OPTION CARE HEALTH INC OPCH
COM NEW · Common Stock · CUSIP 68404L201 · ISIN US68404L2016
American home infusion and home care services company
- SectorHealth care
- IndustryServices-Home Health Care Services
- HeadquartersBannockburn, IL
- FilingsSEC EDGAR
* Summed across managers. Shares that two managers' reports both contain – a subsidiary's holdings that its parent's report includes too, or a sub-adviser's in its client's – are counted once ($10.2m this quarter). Holder counts are more reliable. Shares outstanding: 158.7m as of 2025-10-28, from the company's own SEC filing; the percentage can still exceed 100%: lent-out shares are counted by the lender and the buyer, and some reports overlap without saying so. Implied quarter-end price ≈ $31.87. Options: 11 managers hold calls ($40.0m notional), 8 hold puts ($22.5m).
Trends to Q4 2025
Institutional holders
Managers reporting a position, each quarter
Numbers
| Quarter | Holders |
|---|---|
| Q3 2022 | 280 |
| Q4 2022 | 291 |
| Q1 2023 | 285 |
| Q2 2023 | 317 |
| Q3 2023 | 358 |
| Q4 2023 | 351 |
| Q1 2024 | 341 |
| Q2 2024 | 342 |
| Q3 2024 | 339 |
| Q4 2024 | 344 |
| Q1 2025 | 385 |
| Q2 2025 | 383 |
| Q3 2025 | 381 |
| Q4 2025 | 367 |
Buyers vs sellers
Managers adding to or starting a position, vs cutting or selling out
Numbers
| Quarter | Bought or added | Cut or sold out |
|---|---|---|
| Q1 2024 | 182 | 156 |
| Q2 2024 | 185 | 172 |
| Q3 2024 | 163 | 177 |
| Q4 2024 | 184 | 184 |
| Q1 2025 | 205 | 180 |
| Q2 2025 | 197 | 200 |
| Q3 2025 | 201 | 197 |
| Q4 2025 | 170 | 212 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q1 2025 | $25.5m | $14.3m | 0.56 |
| Q2 2025 | $21.1m | $10.6m | 0.50 |
| Q3 2025 | $15.7m | $13.1m | 0.83 |
| Q4 2025 | $40.0m | $22.5m | 0.56 |
Biggest buyers
| FULLER & THALER ASSET MANAGEMENT, INC. | Added | +7.7m |
| Southpoint Capital Advisors LP | New | +3.0m |
| Durable Capital Partners LP | Added | +1.6m |
| CITADEL ADVISORS LLC | Added | +1.5m |
| Alyeska Investment Group, L.P. | New | +1.2m |
| Freestone Grove Partners LP | New | +915.9k |
| Duquesne Family Office LLC | Added | +768.3k |
| Allianz Asset Management GmbH | Added | +680.3k |
| FMR LLC | Added | +675.2k |
| MORGAN STANLEY | Added | +400.7k |
Biggest sellers
| Allspring Global Investments Holdings, LLC | Sold out | -1.4m |
| VANGUARD GROUP INC | Reduced | -1.0m |
| D. E. Shaw & Co., Inc. | Reduced | -959.1k |
| TWO SIGMA INVESTMENTS, LP | Reduced | -855.3k |
| WELLINGTON MANAGEMENT GROUP LLP | Reduced | -811.4k |
| JPMORGAN CHASE & CO | Reduced | -768.8k |
| RENAISSANCE TECHNOLOGIES LLC | Reduced | -680.7k |
| Connor, Clark & Lunn Investment Management Ltd. | Reduced | -624.7k |
| COMERICA BANK | Reduced | -495.9k |
| TWO SIGMA ADVISERS, LP | Reduced | -481.5k |
Biggest calls
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Added | $21.1m662.5k shares |
| Walleye Trading LLC | Added | $4.1m129.9k shares |
| BARCLAYS PLC | New | $3.2m99.0k shares |
| JANE STREET GROUP, LLC | Added | $2.7m85.9k shares |
| Walleye Capital LLC | New | $2.5m78.5k shares |
| GROUP ONE TRADING LLC | Added | $2.5m77.7k shares |
| TUDOR INVESTMENT CORP ET AL | New | $879.3k27.6k shares |
| IMC-Chicago, LLC | Added | $869.8k27.3k shares |
| SIMPLEX TRADING, LLC | Added | $726.4k22.8k shares |
| CITADEL ADVISORS LLC | Reduced | $720.0k22.6k shares |
Biggest puts
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Added | $15.2m477.0k shares |
| JANE STREET GROUP, LLC | New | $1.9m58.7k shares |
| GROUP ONE TRADING LLC | Added | $1.4m42.6k shares |
| CITADEL ADVISORS LLC | Reduced | $1.3m40.8k shares |
| Walleye Capital LLC | New | $939.9k29.5k shares |
| IMC-Chicago, LLC | New | $873.0k27.4k shares |
| SIMPLEX TRADING, LLC | Added | $697.7k21.9k shares |
| Walleye Trading LLC | New | $293.1k9.2k shares |
Options at notional value: the value of the shares the contracts control, as filers report them, not what the options cost. Not included in the holders, shares or buying above.
Major shareholders (over 5%)
Anyone who owns more than 5% of a class of the company's shares has to say so: on Schedule 13D if they may try to influence or control the company, on 13G if they're a passive investor, and update it as the stake changes. Each holder's latest filing, from 19 Dec 2024 on; percentages are of the share class, as the holder worked them out.
| Holder | Stake |
|---|---|
| BlackRock, Inc. 13G · institution filed 2026-10-27 | 13.1% |
| WELLINGTON MANAGEMENT GROUP LLP 13G · institution -1.9 pts · filed 2025-08-12 | 8.1% |
| VANGUARD CAPITAL MANAGEMENT LLC 13G · institution new · filed 2026-04-30 | 5.2% |
| VANGUARD PORTFOLIO MANAGEMENT LLC 13G · institution new · filed 2026-04-29 | 5.2% |
Fell to 5% or below in the last year: Durable Capital Partners LP (3.9%, 2026-08-14), FMR LLC (4.1%, 2026-05-06), VANGUARD GROUP INC (0.0%, 2026-03-27; now reported by VANGUARD CAPITAL MANAGEMENT LLC)
Insider purchases and sales in Q4 2025
Shares bought or sold by the company's own officers, directors and 10% owners, in the open market or privately, as they reported to the SEC on Form 4 (due within two business days of the trade). Grants, option exercises, shares withheld for tax and gifts aren't included.
Officers and directors buying vs selling
Number of people, by quarter (10% owners not included)
Numbers
| Quarter | Buying | Bought | Selling | Sold | Sold under a plan |
|---|---|---|---|---|---|
| Q1 2024 | 1 | $1.1m | 1 | $63.0k | — |
| Q2 2024 | 0 | — | 0 | — | — |
| Q3 2024 | 0 | — | 5 | $3.9m | — |
| Q4 2024 | 1 | $969.2k | 0 | — | — |
| Q1 2025 | 0 | — | 1 | $1.0m | — |
| Q2 2025 | 0 | — | 0 | — | — |
| Q3 2025 | 5 | $1.7m | 0 | — | — |
| Q4 2025 | 1 | $987.2k | 0 | — | — |
| Date | Insider | Trade | Value |
|---|---|---|---|
| 2025-11-03 | KRAEMER HARRY M JANSEN JR Director | Bought | $987.2k38.0k shares |
Their holding: how much the trade added to or took from the insider's holding (direct, or the trust or fund named). The same trade is sometimes reported by more than one insider, such as a fund and the director who represents it; totals count it once. A value is left blank where the reported price is far from the market price (usually a typo).
Holders, Q4 2025
| Manager | Shares | Change |
|---|---|---|
| BlackRock, Inc. 0.01% of their portfolio | 19.9m $633.0m | Reduced -301.0k |
| VANGUARD GROUP INC 0.01% of their portfolio | 16.6m $530.4m | Reduced -1.0m |
| FULLER & THALER ASSET MANAGEMENT, INC. 0.76% of their portfolio | 13.9m $443.4m | Added +7.7m |
| WELLINGTON MANAGEMENT GROUP LLP 0.07% of their portfolio | 12.0m $381.2m | Reduced -811.4k |
| FMR LLC 0.02% of their portfolio | 9.3m $297.4m | Added +675.2k |
| Durable Capital Partners LP 2.71% of their portfolio | 9.0m $286.5m | Added +1.6m |
| STATE STREET CORP 0.01% of their portfolio | 5.8m $184.5m | Reduced -237.5k |
| ARROWSTREET CAPITAL, LIMITED PARTNERSHIP 0.08% of their portfolio | 4.2m $135.4m | Added +247.1k |
| GEODE CAPITAL MANAGEMENT, LLC 0.01% of their portfolio | 4.1m $131.2m | Reduced -83.9k |
| DIMENSIONAL FUND ADVISORS LP 0.03% of their portfolio | 3.8m $122.4m | Added +44.3k |
| MORGAN STANLEY 0.01% of their portfolio | 3.4m $108.7m | Added +400.7k |
| Southpoint Capital Advisors LP 2.22% of their portfolio | 3.0m $95.6m | New |
| WESTFIELD CAPITAL MANAGEMENT CO LP 0.37% of their portfolio | 2.8m $88.1m | Added +7.4k |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.01% of their portfolio | 2.4m $77.3m | Reduced -115.2k |
| PRICE T ROWE ASSOCIATES INC /MD/ 0.01% of their portfolio | 2.1m $65.7m | Reduced -34.8k |
| NORTHERN TRUST CORP 0.01% of their portfolio | 2.0m $62.8m | Reduced -185.8k |
| NORGES BANK 0.01% of their portfolio | 1.9m $61.8m | Not comparable |
| MANUFACTURERS LIFE INSURANCE COMPANY, THE 0.05% of their portfolio | 1.8m $56.4m | Reduced -191.7k |
| Duquesne Family Office LLC 1.32% of their portfolio | 1.7m $55.6m | Added +768.3k |
| Swedbank AB 0.05% of their portfolio | 1.7m $55.0m | Reduced -55.5k |
| BANK OF AMERICA CORP /DE/ 0.00% of their portfolio | 1.7m $54.1m | Reduced -8.2k |
| CITADEL ADVISORS LLC 0.04% of their portfolio | 1.7m $53.3m | Added +1.5m |
| Nuveen, LLC 0.01% of their portfolio | 1.6m $49.9m | Added +3.8k |
| Boston Partners 0.05% of their portfolio | 1.5m $46.8m | Added +252.8k |
| FORT WASHINGTON INVESTMENT ADVISORS INC /OH/ 0.24% of their portfolio | 1.4m $45.8m | Added +166.7k |
| ALLIANCEBERNSTEIN L.P. 0.01% of their portfolio | 1.4m $43.0m | Added +51.5k |
| SCHRODER INVESTMENT MANAGEMENT GROUP 0.03% of their portfolio | 1.3m $42.1m | Added +321.8k |
| MASSACHUSETTS FINANCIAL SERVICES CO /MA/ 0.01% of their portfolio | 1.3m $40.9m | Added +39.9k |
| RIVERBRIDGE PARTNERS LLC 0.75% of their portfolio | 1.3m $40.2m | Reduced -184.4k |
| LOOMIS SAYLES & CO L P 0.05% of their portfolio | 1.2m $39.7m | Added +36.5k |
| GENEVA CAPITAL MANAGEMENT LLC 0.74% of their portfolio | 1.2m $39.3m | Reduced -134.9k |
| Alyeska Investment Group, L.P. 0.11% of their portfolio | 1.2m $38.6m | New |
| JENNISON ASSOCIATES LLC 0.02% of their portfolio | 1.2m $37.1m | Reduced -104.7k |
| Bank of New York Mellon Corp 0.01% of their portfolio | 1.1m $35.0m | Reduced -79.9k |
| UBS Group AG 0.01% of their portfolio | 928.9k $29.6m | Reduced -236.6k |
| Freestone Grove Partners LP 0.21% of their portfolio | 915.9k $29.2m | New |
| GOLDMAN SACHS GROUP INC 0.00% of their portfolio | 912.8k $29.1m | Added +163.8k |
| VILLERE ST DENIS J & CO LLC 2.66% of their portfolio | 831.1k $26.5m | Reduced -35.4k |
| GILDER GAGNON HOWE & CO LLC 0.27% of their portfolio | 808.6k $25.8m | Reduced -14.9k |
| DEUTSCHE BANK AG\ 0.01% of their portfolio | 788.2k $25.1m | Added +57.7k |
| Amundi 0.01% of their portfolio | 748.1k $23.8m | Added +118.1k |
| JPMORGAN CHASE & CO 0.00% of their portfolio | 740.8k $23.6m | Reduced -768.8k |
| Allianz Asset Management GmbH 0.03% of their portfolio | 722.7k $23.0m | Added +680.3k |
| JUPITER ASSET MANAGEMENT LTD 0.18% of their portfolio | 708.7k $22.6m | Added +184.8k |
| Teca Partners, LP 11.10% of their portfolio | 573.2k $18.3m | Reduced -41.0k |
| Invesco Ltd. 0.00% of their portfolio | 534.6k $17.0m | Added +87.7k |
| SILVERCREST ASSET MANAGEMENT GROUP LLC 0.11% of their portfolio | 521.5k $16.6m | Reduced -40.4k |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC 0.00% of their portfolio | 510.7k $16.3m | Reduced -19.5k |
| GABELLI FUNDS LLC 0.11% of their portfolio | 503.3k $16.0m | Added +10.0k |
| Arvin Capital Management LP 3.35% of their portfolio | 488.6k $15.6m | Reduced -253.8k |
| Leeward Investments, LLC - MA 0.79% of their portfolio | 488.4k $15.6m | Added +64.9k |
| RENAISSANCE TECHNOLOGIES LLC 0.02% of their portfolio | 483.8k $15.4m | Reduced -680.7k |
| MILLENNIUM MANAGEMENT LLC 0.01% of their portfolio | 481.0k $15.3m | Reduced -260.1k |
| PRINCIPAL FINANCIAL GROUP INC 0.01% of their portfolio | 476.9k $15.2m | Added +26.7k |
| RHUMBLINE ADVISERS 0.01% of their portfolio | 467.5k $14.9m | Reduced -71.1k |
| Summit Creek Advisors LLC 2.32% of their portfolio | 463.5k $14.8m | Reduced -22.1k |
| HighTower Advisors, LLC 0.02% of their portfolio | 452.6k $14.4m | Added +16.5k |
| D. E. Shaw & Co., Inc. 0.01% of their portfolio | 433.0k $13.8m | Reduced -959.1k |
| KORNITZER CAPITAL MANAGEMENT INC /KS 0.28% of their portfolio | 424.6k $13.5m | Added +125 |
| BARCLAYS PLC 0.00% of their portfolio | 378.4k $12.1m | Reduced -48.0k |
| GAMCO INVESTORS, INC. ET AL 0.11% of their portfolio | 369.0k $11.8m | Added +99.2k |
| Crawford Fund Management, LLC 3.75% of their portfolio | 367.0k $11.7m | New |
| VOLORIDGE INVESTMENT MANAGEMENT, LLC 0.04% of their portfolio | 366.7k $11.7m | Reduced -249.5k |
| NEUBERGER BERMAN GROUP LLC 0.01% of their portfolio | 366.2k $11.7m | Reduced -23.1k |
| SEGALL BRYANT & HAMILL, LLC 0.16% of their portfolio | 361.5k $11.5m | Added +14.7k |
| Park West Asset Management LLC 0.95% of their portfolio | 354.4k $11.3m | Reduced -410.1k |
| Swiss National Bank 0.01% of their portfolio | 320.0k $10.2m | Added +2.5k |
| Directional Asset Management 8.79% of their portfolio | 314.4k $10.0m | First filing |
| California Public Employees Retirement System 0.01% of their portfolio | 288.9k $9.2m | Reduced -23.6k |
| TWO SIGMA INVESTMENTS, LP 0.01% of their portfolio | 273.9k $8.7m | Reduced -855.3k |
| Point72 Asset Management, L.P. 0.01% of their portfolio | 273.4k $8.7m | New |
| Russell Investments Group, Ltd. 0.01% of their portfolio | 266.0k $8.5m | Added +40.1k |
| Man Group plc 0.02% of their portfolio | 264.1k $8.4m | Reduced -109.7k |
| Legal & General Group Plc 0.00% of their portfolio | 253.8k $8.1m | Reduced -21.0k |
| SEI INVESTMENTS CO 0.01% of their portfolio | 245.9k $7.8m | Reduced -329.4k |
| RAYMOND JAMES FINANCIAL INC 0.00% of their portfolio | 245.6k $7.8m | Added +19.0k |
| VICTORY CAPITAL MANAGEMENT INC 0.00% of their portfolio | 245.2k $7.8m | Reduced -138.4k |
| Compass Wealth Management LLC 1.87% of their portfolio | 235.5k $7.5m | Added +3.5k |
| STALEY CAPITAL ADVISERS INC 0.30% of their portfolio | 225.0k $7.2m | Reduced -75.0k |
| NICHOLAS COMPANY, INC. 0.12% of their portfolio | 214.7k $6.8m | Reduced -36.4k |
| INTECH INVESTMENT MANAGEMENT LLC 0.06% of their portfolio | 213.5k $6.8m | Added +25.4k |
| WELLS FARGO & COMPANY/MN 0.00% of their portfolio | 207.9k $6.6m | Added +61.8k |
| VOYA INVESTMENT MANAGEMENT LLC 0.01% of their portfolio | 194.4k $6.2m | Reduced -19.8k |
| AMERIPRISE FINANCIAL INC 0.00% of their portfolio | 193.4k $6.2m | Reduced -133.2k |
| Retirement Systems of Alabama 0.02% of their portfolio | 190.5k $6.1m | Reduced -5.7k |
| CITIGROUP INC 0.00% of their portfolio | 165.5k $5.3m | Reduced -173.8k |
| Madison Asset Management, LLC 0.06% of their portfolio | 163.7k $5.2m | Added +1.0k |
| MetLife Investment Management, LLC 0.03% of their portfolio | 163.0k $5.2m | Reduced -14.2k |
| ENVESTNET ASSET MANAGEMENT INC 0.00% of their portfolio | 162.5k $5.2m | Reduced -18.6k |
| Sovereign's Capital Management, LLC 3.04% of their portfolio | 157.3k $5.0m | Reduced -11.3k |
| WEDGE CAPITAL MANAGEMENT L L P/NC 0.09% of their portfolio | 153.4k $4.9m | Added +11.0k |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM 0.00% of their portfolio | 153.3k $4.9m | Reduced -454 |
| FRANKLIN RESOURCES INC 0.00% of their portfolio | 152.6k $4.9m | Reduced -10.1k |
| MUTUAL OF AMERICA CAPITAL MANAGEMENT LLC 0.05% of their portfolio | 142.6k $4.5m | Reduced -9.4k |
| JANE STREET GROUP, LLC 0.01% of their portfolio | 135.3k $4.3m | Reduced -292.3k |
| STATE BOARD OF ADMINISTRATION OF FLORIDA RETIREMENT SYSTEM 0.01% of their portfolio | 132.3k $4.2m | Unchanged |
| SEIZERT CAPITAL PARTNERS, LLC 0.18% of their portfolio | 131.9k $4.2m | Added +4.3k |
| Phocas Financial Corp. 0.54% of their portfolio | 130.7k $4.2m | New |
| Creative Planning 0.00% of their portfolio | 127.1k $4.1m | Added +21.2k |
| Livforsakringsbolaget Skandia, Omsesidigt 0.15% of their portfolio | 119.9k $3.7m | Added +6.4k |