The Filing Desk

Option Care Health vs Universal Health Services

Option Care Health OPCH · Universal Health Services UHS · Health Care Facilities

Universal Health Services reported revenue of $17.4 billion in fiscal 2025, 3.1 times Option Care Health's $5.6 billion in fiscal 2025. Option Care Health's revenue grew 13.0% in its latest year, and Universal Health Services' grew 9.7%. Option Care Health had an operating margin of 6.0%, against 11.5% at Universal Health Services. Free cash flow was $217 million at Option Care Health and $849 million at Universal Health Services.

Side by side

Option Care HealthUniversal Health Services
Latest fiscal yearFY2025, Dec 31, 2025FY2025, Dec 31, 2025
Revenue$5.6B$17.4B
Revenue growth13.0%9.7%
Revenue growth a year, last 5 years13.3%8.5%
Gross margin19.3%—
Operating margin6.0%11.5%
Net margin3.7%8.6%
Free cash flow$217M$849M
Free cash flow margin3.8%4.9%
Return on capital11.4%13.1%
Net debt to EBITDA2.3x1.8x
Dividends and buybacks$310M$1.0B
Change in diluted share count−5.5%−5.1%
Last close$31.23$185.71
P/E at the last close24.4×7.6×
Insider trades, last 12 monthsbought $2.9 million, sold $1.2 millionsold $1.2 million
Piotroski F-score5 of 96 of 8
Amounts in each company's own currency, US$ unless marked (a foreign company may report in another), each company's latest fiscal year from its 10-K, or 20-F or 40-F for a foreign company. Growth rates compare with the year before; the five-year rate is the average a year. Free cash flow is cash from operations minus capital spending; return on capital is after-tax operating income over the money invested in the business; P/E is the last close over the latest earnings per share. Banks are measured differently (return on equity, efficiency ratio), so some rows apply to one company only.

Ten years

Revenue
US$ billions, fiscal years
Option Care HealthUniversal Health Services
Operating margin
Percent of revenue
Option Care HealthUniversal Health Services
Free cash flow
US$ billions. Cash from operations minus capital expenditure.
Option Care HealthUniversal Health Services

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Source: the companies' Form 10-K filings, from SEC EDGAR, and the last close. For information only, not investment advice: the figures describe results, not which company is the better investment. The Filing Desk is not affiliated with either company. Full figures on the Option Care Health and Universal Health Services pages.