Opko Health (OPK)
:OPK
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Opko Health (OPK) AI Stock Analysis

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OPK

Opko Health

(NASDAQ:OPK)

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Neutral 50 (OpenAI - 4o)
Rating:50Neutral
Price Target:
$1.50
▼(-1.96% Downside)
Opko Health's overall stock score is primarily impacted by its challenging financial performance and valuation concerns. While strategic initiatives and partnerships provide some optimism, the company's financial difficulties and bearish technical indicators weigh heavily on the score.
Positive Factors
Strategic Partnerships
The collaboration with Regeneron to develop multispecific antibodies enhances Opko's R&D capabilities and could lead to innovative treatments, strengthening its competitive position in the biopharmaceutical industry.
Pipeline Advancements
Advancements in the pharmaceutical pipeline, including clinical trials, indicate potential future revenue streams and demonstrate Opko's commitment to innovation and long-term growth.
FDA Approval
FDA approval for the 4Kscore test without digital rectal examination expands its marketability, potentially increasing diagnostic segment revenues and strengthening Opko's market position.
Negative Factors
Revenue Decline
A decline in revenue indicates challenges in maintaining market share and operational efficiency, which could affect long-term financial stability and growth prospects.
Negative Profitability
Sustained negative profitability, exacerbated by significant expenses, highlights financial instability and could limit Opko's ability to invest in growth opportunities.
Cash Flow Issues
Negative operating cash flow suggests inefficiencies in converting revenue into cash, which may constrain Opko's operational flexibility and ability to fund future initiatives.

Opko Health (OPK) vs. SPDR S&P 500 ETF (SPY)

Opko Health Business Overview & Revenue Model

Company DescriptionOpko Health, Inc. is a diversified healthcare company focused on developing and commercializing innovative health solutions. The company operates primarily in the pharmaceuticals and diagnostics sectors, offering a range of products including proprietary pharmaceuticals, diagnostic products, and novel drug delivery systems. Opko Health is known for its commitment to advancing medical technology and improving patient outcomes through its core products such as the 4Kscore Test, a diagnostic test for prostate cancer, and a portfolio of pharmaceutical products that address various medical needs.
How the Company Makes MoneyOpko Health generates revenue through multiple streams, primarily from the sale of pharmaceuticals and diagnostic tests. The company markets its proprietary drugs and therapies, including treatments for endocrinology and urology. Additionally, Opko's 4Kscore Test contributes significantly to its revenue, being a leading diagnostic tool for prostate cancer detection. The company also engages in partnerships and collaborations with other healthcare organizations, which can result in shared revenue from co-developed products or licensing agreements. Furthermore, Opko has a focus on research and development, which may lead to new product offerings and additional revenue streams in the future.

Opko Health Earnings Call Summary

Earnings Call Date:Oct 29, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 19, 2026
Earnings Call Sentiment Positive
The earnings call reflects strong strategic moves such as the sale of non-core assets and significant partnerships, contributing to financial improvements and shareholder value. However, there are challenges in diagnostics revenue decline and slower-than-expected market conversion affecting Pfizer profit share.
Q3-2025 Updates
Positive Updates
Sale of BioReference Health's Oncology Division
Completed the sale of BioReference Health's oncology division, providing $192.5 million at closing and $32.5 million in performance-based earn-out, streamlining lab business for profitable growth.
Significant Partnerships for Therapeutics
Announced a research collaboration and license agreement with Regeneron, with milestone payments potentially totaling over $1 billion, and continued partnership with Merck on EBV vaccine development.
Stock Repurchase Program
Repurchased $25.1 million worth of stock in 2025, with $126 million remaining under the program, demonstrating commitment to increasing shareholder value.
4Kscore Test Growth
4Kscore test volume increased more than 20% in the third quarter compared to the previous year, with FDA label expansion opening new markets.
Improved Financial Performance
Consolidated operating income improved to $48.1 million from $14.2 million in 2024, driven by improved results at BioReference.
Negative Updates
Decline in Diagnostics Revenue
Q3 2025 diagnostics revenue was $95.2 million, down from $121.3 million in Q3 2024, primarily due to the sale of oncology assets.
Foreign Currency Headwinds
Lower sales in Chile and foreign currency pressures affected pharmaceutical revenues.
Challenges with Pfizer Profit Share
Slow market conversion to weekly regimen affecting Pfizer profit share, with a forecasted increase of only 10% to 15% for 2026.
Company Guidance
During the OPKO Health Third Quarter 2025 Financial Results Conference Call, the company provided guidance on several key metrics and strategic initiatives. OPKO Health completed the sale of BioReference Health's oncology division, yielding $192.5 million at closing and a potential $32.5 million in performance-based earn-out, which will be used in part for a stock repurchase program with $126 million remaining for repurchases. The company reported a 20% increase in the 4Kscore test volume, with expected revenue growth due to a recent FDA label expansion. The pharmaceutical segment is advancing with four candidates in clinical trials and several in pre-IND stages, supported by partnerships providing nondilutive funding. A significant collaboration was announced with Regeneron to leverage ModeX's MSTAR platform for developing multispecific antibodies, with potential milestone payments exceeding $1 billion. Financially, OPKO ended the third quarter with $428 million in cash and cash equivalents and repurchased nearly 25 million shares for approximately $33.5 million this year. The company projected a Q4 2025 revenue range of $135-$140 million and outlined a 2026 outlook anticipating low single-digit revenue growth in diagnostics and mid-single-digit growth in pharmaceuticals, with a focus on profitability and strategic capital allocation to enhance shareholder value.

Opko Health Financial Statement Overview

Summary
Opko Health is facing substantial financial difficulties, with declining revenues, negative profitability, and cash flow challenges. Despite moderate leverage, negative returns and cash flow inefficiencies pose significant risks.
Income Statement
45
Neutral
Opko Health's income statement reveals a challenging financial environment. The company has experienced declining revenue over the past few years, with a TTM revenue growth rate of -3.31%. Profitability metrics are concerning, with a negative net profit margin of -26.68% and an EBIT margin of -5.29% in the TTM period. The gross profit margin has decreased to 32.65% from 43.61% in the previous year. These figures indicate significant pressure on the company's profitability and operational efficiency.
Balance Sheet
55
Neutral
The balance sheet of Opko Health shows moderate leverage with a debt-to-equity ratio of 0.31 in the TTM period, which is an improvement from previous years. However, the return on equity remains negative at -13.18%, indicating that the company is not generating positive returns for its shareholders. The equity ratio stands at a reasonable level, suggesting a stable capital structure despite the ongoing losses.
Cash Flow
40
Negative
Opko Health's cash flow statement highlights significant challenges. The company has negative operating cash flow and free cash flow in the TTM period, with a free cash flow growth rate of -18.22%. The operating cash flow to net income ratio is -1.40, reflecting inefficiencies in converting income into cash. Although the free cash flow to net income ratio is positive at 1.08, it is primarily due to the negative net income, indicating cash flow issues.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue642.07M713.14M863.50M1.00B1.77B1.44B
Gross Profit247.95M311.03M318.13M288.20M672.55M541.00M
EBITDA45.12M135.28M-65.52M-270.81M83.57M139.09M
Net Income-140.80M-53.22M-188.86M-328.40M-30.14M30.59M
Balance Sheet
Total Assets2.00B2.20B2.01B2.17B2.40B2.47B
Cash, Cash Equivalents and Short-Term Investments415.20M431.94M95.88M153.20M134.70M72.20M
Total Debt388.09M504.44M326.56M305.55M187.90M294.57M
Total Liabilities520.70M834.76M622.48M605.70M714.60M801.50M
Stockholders Equity1.31B1.37B1.39B1.56B1.69B1.67B
Cash Flow
Free Cash Flow-212.06M-208.50M-44.47M-119.77M6.18M5.79M
Operating Cash Flow-197.03M-183.49M-28.20M-95.19M38.34M39.48M
Investing Cash Flow348.33M352.21M-18.20M91.04M35.95M-18.33M
Financing Cash Flow-140.19M184.17M-11.30M22.97M-10.35M-35.08M

Opko Health Technical Analysis

Technical Analysis Sentiment
Negative
Last Price1.53
Price Trends
50DMA
1.45
Negative
100DMA
1.40
Negative
200DMA
1.46
Negative
Market Momentum
MACD
-0.04
Positive
RSI
35.55
Neutral
STOCH
34.01
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For OPK, the sentiment is Negative. The current price of 1.53 is above the 20-day moving average (MA) of 1.43, above the 50-day MA of 1.45, and above the 200-day MA of 1.46, indicating a bearish trend. The MACD of -0.04 indicates Positive momentum. The RSI at 35.55 is Neutral, neither overbought nor oversold. The STOCH value of 34.01 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for OPK.

Opko Health Risk Analysis

Opko Health disclosed 56 risk factors in its most recent earnings report. Opko Health reported the most risks in the "Legal & Regulatory" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Opko Health Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
77
Outperform
$858.93M14.0724.11%14.46%
62
Neutral
$1.01B-2.69%10.15%-295.52%
60
Neutral
$806.85M-3.80%13.60%74.64%
53
Neutral
$1.35B-12.99%10.10%-44.29%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
51
Neutral
$609.62M-72.52%0.21%-233.51%
50
Neutral
$1.07B-5.64-13.32%-9.75%-31.28%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
OPK
Opko Health
1.32
-0.28
-17.50%
MYGN
Myriad Genetics
6.54
-9.24
-58.56%
NEO
NeoGenomics
10.00
-6.43
-39.14%
CDNA
CareDx
16.31
-6.47
-28.40%
FLGT
Fulgent Genetics
29.08
10.66
57.87%
CSTL
Castle Biosciences
34.82
3.02
9.50%

Opko Health Corporate Events

OPKO Health Reports Q3 2025 Earnings and Strategic Moves
Oct 30, 2025

OPKO Health, Inc. is a multinational biopharmaceutical and diagnostics company focused on establishing industry-leading positions in rapidly growing markets through its innovative technologies and expertise in discovery, development, and commercialization.

Business Operations and StrategyM&A Transactions
Opko Health Sells BioReference Assets to Labcorp
Positive
Sep 15, 2025

On September 15, 2025, OPKO Health, Inc. completed the sale of certain assets of its subsidiary, BioReference Health, to Laboratory Corporation of America Holdings (Labcorp) for up to $225 million. This transaction, which includes BioReference’s oncology and clinical testing services, marks a strategic shift for OPKO, allowing it to focus on core clinical testing operations and the growth of its 4Kscore Test franchise, while Labcorp expands its oncology services portfolio.

The most recent analyst rating on (OPK) stock is a Hold with a $1.50 price target. To see the full list of analyst forecasts on Opko Health stock, see the OPK Stock Forecast page.

OPKO Health’s Earnings Call: Strategic Moves Amid Challenges
Aug 2, 2025

During OPKO Health’s recent earnings call, the sentiment was a mix of optimism and caution. The company announced strategic initiatives like the sale of its oncology business and FDA approval for the 4Kscore test, which are expected to bolster future profitability. However, these positive developments were overshadowed by challenges such as declining revenues in the Diagnostics segment and increased operating losses in the Pharmaceutical segment, compounded by slower-than-expected product adoption.

OPKO Health Reports Q2 2025 Financial Results and Developments
Aug 1, 2025

OPKO Health, Inc. is a multinational biopharmaceutical and diagnostics company that leverages its expertise in discovery, development, and commercialization to establish leading positions in rapidly growing markets using novel and proprietary technologies.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Oct 30, 2025