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OPCH vs SHC stock comparison

OPTION CARE HEALTH, INC. vs Sotera Health Co, two Medical Care stocks. A side-by-side on valuation, growth, margins, returns, and what each price is betting.

Growth is the claim both multiples make and neither page proves: Sotera at 42.4 times earnings needs its sterilization niche to keep compounding through 3.46 turns of debt, Option Care at 17 needs home infusion to keep taking share with 0.86. The economics are a wash on margins, thin at both in different ways, but not on cash: Option Care converts 6.2% of its price into free cash, more than triple Sotera's 1.9%. Returns on equity favor Sotera, 18.9% against 15.3%, with the leverage doing much of that work. Twenty-five turns of premium for the moat with the mortgage over the trend with the cash; the pair prices defensibility against direction, expensively.

Comparison updated 2026-07-10.

OPCH vs SHC: the numbers

MetricOPCHSHC
Price$21.76$17.38
Market cap$3.4B$5.0B
SectorMedical CareMedical Care
StageMatureMature
Implied growth (priced in)-4.3%+15.4%
P/E17.042.4
P/B2.558.03
P/S0.614.20
EV/EBITDA11.1271.2
Revenue growth+9.4%+7.5%
Gross margin19.4%52.5%
Operating margin5.4%
Net margin3.6%9.9%
Return on equity15.3%18.9%
Return on assets6.1%3.6%
Return on invested capital9.8%
FCF yield6.2%1.9%
Debt / equity0.863.46
Current ratio1.642.82
Altman Z (solvency)3.311.44
Piotroski F (quality)4 / 94 / 9
Full OPCH report → Full SHC report →
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The stronger value is highlighted per metric where one is strictly better on that single number; it is not an overall verdict on either company. For informational and research purposes only. Not investment advice. Not a recommendation to buy, sell, or hold any security. boothcheck is not a registered investment adviser. Past performance does not guarantee future results.