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OPKO Health, Inc. (OPK) 10-Year Financial Performance & Capital Metrics

OPK • • Industrial / General
HealthcareDiagnostics & ResearchClinical Laboratory ServicesGeneral Clinical Laboratories
AboutOPKO 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.Show more
  • Revenue $713M -17.4%
  • EBITDA -$54M -4.2%
  • Net Income -$53M +71.8%
  • EPS (Diluted) -0.08 +69.3%
  • Gross Margin 43.61% +18.4%
  • EBITDA Margin -7.56% -26.2%
  • Operating Margin -21.32% -17.3%
  • Net Margin -7.46% +65.9%
  • ROE -3.86% +69.8%
  • ROIC -7.46% -5.6%
  • Debt/Equity 0.37 +57.2%
  • Interest Coverage -3.20 +72.4%
Technical Analysis

Key Insights

Based on financial data analysis

✓Strengths

  • ✓High quality earnings: Operating CF exceeds net income
  • ✓Share count reduced 7.7% through buybacks
  • ✓Trading at only 0.7x book value

✗Weaknesses

  • ✗Negative free cash flow
  • ✗Trading more than 30% below 52-week high

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

Price & Volume

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Growth Metrics

Revenue CAGR

10Y22.85%
5Y-4.59%
3Y-26.21%
TTM-9.75%

Profit (Net Income) CAGR

10Y-
5Y-
3Y-
TTM-5.28%

EPS CAGR

10Y-
5Y-
3Y-
TTM-39.58%

ROCE

10Y Avg-6.42%
5Y Avg-4.77%
3Y Avg-9.18%
Latest-7.96%

Peer Comparison

General Clinical Laboratories
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Per Share
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Sector-Specific
NameMarket CapCurrent PriceP/E RatioRevenue Growth 1YNet MarginROEFCF YieldDebt/Equity
DGXQuest Diagnostics Incorporated21.16B190.2624.746.7%8.93%13.14%4.29%1.03
OPKOPKO Health, Inc.982.66M1.28-16.69-17.41%-21.93%-10.79%0.37
FLGTFulgent Genetics, Inc.885.64M28.65-20.32-1.99%-13.62%-3.84%0.01

Profit & Loss

Dec 2015Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Sales/Revenue+491.7M1.22B966.01M990.3M901.93M1.44B1.77B1B863.5M713.14M
Revenue Growth %4.4%1.48%-0.21%0.03%-0.09%0.59%0.24%-0.43%-0.14%-0.17%
Cost of Goods Sold+235.24M611.5M620.13M604.6M572.48M894.41M1.19B715.98M545.37M402.11M
COGS % of Revenue0.48%0.5%0.64%0.61%0.63%0.62%0.67%0.71%0.63%0.56%
Gross Profit+256.5M610.2M345.88M385.7M329.45M541M581.52M288.22M318.13M311.03M
Gross Margin %0.52%0.5%0.36%0.39%0.37%0.38%0.33%0.29%0.37%0.44%
Gross Profit Growth %4.95%1.38%-0.43%0.12%-0.15%0.64%0.07%-0.5%0.1%-0.02%
Operating Expenses+354.98M602.56M625.74M551.9M603.5M483.29M562.77M514.47M475.15M463.1M
OpEx % of Revenue0.72%0.49%0.65%0.56%0.67%0.34%0.32%0.51%0.55%0.65%
Selling, General & Admin196.58M490.9M414.63M358.4M343.31M355.57M468.86M372.67M300.56M304.22M
SG&A % of Revenue0.4%0.4%0.43%0.36%0.38%0.25%0.26%0.37%0.35%0.43%
Research & Development99.49M113.87M126.44M135.69M117.87M75.32M76.85M73.89M89.59M105.21M
R&D % of Revenue0.2%0.09%0.13%0.14%0.13%0.05%0.04%0.07%0.1%0.15%
Other Operating Expenses58.92M081.25M72.89M142.33M52.4M17.07M67.91M85M53.66M
Operating Income+-98.48M-73.28M-276.44M-171.2M-274.05M57.71M18.75M-226.25M-157.02M-152.06M
Operating Margin %-0.2%-0.06%-0.29%-0.17%-0.3%0.04%0.01%-0.23%-0.18%-0.21%
Operating Income Growth %0.32%0.26%-2.77%0.38%-0.6%1.21%-0.68%-13.07%0.31%0.03%
EBITDA+-56.23M23.3M-174.35M-73.85M-180.25M143.08M97.47M-117.6M-51.72M-53.89M
EBITDA Margin %-0.11%0.02%-0.18%-0.07%-0.2%0.1%0.05%-0.12%-0.06%-0.08%
EBITDA Growth %0.57%1.41%-8.48%0.58%-1.44%1.79%-0.32%-2.21%0.56%-0.04%
D&A (Non-Cash Add-back)42.25M96.58M102.09M97.34M93.81M85.36M78.72M108.66M105.3M98.18M
EBIT-129.58M-89.39M-265.32M-165.38M-283.45M70.62M4.86M-379.46M-170.81M37.1M
Net Interest Income+-8.16M-6.95M-5.99M-10.65M-19.81M-21.78M-18.85M-10.07M-9.52M-39.04M
Interest Income255K478K610K1.24M1.71M152K28K1.98M3.98M8.43M
Interest Expense8.42M7.43M6.6M11.89M21.52M21.93M18.88M12.06M13.51M47.47M
Other Income/Expense-39.52M-271K4.52M-6.07M-30.91M-9.51M-33.4M-165.65M-27.41M141.7M
Pretax Income+-138M-73.5M-271.92M-177.27M-304.96M48.2M-14.65M-391.9M-184.43M-10.36M
Pretax Margin %-0.28%-0.06%-0.28%-0.18%-0.34%0.03%-0.01%-0.39%-0.21%-0.01%
Income Tax+-113.67M-56.1M18.86M-38.7M7.06M17.62M15.49M-63.5M4.44M42.84M
Effective Tax Rate %0.22%0.66%1.12%0.86%1.03%0.63%2.06%0.84%1.02%5.14%
Net Income+-30.03M-48.36M-305.25M-153.04M-314.93M30.59M-30.14M-328.4M-188.86M-53.22M
Net Margin %-0.06%-0.04%-0.32%-0.15%-0.35%0.02%-0.02%-0.33%-0.22%-0.07%
Net Income Growth %0.83%-0.61%-5.31%0.5%-1.06%1.1%-1.99%-9.89%0.42%0.72%
Net Income (Continuing)-31.43M-17.43M-305.25M-153.04M-314.93M30.59M-30.14M-328.4M-188.86M-53.21M
Discontinued Operations0000000000
Minority Interest0000000000
EPS (Diluted)+-0.06-0.05-0.55-0.27-0.530.05-0.05-0.46-0.25-0.08
EPS Growth %0.85%0.17%-10%0.51%-0.96%1.09%-1.95%-9.11%0.46%0.69%
EPS (Basic)-0.06-0.05-0.55-0.27-0.530.05-0.05-0.46-0.25-0.08
Diluted Shares Outstanding500M502M559.16M566.67M595.45M640.65M648.08M719.06M751.77M694.02M
Basic Shares Outstanding500M507.83M555M563.14M595.45M640.65M648.08M719.06M751.77M694.02M
Dividend Payout Ratio----------

Balance Sheet

Dec 2015Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Total Current Assets+454.1M483.6M348.86M317.7M324.05M523.18M823.01M394.52M309.48M662.09M
Cash & Short-Term Investments193.6M168.7M91.5M96.5M85.45M72.21M134.71M153.19M95.88M431.94M
Cash Only193.6M168.73M91.5M96.47M85.45M72.21M134.71M153.19M95.88M431.94M
Short-Term Investments0-33K027K000000
Accounts Receivable208.9M249.49M187.05M161.98M157.69M302.26M265.59M148.61M130.2M152.05M
Days Sales Outstanding155.0774.5470.6859.763.8176.8654.6254.0255.0477.82
Inventory39.68M47.23M49.33M42.3M53.43M132.34M86.5M74.06M65.7M56.8M
Days Inventory Outstanding61.5728.1929.0425.5434.0754.0126.4637.7643.9751.56
Other Current Assets903K7.51M9.24M3.85M15.84M5.31M321.19M6.25M7.67M10.71M
Total Non-Current Assets+2.35B2.28B2.24B2.13B1.99B1.95B1.58B1.77B1.7B1.54B
Property, Plant & Equipment131.8M122.83M146.56M144.67M166.49M178.29M123.95M121.6M143.52M124.14M
Fixed Asset Turnover3.73x9.95x6.59x6.85x5.42x8.05x14.32x8.26x6.02x5.74x
Goodwill743.35M704.6M717.1M700.19M671.94M680.6M520.6M595.85M598.26M529.25M
Intangible Assets1.43B1.41B1.33B1.25B1.12B1.07B911.88M1.02B935.28M811.61M
Long-Term Investments34.72M41.14M40.64M31.23M20.75M15.73M10.71M28.05M16.08M54.58M
Other Non-Current Assets809.9M933.7M5.62M797.6M6.89M10.06M9.55M8.71M9.08M18.54M
Total Assets+2.8B2.77B2.59B2.45B2.31B2.47B2.4B2.17B2.01B2.2B
Asset Turnover0.18x0.44x0.37x0.40x0.39x0.58x0.74x0.46x0.43x0.32x
Asset Growth %1.21%-0.01%-0.06%-0.05%-0.06%0.07%-0.03%-0.1%-0.07%0.09%
Total Current Liabilities+251.9M263.3M312.03M256.8M249.12M375.48M330.01M213.48M200.05M193.1M
Accounts Payable72.53M53.36M74.31M47.4M62.54M100.88M82.04M66.99M69.68M47.07M
Days Payables Outstanding112.5531.8543.7428.6139.8741.1725.134.1546.6342.73
Short-Term Debt11.47M11.98M11.93M37.41M24.4M36.18M14.69M36.59M27.29M15.02M
Deferred Revenue (Current)1000K1000K1000K1000K1000K1000K258K000
Other Current Liabilities54.92M73.27M110.53M87.88M109.31M179.33M74.09M40.24M56.92M41.09M
Current Ratio1.80x1.84x1.12x1.24x1.30x1.39x2.49x1.85x1.55x3.43x
Quick Ratio1.65x1.66x0.96x1.07x1.09x1.04x2.23x1.50x1.22x3.13x
Cash Conversion Cycle104.0970.8855.9856.6358.0189.755.9957.6252.3786.65
Total Non-Current Liabilities+567.9M411.5M434.3M403M445.39M426.03M384.58M392.13M422.43M641.67M
Long-Term Debt123.62M83.23M134.88M167.15M259.86M225.83M190.16M219.47M222.03M422.18M
Capital Lease Obligations9.29M7.22M7.79M5.62M31.71M32.56M36.02M35.05M61.41M52.91M
Deferred Tax Liabilities226M165.3M148.73M115.2M118.72M137.21M148.49M126.43M126.77M140.8M
Other Non-Current Liabilities45.92M66.72M83.92M55.93M35.1M30.43M9.71M11.05M12.2M25.77M
Total Liabilities819.8M674.8M746.33M659.8M694.51M801.51M714.59M605.61M622.48M834.76M
Total Debt+149.74M105.45M157.99M31.6M315.97M294.57M254.75M305.55M326.56M504.44M
Net Debt-43.86M-63.28M66.49M-64.87M230.52M222.36M120.05M152.36M230.68M72.51M
Debt / Equity0.08x0.05x0.09x0.02x0.20x0.18x0.15x0.20x0.24x0.37x
Debt / EBITDA-4.53x---2.06x2.61x---
Net Debt / EBITDA--2.72x---1.55x1.23x---
Interest Coverage-11.70x-9.86x-41.88x-14.40x-12.74x2.63x0.99x-18.77x-11.63x-3.20x
Total Equity+1.98B2.09B1.84B1.79B1.61B1.67B1.69B1.56B1.39B1.37B
Equity Growth %1.39%0.06%-0.12%-0.03%-0.1%0.04%0.01%-0.07%-0.11%-0.02%
Book Value per Share3.964.173.303.162.712.612.602.171.851.97
Total Shareholders' Equity1.98B2.09B1.84B1.79B1.61B1.67B1.69B1.56B1.39B1.37B
Common Stock5.46M5.59M5.6M5.87M6.7M6.71M6.9M7.81M7.82M7.01M
Retained Earnings-704.87M-729.95M-1.05B-1.2B-1.51B-1.48B-1.51B-1.82B-2.01B-2.07B
Treasury Stock-3.65M-1.91M-1.79M-1.79M-1.79M-1.79M-1.79M-1.79M-1.79M-1.79M
Accumulated OCI-22.54M-27.01M-528K-20.13M-22.07M-4.22M-30.5M-43.32M-38.03M-56.13M
Minority Interest0000000000

Cash Flow

Dec 2015Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Cash from Operations+164.02M32.05M-92.08M-109.14M-172.52M39.48M38.34M-95.19M-28.2M-183.49M
Operating CF Margin %0.33%0.03%-0.1%-0.11%-0.19%0.03%0.02%-0.09%-0.03%-0.26%
Operating CF Growth %2.81%-0.8%-3.87%-0.19%-0.58%1.23%-0.03%-3.48%0.7%-5.51%
Net Income-31.43M-25.08M-305.25M-153.04M-314.93M30.59M-30.14M-328.4M-188.86M-53.22M
Depreciation & Amortization42.25M96.58M102.09M97.34M93.81M85.36M78.72M108.66M105.3M98.18M
Stock-Based Compensation26.07M42.69M28.31M21.76M13.42M8.95M13.63M18.51M11.41M11.05M
Deferred Taxes-123.54M-66.3M16.09M-35.13M4.32M15.64M10.16M-74.41M146K14.74M
Other Non-Cash Items70.6M27.37M18.33M18.07M99.66M-3.45M-13.54M137.8M22.01M-286.41M
Working Capital Changes180.06M-43.21M48.35M-58.14M-68.81M-97.61M-20.48M42.65M21.8M32.17M
Change in Receivables-29.39M-25.64M58.01M20.4M7.38M-150.44M5.23M128.6M3.41M-220K
Change in Inventory-5.88M-6.61M-3.54M4.59M-12.13M-77.64M30.68M13.66M15.2M4.22M
Change in Payables-18.12M-19.82M20.17M-26.08M15.64M37.16M-10.85M-9.39M2.83M-20.66M
Cash from Investing+-99.22M-20.7M-46.67M-26.12M-13.27M-18.33M35.95M91.04M-18.2M352.21M
Capital Expenditures-15.85M-23.55M-46.52M-27.86M-12.74M-33.68M-32.16M-24.58M-16.27M-25.01M
CapEx % of Revenue0.03%0.02%0.05%0.03%0.01%0.02%0.02%0.02%0.02%0.04%
Acquisitions----------
Investments----------
Other Investing-9.38M1.4M-39.25M-26.64M671K245K66.03M1.95M2.71M210.62M
Cash from Financing+33.01M-35.2M61.04M140.91M175.25M-35.08M-10.35M22.97M-11.3M184.17M
Debt Issued (Net)----------
Equity Issued (Net)----------
Dividends Paid0000000000
Share Repurchases----------
Other Financing26.02M8.58M2.13M1.17M-7.76M756K893K-774K-272K-13.59M
Net Change in Cash----------
Free Cash Flow+148.18M8.5M-138.6M-137M-185.26M5.79M6.18M-119.77M-44.47M-208.5M
FCF Margin %0.3%0.01%-0.14%-0.14%-0.21%0%0%-0.12%-0.05%-0.29%
FCF Growth %2.56%-0.94%-17.31%0.01%-0.35%1.03%0.07%-20.38%0.63%-3.69%
FCF per Share0.300.02-0.25-0.24-0.310.010.01-0.17-0.06-0.30
FCF Conversion (FCF/Net Income)-5.46x-0.66x0.30x0.71x0.55x1.29x-1.27x0.29x0.15x3.45x
Interest Paid4.57M2.89M1.31M011.87M10.91M8.52M7.42M8.13M20.88M
Taxes Paid4.88M27.12M5.42M02.67M903K5.97M8.04M3.71M10.01M

Key Ratios

Metric2015201620172018201920202021202220232024
Return on Equity (ROE)-2.14%-2.38%-15.51%-8.42%-18.49%1.86%-1.8%-20.23%-12.8%-3.86%
Return on Invested Capital (ROIC)-5.28%-2.77%-10.53%-7.06%-11.51%2.32%0.76%-9.64%-7.06%-7.46%
Gross Margin52.17%49.95%35.8%38.95%36.53%37.69%32.77%28.7%36.84%43.61%
Net Margin-6.11%-3.96%-31.6%-15.45%-34.92%2.13%-1.7%-32.7%-21.87%-7.46%
Debt / Equity0.08x0.05x0.09x0.02x0.20x0.18x0.15x0.20x0.24x0.37x
Interest Coverage-11.70x-9.86x-41.88x-14.40x-12.74x2.63x0.99x-18.77x-11.63x-3.20x
FCF Conversion-5.46x-0.66x0.30x0.71x0.55x1.29x-1.27x0.29x0.15x3.45x
Revenue Growth439.74%148.46%-20.93%2.51%-8.92%59.15%23.64%-43.42%-14.01%-17.41%

Revenue by Segment

2015201620172018201920202021202220232024
Service---813.25M716.43M1.26B1.61B755.63M515.27M480.67M
Service Growth-----11.90%76.18%27.32%-52.98%-31.81%-6.72%
Product---107.11M-119.95M141.77M142.84M167.56M155.11M
Product Growth------18.19%0.76%17.30%-7.43%
Transfer of Intellectual Property and Other------25.84M105.72M180.66M77.36M
Transfer of Intellectual Property and Other Growth-------309.11%70.89%-57.18%
Client Payers---150.26M159.97M637.64M----
Client Payers Growth----6.46%298.60%----
Health Insurers---370.1M419.1M483.64M----
Health Insurers Growth----13.24%15.40%----
Government Payers---271.59M116.66M90.29M----
Government Payers Growth-----57.04%-22.61%----
Rayaldee-1.6M21.58M36.72M-88.19M----
Rayaldee Growth--1248.88%70.12%------
Patients---21.3M20.7M50.67M----
Patients Growth-----2.84%144.78%----
Transfer Of Intellectual Property And Other---69.91M-28.7M----
Transfer Of Intellectual Property And Other Growth----------
Diagnostics329.6M---------
Diagnostics Growth----------

Revenue by Geography

2015201620172018201920202021202220232024
UNITED STATES344.46M1.01B908.97M837.51M751.1M1.32B1.64B783.21M597.82M546.3M
UNITED STATES Growth-194.48%-10.39%-7.86%-10.32%75.45%24.48%-52.25%-23.67%-8.62%
CHILE29.89M35.36M44.29M41.22M33.64M44.15M63.8M62.04M68.49M65.05M
CHILE Growth-18.33%25.23%-6.93%-18.38%31.24%44.49%-2.75%10.39%-5.03%
IRELAND78.99M137.78M77.28M78.1M81.17M43.92M32.81M117.21M141.47M48.4M
IRELAND Growth-74.44%-43.91%1.06%3.93%-45.89%-25.30%257.26%20.69%-65.79%
SPAIN16.62M15.81M18.29M18.2M18.75M16.93M22.68M22.48M23.52M24.63M
SPAIN Growth--4.87%15.64%-0.49%3.03%-9.68%33.96%-0.90%4.63%4.75%
MEXICO3.67M2.99M4.61M5.6M8.03M7.87M11.01M14.55M20.22M23.87M
MEXICO Growth--18.61%54.12%21.56%43.48%-2.08%39.92%32.18%38.98%18.06%
Other Countries-6K120K167K476K526K507K863K2.25M3.12M
Other Countries Growth--1900.00%39.17%185.03%10.50%-3.61%70.22%160.25%39.05%
ISRAEL18.11M15.32M13.95M9.48M8.77M4.25M3.56M3.85M9.74M1.77M
ISRAEL Growth--15.41%-8.92%-32.06%-7.49%-51.52%-16.18%7.91%153.26%-81.80%

Frequently Asked Questions

Growth & Financials

OPKO Health, Inc. (OPK) reported $642.1M in revenue for fiscal year 2024. This represents a 2195% increase from $28.0M in 2011.

OPKO Health, Inc. (OPK) saw revenue decline by 17.4% over the past year.

OPKO Health, Inc. (OPK) reported a net loss of $140.8M for fiscal year 2024.

Dividend & Returns

OPKO Health, Inc. (OPK) has a return on equity (ROE) of -3.9%. Negative ROE indicates the company is unprofitable.

OPKO Health, Inc. (OPK) had negative free cash flow of $212.1M in fiscal year 2024, likely due to heavy capital investments.

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