OPKO HEALTH, INC.
Business
OPKO Health, Inc. is a diversified healthcare company engaged in developing, manufacturing and commercializing pharmaceuticals, biologics and diagnostic testing. It offers products and services including the once-weekly human growth hormone Somatrogon (NGENLA®), the renal drug Rayaldee, early-stage multispecific immunotherapies via ModeX, the 4Kscore® prostate cancer test and a broad menu of routine and esoteric laboratory tests. The company operates two reportable segments—pharmaceuticals and diagnostics—with subsidiaries including ModeX, BioReference and FineTech. OPKO distributes products and laboratory services across the U.S., Europe, Latin America, Israel and other international markets through direct sales, partners and licensed collaborations.
Summary from filing dated 2025-03-03
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Revenues | 607 | 713 | 863 | 1,004 | 1,775 | |
| Cost of Goods and Services Sold | 401 | 495 | 545 | 716 | — | |
| Selling, general and administrative | 223 | 304 | 301 | 373 | 469 | |
| Research and development | 124 | 105 | 90 | 74 | 77 | |
| Contingent consideration | 0 | 0 | −1 | −1 | −2 | |
| Amortization of intangible assets | 78 | 83 | 86 | 88 | 50 | |
| Gain on sale of assets | −102 | −121 | 0 | −19 | −32 | |
| Total costs and expenses | 724 | 865 | 1,021 | 1,230 | — | |
| Operating loss | −117 | −152 | −157 | −226 | 19 | |
| Interest income | 15 | 8 | 4 | 2 | 28,000 | |
| Interest expense | −108 | −47 | −14 | −12 | −19 | |
| Fair value changes of derivative instruments, net | −429,000 | −26 | −781,000 | 649,000 | 846,000 | |
| Other income (expense), net | −30 | 207 | −17 | −156 | −15 | |
| Other income (expense), net | −124 | 142 | −27 | −165 | −33 | |
| Loss before income taxes and investment losses | −241 | −10 | −184 | −392 | −14 | |
| Income tax benefit (provision) | 16 | −43 | −4 | 63 | −15 | |
| Net loss before investment losses | −226 | −53 | −189 | −328 | −30 | |
| Loss from investments in investees | −29,000 | −18,000 | −107,000 | −383,000 | −629,000 | |
| Net loss | −226 | −53 | −189 | −328 | −30 | |
| Loss per share Basic | −0.3 | −0.08 | −0.25 | −0.46 | −0.05 | |
| Loss per share diluted | −0.3 | −0.08 | −0.25 | −0.46 | −0.05 | |
| Weighted average number of common shares outstanding, basic | 751 | 694 | 752 | 719 | 648 | |
| Weighted average number of common shares outstanding, diluted | 751 | 694 | 752 | 719 | 648 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash, cash equivalents and current restricted cash | 369 | 432 | 96 | — | — | |
| Accounts receivable, net | 90 | 118 | 123 | 127 | 260 | |
| Inventory, net | 66 | 57 | 66 | 74 | 87 | |
| Other current assets and prepaid expenses | 57 | 55 | 25 | 40 | 27 | |
| Total current assets | 582 | 662 | 309 | 395 | 823 | |
| Property, plant and equipment, net | 74 | 70 | 75 | 83 | — | |
| Intangible assets, net | 516 | 617 | 740 | 824 | — | |
| In-process research and development | 195 | 195 | 195 | 195 | — | |
| Goodwill | 484 | 529 | 598 | 596 | 521 | |
| Investments | 14 | 55 | 16 | 28 | 11 | |
| Operating lease right-of-use assets | 47 | 54 | 68 | 39 | 44 | |
| Other assets | 19 | 19 | 9 | 9 | 10 | |
| Total assets | 1,932 | 2,200 | 2,012 | 2,167 | 2,400 | |
| Accounts payable | 41 | 47 | 70 | 67 | 82 | |
| Accrued expenses | 84 | 118 | 90 | 98 | 193 | |
| Current maturities of operating leases | 11 | 13 | 13 | 12 | 12 | |
| Current portion of convertible notes | 0 | 170,000 | 0 | 3 | 0 | |
| Current portion of lines of credit and notes payable | 10 | 15 | 27 | 34 | — | |
| Total current liabilities | 147 | 193 | 200 | 213 | 330 | |
| Operating lease liabilities | 37 | 49 | 54 | 28 | 33 | |
| Long term portion of convertible notes | 85 | 174 | 214 | 210 | 188 | |
| Senior secured notes | 246 | 246 | 0 | — | — | |
| Deferred tax liabilities | 126 | 141 | 127 | 126 | 148 | |
| Other long-term liabilities, principally contingent consideration and lines of credit | 23 | 33 | 27 | 27 | 15 | |
| Total long-term liabilities | 517 | 642 | 422 | 392 | 385 | |
| Total liabilities | 664 | 835 | 622 | 606 | 715 | |
| Common Stock - $0.01 par value, 1,250,000,000 shares authorized; 789,917,433 and 701,350,447 shares issued at December 31, 2025 and 2024, respectively | 8 | 7 | 8 | 8 | 7 | |
| Treasury Stock - 30,849,907, and 29,799,907 shares at December 31, 2025 and December 31, 2024, respectively | −3 | −2 | −2 | −2 | −2 | |
| Additional paid-in capital | 3,575 | 3,481 | 3,433 | 3,422 | 3,222 | |
| Accumulated other comprehensive loss | −21 | −56 | −38 | −43 | −30 | |
| Accumulated deficit | −2,291 | −2,065 | −2,012 | −1,823 | −1,512 | |
| Total shareholders equity | 1,268 | 1,365 | 1,389 | 1,562 | 1,685 | |
| Total liabilities and equity | 1,932 | 2,200 | 2,012 | 2,167 | 2,400 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Depreciation and amortization | 92 | 98 | 105 | 109 | 79 | |
| Non-cash interest | 66 | 18 | 3 | 3 | 9 | |
| Amortization of deferred financing costs | 5 | 2 | 1 | 1 | 785,000 | |
| Equity-based compensation employees and non-employees | 11 | 11 | 11 | 19 | 14 | |
| Impairment charges | 1 | 0 | 0 | — | — | |
| Realized loss (gain) on disposal of fixed assets and sales of equity securities | −3 | −63 | 1 | −455,000 | −34 | |
| Change in fair value of equity securities and derivative instruments | 623,000 | −114 | 18 | 154 | 4 | |
| Loss on conversion convertible senior notes | 0 | −7 | 0 | 0 | 11 | |
| Inducement expense and loss on debt conversion | 33 | 0 | 0 | — | — | |
| Deferred income tax provision | −15 | 15 | 146,000 | −74 | 10 | |
| Gain on sale of assets | −102 | −121 | 0 | −19 | — | |
| Accounts receivable, net | 30 | −220,000 | 3 | 129 | 5 | |
| Inventory, net | −4 | 4 | 15 | 14 | 31 | |
| Other current assets and prepaid expenses | −5 | −4 | 7 | −3 | 1 | |
| Other assets | 23,000 | 237,000 | −288,000 | 2 | 260,000 | |
| Accounts payable | −14 | −21 | 3 | −9 | −11 | |
| Foreign currency measurement | 178,000 | 4 | −1 | 2 | 2 | |
| Accrued expenses and other liabilities | −48 | 49 | −5 | −91 | −34 | |
| Net cash used in operating activities | −179 | −183 | −28 | −95 | 38 | |
| Investments in investees | −8 | 0 | −5 | — | — | |
| Proceeds from sale of investments | 52 | 167 | 364,000 | 115 | 8 | |
| Proceeds from the sale of property, plant and equipment | 287,000 | 242,000 | 3 | 2 | 66 | |
| Capital expenditures | −12 | −25 | −16 | −25 | −32 | |
| Proceeds from LabCorp Sale | 198 | 210 | 0 | 0 | — | |
| Net cash provided by (used in) investing activities | 230 | 352 | −18 | 91 | 36 | |
| Issuance of 3.00% convertible senior notes, net (including related parties) | 0 | 230 | 0 | 0 | 0 | |
| Issuance of 2044 Notes | 0 | 250 | 0 | 0 | — | |
| Debt issuance costs | 0 | −13 | 0 | 0 | −188,000 | |
| Share repurchase | −47 | −90 | 0 | 0 | — | |
| Net activity from the exercise of common stock options and warrants | −256,000 | −208,000 | −272,000 | −774,000 | 1 | |
| Repurchase of 2029 Convertible Notes | −62 | −30 | 0 | 0 | — | |
| Borrowings on lines of credit | 33 | 459 | 672 | 1,060 | 1,685 | |
| Repayments of lines of credit | −41 | −475 | −680 | −1,036 | −1,696 | |
| Settlement of convertible notes | −174,000 | −146 | −3 | — | — | |
| Net cash (used in) provided by financing activities | −118 | 184 | −11 | 23 | −10 | |
| Effect of exchange rate changes on cash, cash equivalents and restricted cash | 3 | −3 | 388,000 | −339,000 | −1 | |
| Net (decrease) increase in cash, cash equivalents and restricted cash | −63 | 350 | −57 | 18 | 62 | |
| Interest paid | 38 | 21 | 8 | 7 | 9 | |
| Income taxes paid, net of refunds | 24 | 10 | 4 | 8 | 6 | |
| Operating lease right-of-use assets obtained in exchange for lease obligations | 0 | 0 | 29 | 0 | 6 | |
| Assets acquired by finance leases | 0 | 0 | 203,000 | 5 | 0 | |
| Common Stock options and warrants, surrendered in net exercise | 346,000 | 529,000 | 301,000 | — | — | |
| Fair value of shares included in consideration from GeneDx Holdings | 0 | 0 | 7 | 172 | 0 |