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Companies $OPK
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OPKO Health, Inc.

opko.com

What Do They Do?

Provides clinical laboratory testing and specialty diagnostic tests for healthcare providers, and sells medicines for kidney disease and growth hormone deficiency.

How Do They Make Money?

Laboratory tests are its largest revenue stream: third-party payors, patients and client institutions pay for tests, with revenue earned when results are reported. OPKO also sells pharmaceutical products, with sales counted when customers take ownership, and earns revenue from intellectual-property transfers.

revenue
SegmentShareRevenue
Service
Usage-based

61%
FY2022: 75%
Product
Sold outright

26%
FY2022: 14%
Transfer of Intellectual Property and Other
13%
FY2022: 11%

Who Are Their Customers?

BioReference markets lab tests directly to healthcare providers and facilities; insurers and government programs reimburse tests, while institutional clients and patients are also billed.

Do Revenues Turn Into Profits?

No. It lost $225.7M in FY2025.

Operating income, FY2025
−19% of revenue
▼ −23% (Loss) vs FY2024 (−$152.1M, −21%)
Net income, FY2025
−37% of revenue
▲ +324% (Loss) vs FY2024 (−$53.2M, −7%)
Free cash flow, FY2025
−31% of revenue
▼ −8% (Loss) vs FY2024 (−$208.5M, −29%)

How Are They Changing?

Since the FY2025 annual report
Latest quarter: Q2 FY2026, the three months to Jun 30, 2026
Revenue
▲ +4%
vs $156.8M in Q2 FY2025
Net income
▼ −94% (Loss)
vs −$148.4M in Q2 FY2025
Service share of revenue vs 64.5% in Q2 FY2025

Shrinking. Revenue fell 66% in 4 years, from $1.8B in FY2021 to $606.9M in FY2025, about 24% a year.

Diagnostics refocus The older report described BioReference's broad testing menu across multiple states, including clinical, oncology and women's-health work. The latest description centers on core clinical and women's-health testing in New York and New Jersey and a national specialty urology business, after divestitures of other laboratory assets.

Revenue over time
Service Product Transfer of Intellectual Property and Other
$2B$1B$0

Who Do They Compete With?

Competes with Ascendis Pharma and Novo Nordisk

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