OPKO Health, Inc. (OPK) AI Stock Analysis

NASDAQ: OPKAI research summary: business, growth, valuation, analysts, bull and bear case.

OPK AI stock analysis summary

AI Research

OPKO Health, Inc. (OPK) is a diversified healthcare business operating across diagnostics and pharmaceuticals. Revenue contracted from $1.77B in FY2021 to $606.9M in FY2025, resulting in a 5-year revenue CAGR of -15.8%. Over the trailing twelve months, the company recorded an EPS of -$0.09 alongside an operating margin of -15.3%.

Market cap
$1.14B
Revenue (TTM)
$587.9M
P/E
—
fwd 53.8x
1Y return
2.0%
S&P 500 16.8%
Avg. target
$4.15
171.2% vs last close

Bull case

  • The consensus analyst mean price target of $4.15 represents a 171.2% premium over the last close of $1.53.
  • OPKO Health retains a liquid financial profile with a current ratio of 3.35 and $300.8M in cash and short-term investments as of June 30, 2026.
  • The company exceeded consensus EPS expectations in 3 of the last 4 quarters while posting 4.3% year-over-year revenue growth in the latest quarter.

Bear case

  • Revenue has steadily dropped from $1.77B in FY2021 to $606.9M in FY2025, reflecting a 5-year revenue CAGR of -15.8%.
  • Cash generation remains negative, evidenced by an operating cash flow of -$178.5M and free cash flow of -$190.8M in FY2025.
  • Analyst projections call for continued top-line contraction in the next fiscal year, with revenue estimated to fall 13.1% to $495.1M.

What OPKO Health does

OPKO Health, Inc. is a diversified healthcare company operating diagnostics and pharmaceutical businesses across the United States, Ireland, Chile, Spain, Israel, Mexico, and other international markets. Its Diagnostics segment is anchored by BioReference Laboratories, which offers laboratory testing services including esoteric testing, molecular diagnostics, anatomical pathology, genetics, women's health, correctional healthcare, and 4Kscore prostate cancer testing. Its Pharmaceuticals segment markets Rayaldee for secondary hyperparathyroidism and develops therapies including OPK88004, OPK88003 for type 2 diabetes and obesity, and hGH-CTP in collaboration with Pfizer, Inc. The company also produces and distributes various pharmaceutical, nutraceutical, veterinary, and ophthalmic products.

Growth and profitability

Revenue contracted steadily from $1.77B in FY2021 to $1.00B in FY2022, $863.5M in FY2023, $713.1M in FY2024, and $606.9M in FY2025, generating a 5-year revenue CAGR of -15.8%. Operating margin declined from 1.1% in FY2021 to -36.1% in FY2025, while gross margin fell from 32.8% to 21.1% over the same timeframe. Annual net losses widened to -$225.7M in FY2025, corresponding to an EPS of -$0.18, compared to -$53.2M in FY2024. For the trailing twelve months ended June 30, 2026, revenue stood at $587.9M with a profit margin of -12.4%. In the latest quarter, revenue grew 4.3% year-over-year, while quarterly earnings declined 12.6%.

OPK income statement →

Balance sheet and cash flow

As of June 30, 2026, OPKO Health held $300.8M in cash and short-term investments against total debt of $392.3M, resulting in net debt of $91.5M. The company reported total assets of $1.83B, shareholders' equity of $1.18B, a current ratio of 3.35, and a debt-to-equity ratio of 0.33. Operating cash flow in FY2025 was -$178.5M, and free cash flow was -$190.8M. Cash outlays in FY2025 included capital expenditures of $12.3M and share buybacks of $47.0M.

OPK balance sheet →

Valuation and performance

OPKO Health trades at a forward P/E of 53.8x, compared to 17.3x for the median of its US-listed Healthcare peers. Its enterprise value of $1.37B equates to an EV/EBITDA multiple of 24.9x, above the peer median of 12.0x, while its price-to-sales ratio of 1.9x sits below the peer median of 4.1x. Over the past year, OPKO Health shares gained 2.0%, trailing the S&P 500 (SPY) return of 16.8%. Over a 5-year span, the stock fell 58.9%, compared to an 83.0% gain for SPY.

OPK key metrics →

What analysts expect

Wall Street coverage consists of 2 Strong Buy, 2 Buy, and 2 Hold ratings, with no Sell or Strong Sell recommendations. The mean price target of $4.15 implies an upside of 171.2% from the last close of $1.53. For the fiscal year ending December 31, 2026, consensus estimates project an EPS of -$0.21 on revenue of $569.9M. For the next fiscal year, 3 analysts project revenue of $495.1M and EPS of -$0.34. The company beat EPS estimates in 3 of the last 4 quarters, with next earnings scheduled for November 4, 2026.

OPK forecast and price target →

Key risks and what to watch

  • Prolonged cash burn poses liquidity challenges following free cash flow of -$190.8M in FY2025.
  • Operating margin collapsed to -36.1% in FY2025 and remained negative at -15.3% over the trailing twelve months.
  • The stock carries elevated market volatility, highlighted by a beta of 1.50 and a 5-year return of -58.9%.
  • The forward P/E of 53.8x trades at a substantial premium to the US-listed Healthcare median of 17.3x despite ongoing net losses.

AI-generated research summary. Written with AI from Quotelinks data as of October 16, 2026 and checked so every figure matches that data. For information only, not investment advice. Disclaimer

About this OPK AI stock analysis

This page is an AI-written research summary of OPKO Health, Inc. (OPK). The text was generated on October 30, 2026 from Quotelinks data as of October 16, 2026 (company profile, annual results, latest balance sheet, valuation, price performance and analyst estimates). An automatic check rejects any draft that contains a figure not found in that data. It is not investment advice; verify figures on the linked tabs before making decisions.

Related: OPK income statement, OPK balance sheet, OPK key metrics, OPK analyst forecast, OPK chart. See the OPK stock overview for the latest quote and news.

OPK AI stock analysis FAQ

What is OPKO Health's revenue outlook?

For the fiscal year ending December 31, 2026, analysts estimate revenue of $569.9M. For the subsequent fiscal year, 3 analysts project revenue to decline 13.1% to $495.1M.

Does OPKO Health pay a dividend?

No, OPKO Health does not pay a dividend. The company used cash for $12.3M in capital expenditures and $47.0M in share buybacks in FY2025.

What is OPKO Health's current debt level?

As of June 30, 2026, the company held total debt of $392.3M and cash and short-term investments of $300.8M, resulting in net debt of $91.5M. Its debt-to-equity ratio stood at 0.33.

Who owns most of OPKO Health's stock?

Insiders hold 50.5% of the company's shares, while institutional investors own 27.6%. Short interest represents 8.6% of the float.

When does OPKO Health report earnings next?

OPKO Health is scheduled to report its next quarterly financial results on November 4, 2026.

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