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AdaptHealth vs Option Care Health: revenue, profit, margins and growth compared

AdaptHealth brought in $3.2B of revenue in fiscal 2025, Option Care Health $5.6B in fiscal 2025. Revenue changed by -0.5% at AdaptHealth and +13.0% at Option Care Health on the year before, so Option Care Health grew faster. AdaptHealth kept -2.2% of its revenue as net profit, Option Care Health 3.7%. Free cash flow was $219.4M at AdaptHealth and $217.1M at Option Care Health.

Side by side, latest fiscal year

AHCOOPCH
Fiscal year endedFY2025 (December 31, 2025)FY2025 (December 31, 2025)
Revenue$3.2B$5.6B
Revenue growth-0.5%+13.0%
Net income-$70.8M$207.6M
Net margin-2.2%3.7%
Free cash flow$219.4M$217.1M
Free cash flow margin6.8%3.8%
Earnings per share (diluted)-$0.52$1.27
Cash$106.1M$232.6M
Debt$1.7B$1.2B
Price to earningsn/a18.2
Market value$769M$3.5B
Dividend yieldn/an/a
Rank by revenue in sector#79 of 523 · Health care#58 of 523 · Health care

Over the years

Revenue
AHCO FY2018: $345.3MAHCO FY2019: $529.6MAHCO FY2020: $1.1BAHCO FY2021: $2.5BAHCO FY2022: $3BAHCO FY2023: $3.2BAHCO FY2024: $3.3BAHCO FY2025: $3.2BOPCH FY2018: $1.9BOPCH FY2019: $2.3BOPCH FY2020: $3BOPCH FY2021: $3.4BOPCH FY2022: $3.9BOPCH FY2023: $4.3BOPCH FY2024: $5BOPCH FY2025: $5.6BFY18FY19FY20FY21FY22FY23FY24FY25
AHCO $3.2BOPCH $5.6B
Net income
AHCO FY2018: $23.3MAHCO FY2019: -$21.3MAHCO FY2020: -$161.6MAHCO FY2021: $156.2MAHCO FY2022: $69.3MAHCO FY2023: -$678.9MAHCO FY2024: $90.4MAHCO FY2025: -$70.8MOPCH FY2018: -$6.1MOPCH FY2019: -$75.9MOPCH FY2020: -$8.1MOPCH FY2021: $139.9MOPCH FY2022: $150.6MOPCH FY2023: $267.1MOPCH FY2024: $211.8MOPCH FY2025: $207.6MFY18FY19FY20FY21FY22FY23FY24FY25
AHCO -$70.8MOPCH $207.6M
Net margin
AHCO FY2018: 6.7%AHCO FY2019: -4.0%AHCO FY2020: -15.3%AHCO FY2021: 6.4%AHCO FY2022: 2.3%AHCO FY2023: -21.2%AHCO FY2024: 2.8%AHCO FY2025: -2.2%OPCH FY2018: -0.3%OPCH FY2019: -3.3%OPCH FY2020: -0.3%OPCH FY2021: 4.1%OPCH FY2022: 3.8%OPCH FY2023: 6.2%OPCH FY2024: 4.2%OPCH FY2025: 3.7%FY18FY19FY20FY21FY22FY23FY24FY25
AHCO -2.2%OPCH 3.7%
Revenue growth
AHCO FY2019: +53.4%AHCO FY2020: +99.5%AHCO FY2021: +132.4%AHCO FY2022: +21.0%AHCO FY2023: +7.7%AHCO FY2024: +1.9%AHCO FY2025: -0.5%OPCH FY2019: +19.1%OPCH FY2020: +31.3%OPCH FY2021: +13.4%OPCH FY2022: +14.7%OPCH FY2023: +9.1%OPCH FY2024: +16.2%OPCH FY2025: +13.0%FY19FY20FY21FY22FY23FY24FY25
AHCO -0.5%OPCH +13.0%
Free cash flow
AHCO FY2018: $58.5MAHCO FY2019: $39.1MAHCO FY2020: $155.9MAHCO FY2021: $72.4MAHCO FY2022: -$17.6MAHCO FY2023: $143.2MAHCO FY2024: $235.8MAHCO FY2025: $219.4MOPCH FY2018: -$1.8MOPCH FY2019: $11.2MOPCH FY2020: $100.5MOPCH FY2021: $182.9MOPCH FY2022: $232.2MOPCH FY2023: $329.4MOPCH FY2024: $287.8MOPCH FY2025: $217.1MFY18FY19FY20FY21FY22FY23FY24FY25
AHCO $219.4MOPCH $217.1M

Fiscal years as each company reports them; the two may end in different months.

Questions about AdaptHealth and Option Care Health

Which is bigger by revenue, AdaptHealth or Option Care Health?

Option Care Health is bigger by revenue: $5.6B in fiscal 2025, against $3.2B for AdaptHealth in fiscal 2025.

Which keeps more of its revenue as profit, AdaptHealth or Option Care Health?

AdaptHealth had a net margin of -2.2% in fiscal 2025; Option Care Health had 3.7% in fiscal 2025.

Which grew revenue faster, AdaptHealth or Option Care Health?

In their latest fiscal years revenue changed by -0.5% at AdaptHealth and +13.0% at Option Care Health.

Where do these numbers come from?

From the annual reports each company files with the SEC (10-K, or 20-F and 40-F for foreign companies), read from their XBRL data. Margins and growth are simple arithmetic on those figures. Nothing here is a recommendation.

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