334,450	$	27.40
All options	1,371,426				678,166

As of December 31, 2025, there was $1.2 million of unrecognized compensation expense related to unvested option grants that is expected to be recognized over a weighted-average period of 0.2 years.

Restricted Stock — Restricted stock grants subject solely to an employee’s continued service with the Company generally will become fully vested within one to four years from the grant date and, in certain instances, may fully vest upon a change in control of the Company. Restricted stock grants subject solely to a Director’s continued service with the Company generally will become fully vested on a pro-rata basis over three years from the date of grant.

Compensation expense from restricted stock is recognized on a straight-line basis over the requisite service period. During the years ended December 31, 2025, 2024, and 2023, the Company recognized compensation expense related to restricted stock awards of $24.4 million, $21.4 million, and $16.6 million, respectively.

The grant-date fair value of restricted stock is valued as the closing price of the Company’s common stock on the date of the grant.

A summary of restricted stock award activity for the year ended December 31, 2025 is as follows:


	Restricted Stock	Weighted Average Grant Date Fair Value
Balance at December 31, 2024	1,665,412	$	29.41
Granted	907,633	$	31.40
Vested and issued	(581,779)	$	28.20
Forfeited and expired	(140,959)	$	30.66
Balance at December 31, 2025	1,850,307	$	30.70

During the years ended December 31, 2025, 2024, and 2023, shares were surrendered to satisfy tax withholding obligations on the vesting of restricted stock awards with a cost basis of $6.1 million, $7.1 million, and $4.4 million, respectively.

As of December 31, 2025, there was $28.8 million in unrecognized compensation expense related to unvested restricted stock awards that is expected to be recognized over a weighted average period of 0.9 years. The total fair value of restricted stock awards vested during the years ended December 31, 2025, 2024, and 2023 was $16.4 million, $19.4 million, and $9.9 million, respectively.

Performance Stock Units — Performance-based stock units (“PSU”) are generally earned based on the attainment of specified goals achieved over a designated performance period. During the years ended December 31, 2025, 2024, and 2023, the Company’s Compensation Committee approved PSU awards to certain senior executives of the Company with grant dates in 2025, 2024, and 2023, respectively. All PSU awards offer a three-year-cliff vesting schedule. Each PSU award reflects a target number of shares (“Target Shares”) that may be issued to the award recipient. PSU awards may be earned upon the completion of a two-year-average or three-year-average performance period.

Whether PSU awards are earned at the end of the performance period will be determined based on the achievement of certain performance objectives over the performance period. The performance objectives include achieving a target growth for adjusted EBITDA and revenue combined in addition to a target growth for cash flows from operations (2023 and 2024 PSUs) or a target growth for adjusted diluted earnings per share (2025 PSUs) over the performance period. Depending on the results achieved during the performance period, the actual number of shares that a grant recipient receives at the end of the period may range from 0% to 200% of the Target Shares granted. Each period begins with 100% of the Target Shares and true-up or true-down adjustments are considered every quarter-end based on the forecasted performance period results.

The fair value of the Target Shares and PSU awards are based on the fair value of the underlying shares as of market close on the grant date. Compensation expense for PSU awards is recognized on a straight-line basis over the requisite service period. During the years ended December 31, 2025, 2024, and 2023, the Company recognized compensation expense related to the PSU awards of $11.0 million, $8.8 million, and $7.5 million, respectively. During the years ended December 31, 2025 and 2024, shares were surrendered to satisfy tax withholding obligations on the performance-based stock units with a cost basis of $4.3 million and $4.9 million, respectively. During the year ended December 31, 2023, no shares were surrendered to satisfy tax withholding obligations on the PSU awards. As of December 31, 2025, there was $14.2 million in unrecognized compensation expense related to unvested PSU awards that are expected to be recognized over a weighted-average period of 1.2 years.