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Opko Health Financials

OPK
FY2025 annual
Revenue $606.9M -14.9% YoY
Net Income Not reported for FY2025
EPS (Diluted) -$0.30 -275.0% YoY
Free Cash Flow -$190.8M +8.5% YoY
Source SEC Filings (10-K/10-Q) Data as of Jun 30, 2026 Currency USD FYE December

Opko Health (OPK) reported $606.9M in revenue for fiscal year 2025, down 14.9% from the prior fiscal year. This page shows its income statement, balance sheet, cash flow statement, and key financial ratios. View 15 years of annual fundamentals and quarterly data, with year-over-year growth rates and compound annual growth rates (CAGR). All figures are derived from SEC filings (10-K and 10-Q reports).

Rhea AI OPK FY2025

Overhead cuts are narrowing losses, but persistent operating cash burn shows the business still is not self-funding.

Liquidity improved as the current ratio moved from 3.4x to 4.0x. But cash conversion stayed weak, with operating cash flow still near -$179M, so the added flexibility is coming from the balance sheet rather than the business funding itself.

Even with sales pressure, operating losses narrowed because SG&A fell to $223M while R&D rose to $124M. Gross margin also recovered to 33.9% as revenue kept falling, which points to expense rebalancing and mix or cost discipline rather than the usual fixed-cost benefit that comes from higher volume.

This is a low-debt but cash-consuming setup: long-term debt was only $2.3M, yet operations consumed $179M of cash. With current assets of $582M against current liabilities of $147M, near-term obligations look manageable, but buybacks did not shrink the share base; cash went out even as shares outstanding increased.

[ NOT FINANCIAL ADVICE ]

Financial Health Signals

Profitability Growth Leverage Liquidity CashFlow Returns 42 / 100
Financial Health Score 42/100

Scored against operating companies for FY2025. Each of the six dimensions is a percentile rank within that peer group; the overall is their average, with missing dimensions counted as zero out of six. A high score means strong standing among peers, not absolute cross-industry strength. How this score is calculated →

Health score ≠ stock price. This rates the quality of Opko Health's business: profitability, growth, balance sheet strength. It doesn't tell you whether the stock is a good buy at today's price. Not financial advice. Use it alongside valuation analysis and your own research.

Profitability
27

Opko Health has an operating margin of -19.4%, meaning the company loses $19 on every $100 of revenue. This results in a profitability score of 27/100. This is up from -21.3% the prior year.

Growth
7

Opko Health's revenue declined 14.9% year-over-year, from $713.1M to $606.9M. This contraction results in a growth score of 7/100.

Leverage
89

Opko Health carries a low D/E ratio of 0.00, meaning only $0.00 of long-term debt for every $1 of shareholders' equity. This conservative leverage earns a score of 89/100, indicating a strong balance sheet with room for future borrowing.

Liquidity
85

With a current ratio of 3.97, Opko Health holds $3.97 in current assets for every $1 of short-term obligations. This comfortable liquidity earns a score of 85/100.

Cash Flow
11

Opko Health's operations used $178.5M of cash, and capex of $12.3M added to the outflow, for a free cash flow shortfall of $190.8M. This results in a cash flow score of 11/100.

Returns
31
Altman Z-Score Distress
-0.28

Opko Health scores -0.28, below the 1.81 distress threshold. The score is driven primarily by a large market capitalization ($1.1B) relative to total liabilities ($664.0M). This indicates elevated financial distress risk and warrants close attention to liquidity and debt levels.

Distress-screening estimate for non-financial companies. Not computed for banks or insurers, where the Altman model does not apply.

Piotroski F-Score Partial
3/6

Opko Health passes 3 of 6 computable financial strength tests (3 of the nine could not be computed from available data). No profitability signals pass, 2 of 3 leverage/liquidity signals pass, 1 of 2 efficiency signals pass.

Key Financial Metrics

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Earnings & Revenue

Revenue
$606.9M
YoY-14.9%
5Y CAGR-15.8%
10Y CAGR+7.1%

Opko Health generated $606.9M in revenue in fiscal year 2025. This represents a decrease of 14.9% from the prior year.

EBITDA
-$25.8M
YoY+52.2%

Opko Health's EBITDA was -$25.8M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization. This represents an increase of 52.2% from the prior year.

EPS (Diluted)
-$0.30
YoY-275.0%

Opko Health earned -$0.30 per diluted share (EPS) in fiscal year 2025. This represents a decrease of 275.0% from the prior year.

Net Income

Not reported for fiscal year 2025.

Cash & Balance Sheet

Free Cash Flow
-$190.8M
YoY+8.5%

Opko Health recorded an outflow of $190.8M in free cash flow in fiscal year 2025, representing a cash shortfall after capex. This represents an increase of 8.5% from the prior year.

Cash & Debt
$364.4M
YoY-14.6%
5Y CAGR+38.2%
10Y CAGR+6.5%

Opko Health held $364.4M in cash against $2.3M in long-term debt as of fiscal year 2025.

Shares Outstanding
759M
YoY+13.0%

Opko Health had 759M shares outstanding in fiscal year 2025. This represents an increase of 13.0% from the prior year.

Dividends Per Share

Not reported for fiscal year 2025.

Margins & Returns

Gross Margin
33.9%
YoY+3.3pp

Opko Health's gross margin was 33.9% in fiscal year 2025, indicating the percentage of revenue retained after direct costs. This is up 3.3 percentage points from the prior year.

Operating Margin
-19.4%
YoY+2.0pp
5Y CAGR-23.4pp
10Y CAGR+20.2pp

Opko Health's operating margin was -19.4% in fiscal year 2025, reflecting core business profitability. This is up 2.0 percentage points from the prior year.

Net Margin

Not reported for fiscal year 2025.

Return on Equity

Not reported for fiscal year 2025.

Capital Allocation

R&D Spending
$124.0M
YoY+17.9%
5Y CAGR+10.5%
10Y CAGR+2.0%

Opko Health invested $124.0M in research and development in fiscal year 2025. This represents an increase of 17.9% from the prior year.

Share Buybacks
$47.0M
YoY-47.9%

Opko Health spent $47.0M on share buybacks in fiscal year 2025, returning capital to shareholders by reducing shares outstanding. This represents a decrease of 47.9% from the prior year.

Capital Expenditures
$12.3M
YoY-50.9%
5Y CAGR-18.3%
10Y CAGR+1.2%

Opko Health invested $12.3M in capex in fiscal year 2025, funding long-term assets and infrastructure. This represents a decrease of 50.9% from the prior year.

OPK Income Statement

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type.

OPK annual income statement
MetricTTMFY25FY24FY23FY22FY21FY20FY19FY18FY17FY16FY15FY14FY13FY12FY11
Revenue$587.9M$606.9M-14.9%$713.1M-17.4%$863.5M-14.0%$1.0B-43.4%$1.8B+23.6%$1.4B+59.1%$901.9M-8.9%$990.3M+2.5%$966.0M-13.6%$1.1B+266.0%$305.3M+235.0%$91.1M-5.6%$96.5M+105.2%$47.0M+68.1%$28.0M
Cost of RevenueN/A$400.9M-18.9%$494.6M-9.3%$545.4M-23.8%$716.0MN/AN/AN/AN/A$61.2M-89.2%$564.1M+191.8%$193.3M+1962.6%$9.4M-10.0%$10.4M-62.6%$27.9M+61.7%$17.2M
Gross ProfitN/A$205.9M-5.8%$218.5M-31.3%$318.1M+10.4%$288.2MN/AN/AN/AN/A$904.8M+63.5%$553.4M+394.1%$112.0M+37.0%$81.8M-5.1%$86.1M+349.3%$19.2M+78.5%$10.7M
R&D ExpensesN/A$124.0M+17.9%$105.2M+17.4%$89.6M+21.3%$73.9M-3.9%$76.8M+2.0%$75.3M-36.1%$117.9M-6.1%$125.6M-0.7%$126.4M+11.0%$113.9M+11.9%$101.8M+21.8%$83.6M+55.0%$53.9M+176.1%$19.5M+72.0%$11.4M
SG&A ExpensesN/A$223.0M-26.7%$304.2M+1.2%$300.6M-19.4%$372.7M-20.5%$468.9M+31.9%$355.6M+3.6%$343.3M-4.2%$358.3M-13.6%$414.6M+1.8%$407.3M+136.6%$172.1M+197.1%$57.9M+4.7%$55.3M+99.0%$27.8M+45.0%$19.2M
Operating IncomeN/A-$117.4M+22.8%-$152.1M+3.2%-$157.0M+30.6%-$226.3M-1306.7%$18.8M-67.5%$57.7M+121.1%-$274.1M-60.1%-$171.2M+38.1%-$276.4M-186.3%-$96.6M+19.9%-$120.6M+17.3%-$145.8M-83.1%-$79.6M-113.7%-$37.3M-60.7%-$23.2M
Interest ExpenseN/A$0-100.0%$47.5M+251.4%$13.5M+12.0%$12.1M-36.1%$18.9MN/AN/AN/AN/AN/AN/AN/AN/AN/A$1.0M
Income TaxN/A-$15.7M-136.7%$42.8M+865.6%$4.4M+107.0%-$63.5M-510.0%$15.5M-12.1%$17.6M+149.5%$7.1M+118.2%-$38.7M-305.4%$18.9M+133.6%-$56.1M+50.6%-$113.7M-473745.8%$24K-98.6%$1.7M+117.4%-$9.6M+50.3%-$19.4M
Net Income-$72.9MN/AN/AN/AN/AN/A$30.6M+109.7%-$314.9M-105.8%-$153.0M+49.9%-$305.3M-531.2%-$48.4M+7.2%-$52.1M+69.6%-$171.7M-50.0%-$114.4M-293.9%-$29.0M-2164.1%-$1.3M
EPS (Diluted)-$0.09-$0.30-275.0%-$0.08+68.0%-$0.25+45.7%-$0.46-820.0%-$0.05-200.0%$0.05+109.4%-$0.53-96.3%-$0.27+50.9%-$0.55-450.0%-$0.10+9.1%-$0.11N/AN/AN/AN/A

TTM is the trailing twelve months, Q3 FY2025 through Q2 FY2026, summed from the four most recent quarterly filings. A row marked — cannot be summed at all, because a quarter in the window reports no per-share figure; a row marked N/A could be summed, but a quarter in the window does not report that metric.

OPK Balance Sheet

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type.

OPK annual balance sheet
MetricFY25FY24FY23FY22FY21FY20FY19FY18FY17FY16FY15FY14FY13FY12FY11
Total Assets$1.9B-12.2%$2.2B+9.4%$2.0B-7.2%$2.2B-9.7%$2.4B-3.0%$2.5B+7.1%$2.3B-5.8%$2.5B-5.4%$2.6B-6.4%$2.8B-1.2%$2.8B+120.8%$1.3B-8.9%$1.4B+380.1%$289.8M+26.3%$229.5M
Current Assets$581.9M-12.1%$662.1M+113.9%$309.5M-21.6%$394.5M-52.1%$823.0M+57.3%$523.2M+61.5%$324.0M+2.0%$317.7M-8.9%$348.9M-27.9%$483.6M+6.5%$454.1M+217.8%$142.9M-41.1%$242.7M+208.6%$78.7M-21.0%$99.6M
Cash & Equivalents$364.4M-14.6%$426.6M+344.9%$95.9M-37.4%$153.2M+13.7%$134.7M+86.6%$72.2M-15.5%$85.5M-11.4%$96.5M+5.4%$91.5M-45.8%$168.7M-12.8%$193.6M+99.8%$96.9M-47.8%$185.8M+579.1%$27.4M-61.7%$71.5M
Inventory$65.8M+15.9%$56.8M-13.5%$65.7M-11.3%$74.1M-14.4%$86.5M-34.6%$132.3M+147.7%$53.4M+26.3%$42.3M-14.3%$49.3M+4.5%$47.2M+19.0%$39.7M+139.0%$16.6M-8.2%$18.1M-18.8%$22.3M+66.9%$13.3M
Accounts Receivable$90.3M-23.5%$118.0M-4.3%$123.4M-3.1%$127.3M-51.0%$259.6M-9.3%$286.3M+112.7%$134.6M-6.5%$143.9M-13.1%$165.5M-24.9%$220.3M+13.6%$193.9M+870.9%$20.0M+1.0%$19.8M-6.6%$21.2M+68.7%$12.5M
Goodwill$484.3M-8.5%$529.3M-11.5%$598.3M+0.4%$595.9M+14.5%$520.6M-23.5%$680.6M+1.3%$671.9M-4.0%$700.2M-2.4%$717.1M+1.8%$704.6M-5.2%$743.3M+231.4%$224.3M-0.9%$226.4M+181.4%$80.5M+102.1%$39.8M
Total Liabilities$664.0M-20.5%$834.8M+34.1%$622.5M+2.8%$605.6M-15.3%$714.6M-10.8%$801.5M+15.4%$694.5M+5.3%$659.8M-11.6%$746.3M+3.6%$720.2M-12.1%$819.4M+89.7%$431.9M-16.7%$518.5M+499.1%$86.5M+95.7%$44.2M
Current Liabilities$146.7M-24.0%$193.1M-3.5%$200.1M-6.3%$213.5M-35.3%$330.0M-12.1%$375.5M+50.7%$249.1M-13.6%$288.3M-7.6%$312.0M+30.0%$240.0M-4.7%$251.9M+203.1%$83.1M-9.5%$91.8M+75.3%$52.4M+179.0%$18.8M
Long-Term Debt$2.3M-24.7%$3.0M-61.1%$7.7M-16.8%$9.3M-95.5%$205.3M+5249.8%$3.8M-1.8%$3.9M-16.1%$4.7M+197.0%$1.6M+118.5%$717K-71.6%$2.5M+3.7%$2.4M-25.6%$3.3M-36.5%$5.2MN/A
Total Equity$1.3B-7.1%$1.4B-1.7%$1.4B-11.0%$1.6B-7.3%$1.7B+0.8%$1.7B+3.5%$1.6B-9.9%$1.8B-2.8%$1.8B-9.9%$2.0B+2.3%$2.0B+137.5%$842.1M-3.9%$876.4M+388.6%$179.4M+11.5%$160.9M
Retained Earnings-$2.3B-10.9%-$2.1B-2.6%-$2.0B-10.4%-$1.8B-20.6%-$1.5B-2.0%-$1.5B+1.9%-$1.5B-26.2%-$1.2B-14.1%-$1.0B-35.3%-$775.3M-10.0%-$704.9M-4.4%-$674.8M-34.1%-$503.2M-29.4%-$388.8M-8.1%-$359.7M

OPK Cash Flow Statement

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type.

OPK annual cash flow statement
MetricTTMFY25FY24FY23FY22FY21FY20FY19FY18FY17FY16FY15FY14FY13FY12FY11
Operating Cash Flow-$123.4M-$178.5M+2.7%-$183.5M-550.7%-$28.2M+70.4%-$95.2M-348.3%$38.3M-2.9%$39.5M+122.9%-$172.5M-58.1%-$109.1M-18.5%-$92.1M-387.3%$32.0M-80.5%$164.0M+281.5%-$90.4M-62.4%-$55.7M-119.0%-$25.4M-37.4%-$18.5M
Capital Expenditures$10.6M$12.3M-50.9%$25.0M+53.7%$16.3M-33.8%$24.6M-23.6%$32.2M-4.5%$33.7M+164.4%$12.7M-54.3%$27.9M-40.1%$46.5M+150.8%$18.5M+71.0%$10.8M+129.1%$4.7M+19.5%$4.0M+169.2%$1.5M-24.6%$2.0M
Free Cash Flow-$134.0M-$190.8M+8.5%-$208.5M-368.8%-$44.5M+62.9%-$119.8M-2037.7%$6.2M+6.7%$5.8M+103.1%-$185.3M-35.2%-$137.0M+1.2%-$138.6M-1126.8%$13.5M-91.2%$153.2M+261.0%-$95.1M-59.5%-$59.6M-121.7%-$26.9M-31.5%-$20.5M
Investing Cash Flow$206.3M$230.3M-34.6%$352.2M+2035.5%-$18.2M-120.0%$91.0M+153.2%$35.9M+296.2%-$18.3M-38.1%-$13.3M+49.2%-$26.1M+44.0%-$46.7M-125.4%-$20.7M+79.1%-$99.2M-1648.4%-$5.7M-118.7%$30.3M+222.4%-$24.8M-67.0%-$14.8M
Financing Cash Flow-$52.7M-$118.1M-164.1%$184.2M+1729.4%-$11.3M-149.2%$23.0M+321.9%-$10.3M+70.5%-$35.1M-120.0%$175.2M+24.4%$140.9M+130.8%$61.0M+273.4%-$35.2M-206.6%$33.0M+354.4%$7.3M-96.0%$183.6M+2944.9%$6.0M-93.1%$86.9M
Share Buybacks$46.6M$47.0M-47.9%$90.2M$0$0N/AN/AN/AN/AN/AN/AN/AN/A$0$0-100.0%$7.8M

Not reported in any period shown, so not listed: Dividends Paid.

TTM is the trailing twelve months, Q3 FY2025 through Q2 FY2026, summed from the four most recent quarterly filings. A row marked — cannot be summed at all, because a quarter in the window reports no per-share figure; a row marked N/A could be summed, but a quarter in the window does not report that metric.

OPK Financial Ratios

Margins and returns are percentages; the remaining ratios are unitless multiples.

OPK annual financial ratios
MetricFY25FY24FY23FY22FY21FY20FY19FY18FY17FY16FY15FY14FY13FY12FY11
Gross Margin33.9%+3.3pp30.6%-6.2pp36.8%+8.1pp28.7%N/AN/AN/AN/A93.7%+44.1pp49.5%+12.8pp36.7%-53.0pp89.7%+0.5pp89.2%+48.5pp40.7%+2.4pp38.4%
Operating Margin-19.4%+2.0pp-21.3%-3.1pp-18.2%+4.4pp-22.5%-23.6pp1.1%-3.0pp4.0%+34.4pp-30.4%-13.1pp-17.3%+11.3pp-28.6%-20.0pp-8.6%+30.9pp-39.5%-160.0%-82.5%-3.3pp-79.2%+3.7pp-82.9%
Net MarginN/AN/AN/AN/AN/A2.1%+37.0pp-34.9%-19.5pp-15.4%+16.2pp-31.6%-27.3pp-4.3%+12.7pp-17.1%-188.4%-118.5%-61.8%-57.2pp-4.6%
Return on EquityN/AN/AN/AN/AN/A1.8%+21.3pp-19.5%-11.0pp-8.5%+8.0pp-16.6%-14.2pp-2.4%+0.3pp-2.6%+17.8pp-20.4%-7.3pp-13.1%+3.1pp-16.2%-15.4pp-0.8%
Return on AssetsN/AN/AN/AN/AN/A1.2%+14.9pp-13.6%-7.4pp-6.2%+5.6pp-11.8%-10.0pp-1.8%+0.1pp-1.9%+11.7pp-13.5%-5.3pp-8.2%+1.8pp-10.0%-9.5pp-0.6%
Current Ratio3.97+0.5x3.43+1.9x1.55-0.3x1.85-0.6x2.49+1.1x1.39+0.1x1.30+0.2x1.100.0x1.12-0.9x2.01+0.2x1.80+0.1x1.72-0.9x2.64+1.1x1.50-3.8x5.30
Debt-to-Equity0.000.0x0.000.0x0.010.0x0.01-0.1x0.12+0.1x0.000.0x0.000.0x0.000.0x0.000.0x0.000.0x0.000.0x0.000.0x0.000.0x0.03-0.2x0.27
FCF Margin-31.4%-2.2pp-29.2%-24.1pp-5.1%+6.8pp-11.9%-12.3pp0.4%-0.1pp0.4%+20.9pp-20.5%-6.7pp-13.8%+0.5pp-14.3%-15.6pp1.2%-49.0pp50.2%-104.4%-61.8%-4.6pp-57.1%+15.9pp-73.1%

Reported as filed but not readable as a share of revenue in the periods where the ratio runs further from zero than a revenue base allows; no change figure is given where either compared period is one of those: Operating Margin, Net Margin, FCF Margin.

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Frequently Asked Questions

What is Opko Health's annual revenue?

Opko Health (OPK) reported $606.9M in total revenue for fiscal year 2025. This represents a -14.9% change compared to the previous fiscal year. Revenue measures the total income earned from the company's primary business operations before any expenses are deducted.

How fast is Opko Health's revenue growing?

Opko Health (OPK) revenue declined by 14.9% year-over-year, from $713.1M to $606.9M in fiscal year 2025.

What is Opko Health's earnings per share (EPS)?

Opko Health (OPK) reported diluted earnings per share of -$0.30 for fiscal year 2025. This represents a -275.0% change compared to the previous fiscal year. EPS represents the portion of a company's net income allocated to each outstanding share of common stock and is widely used to evaluate profitability on a per-share basis.

Opko Health (OPK) had EBITDA of -$25.8M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization.

As of fiscal year 2025, Opko Health (OPK) had $364.4M in cash and equivalents against $2.3M in long-term debt.

Opko Health (OPK) had a gross margin of 33.9% in fiscal year 2025, indicating the percentage of revenue retained after direct costs of goods sold.

Opko Health (OPK) had an operating margin of -19.4% in fiscal year 2025, reflecting the profitability of core business operations before interest and taxes.

Opko Health (OPK) recorded an outflow of $190.8M in free cash flow during fiscal year 2025. This represents a 8.5% change compared to the previous fiscal year. Free cash flow represents the cash a company generates after accounting for capital expenditures, and is widely used to assess financial flexibility and shareholder value.

Opko Health (OPK) recorded an outflow of $178.5M in operating cash flow during fiscal year 2025, representing cash used by core business activities.

Opko Health (OPK) had $1.9B in total assets as of fiscal year 2025, including both current and long-term assets.

Opko Health (OPK) invested $12.3M in capital expenditures during fiscal year 2025, funding long-term assets and infrastructure.

Opko Health (OPK) invested $124.0M in research and development during fiscal year 2025.

Yes, Opko Health (OPK) spent $47.0M on share buybacks during fiscal year 2025, returning capital to shareholders by reducing shares outstanding.

Opko Health (OPK) had 759M shares outstanding as of fiscal year 2025.

Opko Health (OPK) had a current ratio of 3.97 as of fiscal year 2025, which is generally considered healthy.

Opko Health (OPK) had a debt-to-equity ratio of 0.00 as of fiscal year 2025, measuring the company's financial leverage by comparing total debt to shareholder equity.

Based on fiscal year 2025 data, Opko Health (OPK) had $364.4M in cash against an annual operating cash burn of $178.5M. This gives an estimated cash runway of approximately 24 months at the current burn rate. Cash runway measures how long a company can continue operating before running out of cash, assuming no additional funding.

Opko Health (OPK) has an Altman Z-Score of -0.28, placing it in the Distress Zone (elevated bankruptcy risk). The Z-Score combines five financial ratios (working capital, retained earnings, EBIT, market capitalization, and revenue relative to total assets) to predict the likelihood of bankruptcy. Scores above 2.99 indicate financial safety while scores below 1.81 suggest financial distress. Learn more in our complete guide to financial health indicators.

Opko Health (OPK) has a Piotroski F-Score of 3 out of 6 computable signals; 3 of the nine could not be computed from available data, so the full-scale strength rating is not shown. The F-Score evaluates nine binary signals across profitability (positive ROA, positive cash flow, improving ROA, earnings quality), leverage (decreasing debt, improving liquidity, no share dilution), and operating efficiency (improving gross margin, improving asset turnover). Scores of 7 to 9 indicate strong and improving fundamentals. Learn more in our complete guide to financial health indicators.

Opko Health (OPK) scores 42 out of 100 on our Financial Health Score, indicating moderate standing within its operating companies peer group. The score is a 0-100 composite of six dimensions (Profitability, Growth, Leverage, Liquidity, Cash Flow, Returns), each ranked as a percentile relative to companies in the same scoring family (banks against banks, REITs against REITs, and so on) rather than across all industries. It rates the quality of the business, not whether the stock is fairly priced, and is not financial advice. Learn more in our complete guide to financial health indicators.

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