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

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OPK

Opko Health

(NASDAQ:OPK)

Rating:44Neutral
Price Target:
$1.00
▼(-25.93% Downside)
Opko Health's overall score reflects substantial financial and technical challenges, with declining revenues and market sentiment weighing heavily. Strategic initiatives and corporate actions offer some optimism, yet ongoing profitability and cash flow issues pose significant risks.
Positive Factors
Operational Improvement
The operating loss in the lab business narrowed from $23.9 million in Q1 to $18.2 million in Q2, showing operational improvement.
Product Growth
Recent prescription trends for OPKO’s once weekly hGH product, NGENLA, are positive, with solid growth expected.
Strategic Partnerships
Labcorp transaction expected to close, potentially streamlining operations and strengthening cash position for OPKO.
Negative Factors
Financial Performance
Total revenue of $156.8 million was lower than the estimate of $165.3 million, indicating weaker financial performance.
Guidance Reduction
Management slightly reduced certain elements of its financial guidance for the fiscal year, including total revenue and NGENLA gross profit share.
Revenue Decline
Diagnostic services revenue was $101.1M, representing a 21.9% YoY decline due to lower clinical test volume from asset sales.

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

Opko Health Business Overview & Revenue Model

Company DescriptionOPKO Health, Inc., a healthcare company, engages in the diagnostics and pharmaceuticals businesses in the United States, Ireland, Chile, Spain, Israel, Mexico, and internationally. The company's Diagnostics segment operates BioReference Laboratories that offers laboratory testing services for the detection, diagnosis, evaluation, monitoring, and treatment of diseases, including esoteric testing, molecular diagnostics, anatomical pathology, genetics, women's health, and correctional healthcare to physician offices, clinics, hospitals, employers and governmental units; and a novel diagnostic instrument system to provide blood test results in the point-of-care setting, as well as 4Kscore prostate cancer testing services. Its Pharmaceutical segment offers Rayaldee to treat secondary hyperparathyroidism in adults with stage 3 or 4 chronic kidney disease, and vitamin D insufficiency; OPK88004, an orally administered selective androgen receptor modulator; OPK88003, a once-weekly administered peptide for the treatment of type 2 diabetes and associated obesity that is in Phase IIb trials; and hGH-CTP, a once-weekly human growth hormone injection that completed Phase III clinical trial in partnership with Pfizer, Inc. This segment develops and commercializes longer-acting proprietary versions of already approved therapeutic proteins. The company also offers specialty APIs; develops, manufactures, markets, and sells pharmaceutical, nutraceutical, veterinary, and ophthalmic products; commercializes food supplements and over the counter products; manufactures and sells products primarily in the generics market; and imports, markets, distributes, and sells pharmaceutical products in a range of indications, including cardiovascular products, vaccines, antibiotics, gastro-intestinal products, hormones, and others. In addition, it operates pharmaceutical platforms in Ireland, Chile, Spain, and Mexico. The company was founded in 1991 and is headquartered in Miami, Florida.
How the Company Makes MoneyOpko Health generates revenue through multiple streams, including the sale of pharmaceutical products and diagnostic services. The company earns money from the sale of its proprietary drugs, which are marketed directly to healthcare providers and patients. Additionally, Opko's diagnostics segment generates revenue from laboratory testing services, which may involve partnerships with healthcare facilities and insurance companies to provide comprehensive diagnostic solutions. Significant partnerships, such as collaborations with other pharmaceutical companies and healthcare organizations, also contribute to Opko's earnings by facilitating product development, expanding market reach, and enhancing service offerings. Furthermore, Opko benefits from licensing agreements and royalties from its intellectual property, which provide additional financial resources.

Opko Health Earnings Call Summary

Earnings Call Date:Jul 31, 2025
(Q2-2025)
|
% Change Since: 5.47%|
Next Earnings Date:Nov 05, 2025
Earnings Call Sentiment Neutral
The earnings call highlighted significant strategic moves, such as the sale of the oncology business and FDA approval for the 4Kscore test, indicating strong steps towards future profitability. However, these positives are tempered by ongoing revenue challenges in the Diagnostics segment and increased operating losses in the Pharmaceutical segment, as well as the slower-than-expected adoption of key products.
Q2-2025 Updates
Positive Updates
BioReference Health Streamlining and Sale
OPKO Health is selling its oncology and clinical testing business to Labcorp for $225 million, with $192.5 million payable at closing. This transaction is expected to improve BioReference's financial profile and focus on core testing business.
Pharmaceutical Pipeline Progress
ModeX has 2 programs in Phase I clinical trials with 3 more expected to enter the clinic by early 2026. Phase I data from the EBV vaccine partnered with Merck is a significant catalyst for the pipeline.
4Kscore Test FDA Approval
The FDA approved a supplemental application for the 4Kscore test, allowing its performance without digital rectal examination information, potentially increasing its user base.
Diagnostics Segment Cost Savings
BioReference Health achieved annualized cost savings of approximately $19 million due to headcount reduction and footprint consolidation, with further savings expected post-oncology transaction close.
Latin American and Irish Business Performance
OPKO's Latin American and Irish units continued to perform well with increasing revenue and expanding margins despite foreign currency headwinds.
Negative Updates
Diagnostics Revenue Decline
Diagnostics revenue decreased from $129.4 million in Q2 2024 to $101.1 million in Q2 2025, primarily due to the previous Labcorp transaction in September 2024.
Pharmaceutical Operating Loss
Pharmaceutical operating loss increased to $28.7 million from $24.8 million in the previous year, driven by increased R&D investments.
Slow Adoption of Long-Acting hGH
The adoption of the long-acting form of hGH has been slower than anticipated, impacting OPKO's Pfizer profit share.
Increased Net Loss
OPKO reported a net loss of $148.4 million in Q2 2025, compared to $10.3 million in Q2 2024, influenced by a $92 million expense from a convertible note exchange.
Company Guidance
During OPKO Health's second quarter 2025 financial results call, the company provided several key metrics and updates. They reported $101.1 million in revenue from their Diagnostics business, including $24.9 million from oncology assets being sold, and a total operating loss of $18.2 million. The Pharmaceutical business saw revenue of $55.7 million, with product revenue at $40.7 million and IP transfer revenue at $15 million, including a $6.1 million profit share from Pfizer. The company highlighted strategic moves like the pending sale of BioReference's oncology assets for $225 million, expected to close by the end of Q3 2025. They also discussed their innovative pipeline, including ModeX's programs with two in Phase I clinical trials and three more anticipated to enter the clinic by the end of 2026. OPKO has a $200 million common stock repurchase program with $141.5 million remaining capacity. They are targeting to achieve cash flow breakeven for their Diagnostics business in 2025, excluding nonrecurring and noncash items.

Opko Health Financial Statement Overview

Summary
Opko Health is facing significant financial challenges, with declining revenues and profitability issues. Negative margins and cash flow, combined with a decrease in equity, highlight the need for strategic measures to enhance operational efficiency.
Income Statement
35
Negative
Opko Health's income statement reveals significant challenges. The company is experiencing a declining revenue trend, with a revenue drop from 2021 to 2025. Gross and net profit margins are negative in the TTM period, reflecting unprofitability. The EBIT and EBITDA margins are also negative for the TTM, indicating operating inefficiencies. Despite these challenges, there was a slight improvement in gross profit margin in the TTM compared to the previous year, suggesting some cost management efforts.
Balance Sheet
55
Neutral
The balance sheet of Opko Health indicates moderate financial health. The debt-to-equity ratio remains manageable, reflecting a stable leverage situation. Return on equity is negative, indicating that the company is not generating profits for its shareholders. However, the equity ratio suggests a strong reliance on equity financing. The decrease in stockholders' equity over the years could be a concern for future financing capabilities.
Cash Flow
40
Negative
Opko Health's cash flow statement shows negative free cash flow growth, a critical concern for sustaining operations. The operating cash flow to net income ratio is negative, indicating poor cash conversion from operations. Despite the challenges, the company managed to increase its cash reserves in the TTM, possibly through financing activities. However, consistent negative free cash flow poses a risk to long-term liquidity.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue664.03M713.14M863.50M1.00B1.77B1.44B
Gross Profit216.81M218.51M318.13M288.20M672.55M541.00M
EBITDA59.53M135.28M-65.52M-270.81M83.57M139.09M
Net Income-177.14M-53.22M-188.86M-328.40M-30.14M30.59M
Balance Sheet
Total Assets1.97B2.20B2.01B2.17B2.40B2.47B
Cash, Cash Equivalents and Short-Term Investments271.72M431.94M95.88M153.20M134.70M72.20M
Total Debt395.74M504.44M326.56M213.50M187.90M222.00M
Total Liabilities676.09M834.76M622.48M605.70M714.60M801.50M
Stockholders Equity1.30B1.37B1.39B1.56B1.69B1.67B
Cash Flow
Free Cash Flow-259.29M-208.50M-44.47M-119.77M6.18M5.79M
Operating Cash Flow-239.46M-183.49M-28.20M-95.19M38.34M39.48M
Investing Cash Flow401.46M352.21M-18.20M91.04M35.95M-18.33M
Financing Cash Flow82.16M184.17M-11.30M22.97M-10.35M-35.08M

Opko Health Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price1.35
Price Trends
50DMA
1.33
Positive
100DMA
1.38
Negative
200DMA
1.49
Negative
Market Momentum
MACD
-0.01
Negative
RSI
54.42
Neutral
STOCH
84.66
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For OPK, the sentiment is Neutral. The current price of 1.35 is above the 20-day moving average (MA) of 1.32, above the 50-day MA of 1.33, and below the 200-day MA of 1.49, indicating a neutral trend. The MACD of -0.01 indicates Negative momentum. The RSI at 54.42 is Neutral, neither overbought nor oversold. The STOCH value of 84.66 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral 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 (60)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
60
Neutral
HK$18.14B5.30-4.00%3.33%10.16%-17.39%
56
Neutral
$561.06M-70.03%3.83%-137.31%
56
Neutral
$663.21M12.2020.73%14.72%
56
Neutral
$561.02M30.59-2.15%20.40%-165.41%
45
Neutral
$1.14B-41.88%-3.20%-11471.95%
44
Neutral
$1.05B-13.16%-7.31%29.84%
44
Neutral
$785.41M-11.76%9.70%-30.94%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
OPK
Opko Health
1.35
-0.23
-14.56%
MYGN
Myriad Genetics
5.87
-21.98
-78.92%
NEOG
Neogen
5.54
-11.25
-67.00%
NEO
NeoGenomics
6.24
-9.88
-61.29%
CDNA
CareDx
12.13
-16.22
-57.21%
CSTL
Castle Biosciences
19.41
-7.73
-28.48%

Opko Health Corporate Events

Executive/Board ChangesBusiness Operations and Strategy
Opko Health Grants Stock Options and Bonuses
Positive
May 29, 2025

On May 27, 2025, Opko Health‘s Compensation Committee granted stock options and approved bonuses for its executive officers and non-executive employees. This decision reflects the company’s commitment to incentivizing its leadership and workforce, potentially impacting its operational efficiency and stakeholder confidence.

The most recent analyst rating on (OPK) stock is a Buy with a $3.00 price target. To see the full list of analyst forecasts on Opko Health stock, see the OPK Stock Forecast page.

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: Aug 03, 2025