The balance sheet reflects long-term capital erosion with a -$2.3 billion retained earnings deficit and a significant goodwill position of $482.3 million, representing nearly 40% of total equity.
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 | Dec'04 | Dec'03 | Dec'02 | Dec'01 | Dec'00 | Dec'99 | Dec'98 | Dec'97 | Dec'96 |
|---|
| Total Current Assets | 535.36M | 581.88M | 662.09M | 309.48M | 394.52M | 823.01M | 523.18M | 324.05M | 317.7M | 348.86M | 483.6M | 454.1M | 142.9M | 242.73M | 78.66M | 99.58M | 57.39M | 63.82M | 13.47M | 29.21M | 8.75M | 9M | 10.07M | 11.33M | 17.26M | 26.25M | 35.9M | 3.35M | 6.9M | 1.9M | 2.9M |
| Cash & Short-Term Investments | 341.88M | 369.07M | 431.94M | 95.88M | 153.19M | 134.71M | 72.21M | 85.45M | 96.5M | 91.5M | 168.7M | 193.6M | 96.9M | 185.8M | 27.36M | 71.52M | 18.02M | 42.66M | 6.68M | 23.37M | 8.6M | 8.9M | 9.86M | 10.13M | 16.19M | 14.99M | 35.41M | 3.21M | 6.8M | 1.8M | 2.9M |
| Cash Only | 341.88M | 369.07M | 431.94M | 95.88M | 153.19M | 134.71M | 72.21M | 85.45M | 96.47M | 91.5M | 168.73M | 193.6M | 96.9M | 185.8M | 27.36M | 71.52M | 18.02M | 42.66M | 6.68M | 23.37M | 8.6M | 8.9M | 8.73M | 10.13M | 6.19M | 14.99M | 35.41M | 3.21M | 6.8M | 1.8M | 2.9M |
| Short-Term Investments | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 27K | 0 | -33K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1.12M | 0 | 10M | 0 | 0 | 0 | 0 | 0 | 0 |
| Accounts Receivable | 79.64M | 90.25M | 152.05M | 130.2M | 148.61M | 265.59M | 302.26M | 157.69M | 161.98M | 187.05M | 249.49M | 208.9M | 23.05M | 21.75M | 23.54M | 13.37M | 13.32M | 8.77M | 1M | 1.91M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Days Sales Outstanding | 67.33 | 54.28 | 77.82 | 55.04 | 54.02 | 54.62 | 76.86 | 63.81 | 59.7 | 70.68 | 74.54 | 155.07 | 92.37 | 82.25 | 182.65 | 174.47 | 170.59 | 243.4 | 38.86 | 824.81 | - | - | - | - | - | - | - | - | - | - | - |
| Inventory | 64.4M | 65.82M | 56.8M | 65.7M | 74.06M | 86.5M | 132.34M | 53.43M | 42.3M | 49.33M | 47.23M | 39.68M | 16.6M | 18.08M | 22.26M | 13.34M | 16.42M | 10.52M | 4.06M | 2.21M | 0 | 101K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Days Inventory Outstanding | 78.51 | 50.18 | 51.56 | 43.97 | 37.76 | 26.46 | 54.01 | 34.07 | 25.54 | 29.04 | 28.19 | 61.57 | 68.9 | 135.06 | 291.46 | 282.36 | 444.19 | 401.36 | 173.27 | 1K | - | 12.29K | - | - | - | - | - | - | - | - | - |
| Other Current Assets | 49.45M | 56.73M | 10.71M | 7.67M | 6.25M | 321.19M | 5.31M | 15.84M | 3.85M | 9.24M | 7.51M | 903K | 4.21M | 5.65M | 4.75M | 921K | 2.57M | 1.11M | 0 | 318K | 156K | 0 | 175K | 600K | 550K | 11.26M | 495K | 135K | 100K | 100K | 0 |
| Total Non-Current Assets | 1.32B | 1.35B | 1.54B | 1.7B | 1.77B | 1.58B | 1.95B | 1.99B | 2.13B | 2.24B | 2.28B | 2.35B | 1.12B | 1.15B | 211.17M | 129.91M | 20.45M | 23.61M | 8.3M | 10.36M | 0 | 0 | 3K | 8K | 258K | 1.37M | 1.48M | 1.14M | 800K | 900K | 1M |
| Property, Plant & Equipment | 118.39M | 120.86M | 124.14M | 143.52M | 121.6M | 123.95M | 178.29M | 166.49M | 144.67M | 146.56M | 122.83M | 131.8M | 16.41M | 17.03M | 15.71M | 5.36M | 2.59M | 593K | 659K | 410K | 0 | 0 | 3K | 8K | 221K | 1.01M | 512K | 285K | 100K | 100K | 100K |
| Fixed Asset Turnover | 4.83x | 5.02x | 5.74x | 6.02x | 8.26x | 14.32x | 8.05x | 5.42x | 6.85x | 6.59x | 9.95x | 3.73x | 5.55x | 5.67x | 3.00x | 5.22x | 11.01x | 22.17x | 14.32x | 2.07x | - | - | - | 1.63x | 2.54x | 1.32x | 1.69x | 4.82x | 12.00x | 1.00x | 1.00x |
| Goodwill | 482.27M | 484.29M | 529.25M | 598.26M | 595.85M | 520.6M | 680.6M | 671.94M | 700.19M | 717.1M | 704.6M | 743.35M | 224.29M | 226.37M | 80.45M | 39.81M | 5.86M | 5.41M | 1.1M | 1.73M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Intangible Assets | 496.35M | 516.28M | 811.61M | 935.28M | 1.02B | 911.88M | 1.07B | 1.12B | 1.25B | 1.33B | 1.41B | 1.43B | 855.8M | 867.87M | 95.78M | 76.73M | 6.78M | 12.72M | 6.34M | 8.2M | 0 | 0 | 0 | 0 | 37K | 74K | 670K | 780K | 700K | 800K | 900K |
| Long-Term Investments | 51.1M | 14.17M | 54.58M | 16.08M | 28.05M | 10.71M | 15.73M | 20.75M | 31.23M | 40.64M | 41.14M | 34.72M | 22.45M | 30.65M | 15.64M | 6.72M | 5.11M | 4.45M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Non-Current Assets | 213.9M | 214.47M | 18.54M | 9.08M | 8.71M | 9.55M | 10.06M | 6.89M | 797.6M | 5.62M | 933.7M | 809.9M | 107.4M | 6.86M | 2.78M | 1.29M | 111K | 15K | 206K | 15K | 0 | 0 | 0 | 0 | 0 | 291K | 293K | 78K | 0 | 0 | 0 |
| Total Assets | 1.86B | 1.93B | 2.2B | 2.01B | 2.17B | 2.4B | 2.47B | 2.31B | 2.45B | 2.59B | 2.77B | 2.8B | 1.27B | 1.39B | 289.83M | 229.49M | 77.85M | 87.43M | 21.76M | 39.57M | 8.75M | 9M | 10.07M | 11.34M | 17.52M | 27.63M | 37.38M | 4.49M | 7.7M | 2.8M | 3.9M |
| Asset Turnover | 0.30x | 0.31x | 0.32x | 0.43x | 0.46x | 0.74x | 0.58x | 0.39x | 0.40x | 0.37x | 0.44x | 0.18x | 0.07x | 0.07x | 0.16x | 0.12x | 0.37x | 0.15x | 0.43x | 0.02x | - | - | - | 0.00x | 0.03x | 0.05x | 0.02x | 0.31x | 0.16x | 0.04x | 0.03x |
| Asset Growth % | -36.85% | -12.19% | 9.37% | -7.18% | -9.69% | -2.97% | 7.09% | -5.79% | -5.36% | -6.38% | -1.18% | 120.84% | -8.9% | 380.11% | 26.29% | 194.8% | -10.96% | 301.72% | -45% | 352.1% | -2.76% | -10.63% | -11.21% | -35.24% | -36.6% | -26.09% | 732.29% | -41.68% | 175% | -28.21% | -40% |
| Total Current Liabilities | 148.38M | 146.68M | 193.1M | 200.05M | 213.48M | 330.01M | 375.48M | 249.12M | 256.8M | 312.03M | 263.3M | 251.9M | 83.1M | 91.85M | 52.38M | 18.78M | 27.6M | 13.02M | 7.71M | 9.72M | 674K | 277K | 239K | 1.04M | 1.33M | 1.3M | 853K | 1.02M | 700K | 600K | 400K |
| Accounts Payable | 44.18M | 41.1M | 47.07M | 69.68M | 66.99M | 82.04M | 100.88M | 62.54M | 47.4M | 74.31M | 53.36M | 72.53M | 8.74M | 13.41M | 10.2M | 4.89M | 7.17M | 4.78M | 2.22M | 3.32M | 95K | 277K | 239K | 1.04M | 1.24M | 1.16M | 633K | 682K | 500K | 500K | 300K |
| Days Payables Outstanding | 57.88 | 31.33 | 42.73 | 46.63 | 34.15 | 25.1 | 41.17 | 39.87 | 28.61 | 43.74 | 31.85 | 112.55 | 36.29 | 100.21 | 133.55 | 103.53 | 193.93 | 182.52 | 94.71 | 1.5K | - | 33.7K | - | - | - | - | -796.71 | -1.24K | -1.82K | -1.82K | -1.09K |
| Short-Term Debt | 20.73M | 22.86M | 15.02M | 27.29M | 36.59M | 14.69M | 36.18M | 24.4M | 37.41M | 11.93M | 11.98M | 11.47M | 13.46M | 12.56M | 17.53M | 8.76M | 14.69M | 4.32M | 97K | 2.55M | 0 | 0 | 0 | 0 | 94K | 0 | 125K | 135K | 200K | 100K | 0 |
| Deferred Revenue (Current) | 0 | 0 | 0 | 0 | 0 | 258K | 15.78M | 19.2M | 63.5M | 56.88M | 73.43M | 70.25M | 4.18M | 7.64M | 1.52M | 4.96M | 3.37M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 56K | 0 | 0 | 0 | 0 | 0 |
| Other Current Liabilities | 83.48M | 82.72M | 41.09M | 56.92M | 40.24M | 74.09M | 179.33M | 109.31M | 87.88M | 110.53M | 73.27M | 54.92M | 31.61M | 53.13M | 18.2M | 3.21M | 5.43M | 3.58M | 0 | 0 | 579K | 0 | 0 | 0 | 0 | 83K | 95K | 207K | 0 | 0 | 100K |
| Current Ratio | 3.61x | 3.97x | 3.43x | 1.55x | 1.85x | 2.49x | 1.39x | 1.30x | 1.24x | 1.12x | 1.84x | 1.80x | 1.72x | 2.64x | 1.50x | 5.30x | 2.08x | 4.90x | 1.75x | 3.00x | 12.99x | 32.49x | 42.13x | 10.92x | 12.95x | 20.16x | 42.09x | 3.27x | 9.86x | 3.17x | 7.25x |
| Quick Ratio | 3.17x | 3.52x | 3.13x | 1.22x | 1.50x | 2.23x | 1.04x | 1.09x | 1.07x | 0.96x | 1.66x | 1.65x | 1.52x | 2.45x | 1.08x | 4.59x | 1.48x | 4.09x | 1.22x | 2.78x | 12.99x | 32.13x | 42.13x | 10.92x | 12.95x | 20.16x | 42.09x | 3.27x | 9.86x | 3.17x | 7.25x |
| Cash Conversion Cycle | 87.97 | 73.13 | 86.65 | 52.37 | 57.62 | 55.99 | 89.7 | 58.01 | 56.63 | 55.98 | 70.88 | 104.09 | 124.99 | 117.1 | 340.56 | 353.3 | 420.85 | 462.24 | 117.41 | 325.64 | - | - | - | - | - | - | - | - | - | - | - |
| Total Non-Current Liabilities | 355.42M | 517.31M | 641.67M | 422.43M | 392.13M | 384.58M | 426.03M | 445.39M | 403M | 434.3M | 411.5M | 567.9M | 348.8M | 426.69M | 34.17M | 49.83M | 27.2M | 16.68M | 13.69M | 13.06M | 0 | 0 | 0 | 0 | 108K | 202K | 750K | 875K | 900K | 1.1M | 1.2M |
| Long-Term Debt | 123.02M | 370.53M | 422.18M | 222.03M | 219.47M | 190.16M | 225.83M | 259.86M | 167.15M | 134.88M | 83.23M | 123.62M | 133.89M | 215.18M | 5.15M | 0 | 0 | 15.34M | 13.69M | 11.69M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Capital Lease Obligations | 120.83M | 40.21M | 52.91M | 61.41M | 35.05M | 36.02M | 32.56M | 31.71M | 5.62M | 7.79M | 7.22M | 9.29M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 108K | 202K | 0 | 0 | 0 | 0 | 0 |
| Deferred Tax Liabilities | 484.47M | 126.24M | 140.8M | 126.77M | 126.43M | 148.49M | 137.21M | 118.72M | 115.2M | 148.73M | 165.3M | 226M | 167.15M | 166.44M | 9.78M | 25.44M | 1.07M | 1.34M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Non-Current Liabilities | 117.84M | -19.67M | 25.77M | 12.2M | 11.05M | 9.71M | 30.43M | 35.1M | 55.93M | 83.92M | 66.72M | 45.92M | 44.22M | 45.07M | 19.24M | 24.39M | 26.13M | 0 | 0 | 1.37M | 0 | 0 | 0 | 0 | 0 | 0 | 750K | 875K | 900K | 1.1M | 1.2M |
| Total Liabilities | 503.8M | 663.99M | 834.76M | 622.48M | 605.61M | 714.59M | 801.51M | 694.51M | 659.8M | 746.33M | 674.8M | 819.8M | 431.9M | 518.54M | 86.55M | 68.61M | 54.79M | 29.7M | 21.41M | 22.78M | 674K | 277K | 239K | 1.04M | 1.44M | 1.5M | 1.6M | 1.9M | 1.6M | 1.7M | 1.6M |
| Total Debt | 143.75M | 433.6M | 504.44M | 326.56M | 305.55M | 254.75M | 294.57M | 315.97M | 31.6M | 157.99M | 105.45M | 149.74M | 131.5M | 227.74M | 22.68M | 8.76M | 14.69M | 19.66M | 11.96M | 14.23M | 0 | 0 | 0 | 0 | 202K | 202K | 125K | 135K | 200K | 100K | 0 |
| Net Debt | -198.13M | 64.52M | 72.51M | 230.68M | 152.36M | 120.05M | 222.36M | 230.52M | -64.87M | 66.49M | -63.28M | -43.86M | 34.6M | 41.95M | -4.68M | -62.76M | -3.33M | -23M | 5.29M | -9.14M | -8.6M | -8.9M | -8.73M | -10.13M | -5.99M | -14.79M | -35.28M | -3.08M | -6.6M | -1.7M | -2.9M |
| Debt / Equity | 0.12x | 0.34x | 0.37x | 0.24x | 0.20x | 0.15x | 0.18x | 0.20x | 0.02x | 0.09x | 0.05x | 0.08x | 0.16x | 0.26x | 0.11x | 0.05x | 0.64x | 0.34x | 33.33x | 0.85x | - | - | - | - | 0.01x | 0.01x | 0.00x | 0.05x | 0.03x | 0.09x | - |
| Debt / EBITDA | -4.34x | - | - | - | - | 2.61x | 2.06x | - | - | - | 4.53x | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Net Debt / EBITDA | 5.99x | - | - | - | - | 1.23x | 1.55x | - | - | - | -2.72x | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Interest Coverage | -1.10x | -1.38x | 0.78x | -12.65x | -31.48x | 0.26x | 3.22x | -13.17x | -13.91x | -40.19x | -12.03x | -15.39x | -12.95x | -6.55x | -25.41x | -23.11x | -8.86x | - | - | - | - | -92.00x | -962.00x | -1866.00x | - | - | -956.00x | - | - | - | - |
| Total Equity | 1.2B | 1.27B | 1.37B | 1.39B | 1.56B | 1.69B | 1.67B | 1.61B | 1.79B | 1.84B | 2.09B | 1.98B | 829.4M | 872.98M | 203.28M | 160.88M | 23.05M | 57.73M | 359K | 16.78M | 8.08M | 8.72M | 9.83M | 10.3M | 16.07M | 26.12M | 35.77M | 2.59M | 6.1M | 1.1M | 2.3M |
| Equity Growth % | -29.33% | -7.14% | -1.71% | -11.04% | -7.33% | 0.81% | 3.52% | -9.86% | -2.84% | -11.86% | 5.66% | 138.7% | -4.99% | 329.45% | 26.35% | 597.91% | -60.07% | 15979.94% | -97.86% | 107.77% | -7.39% | -11.28% | -4.58% | -35.9% | -38.46% | -26.99% | 1280.21% | -57.51% | 454.55% | -52.17% | -54% |
| Book Value per Share | 1.59 | 1.66 | 1.97 | 1.85 | 2.17 | 2.60 | 2.61 | 2.71 | 3.16 | 3.30 | 4.17 | 3.96 | 1.98 | 2.46 | 0.69 | 0.57 | 0.09 | 0.25 | 0.00 | 0.13 | 0.49 | 0.54 | 0.61 | 0.66 | 1.03 | 1.66 | 2.48 | 0.25 | 0.63 | 0.13 | 0.33 |
| Total Shareholders' Equity | 1.2B | 1.27B | 1.37B | 1.39B | 1.56B | 1.69B | 1.67B | 1.61B | 1.79B | 1.84B | 2.09B | 1.98B | 835.8M | 876.41M | 203.77M | 160.88M | 23.05M | 57.73M | 359K | 16.78M | 8.08M | 8.72M | 9.83M | 10.3M | 16.07M | 26.12M | 35.77M | 2.59M | 6.1M | 1.1M | 2.3M |
| Common Stock | 7.85M | 7.9M | 7.01M | 7.82M | 7.81M | 6.9M | 6.71M | 6.7M | 5.87M | 5.6M | 5.59M | 5.46M | 4.33M | 4.15M | 3.06M | 2.98M | 2.55M | 2.54M | 1.99M | 1.78M | 170K | 169K | 169K | 163K | 162K | 162K | 162K | 104K | 0 | 0 | 0 |
| Retained Earnings | -2.35B | -2.29B | -2.07B | -2.01B | -1.82B | -1.51B | -1.48B | -1.51B | -1.2B | -1.05B | -729.95M | -704.87M | -674.84M | -503.18M | -388.77M | -359.72M | -358.38M | -339.23M | -309.12M | -269.28M | -57.05M | -56.4M | -56.22M | -54.29M | -48.5M | -38.14M | -29.35M | -22.19M | -17.8M | -15.1M | -11.9M |
| Treasury Stock | 0 | -3.18M | -1.79M | -1.79M | -1.79M | -1.79M | -1.79M | -1.79M | -1.79M | -1.79M | -1.91M | -3.65M | -4.05M | -7.36M | -7.46M | -8.09M | -61K | -61K | -24K | 0 | -3.34M | -3.34M | -3.34M | -3.34M | -2.57M | -2.57M | -2M | 0 | 0 | 0 | 0 |
| Accumulated OCI | -27.49M | -21.02M | -56.13M | -38.03M | -43.32M | -30.5M | -4.22M | -22.07M | -20.13M | -528K | -27.01M | -22.54M | -12.39M | 3.42M | 7.36M | 907K | 2.92M | 1.31M | -212K | -94K | 0 | -101K | 822K | -302K | -301K | -365K | -121K | -89K | -300K | -200K | -200K |
| Minority Interest | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -6.4M | -3.43M | -492K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Persistent Diagnostic Revenue Erosion
As reported in recent financial statements, OPK's total assets have declined from $2.3 billion in 2024Q3 to $1.9 billion in 2026Q1, signaling a shrinking resource base that reflects the ongoing difficulty in stabilizing the company's core diagnostic operations and managing its long-term capital structure.
The reduction in total assets appears to be a direct consequence of persistent operating losses and the potential write-down of intangible assets. Investors should monitor whether this contraction represents a strategic shedding of non-core assets or a forced liquidation of value to sustain the pharmaceutical pipeline.
Based on the company's reported figures, the debt-to-equity ratio has fluctuated significantly, reaching 0.34 in 2025Q4 before moderating to 0.12 in 2026Q1, which suggests that management relies on periodic debt issuance to bridge the gap between operational cash burn and long-term R&D investment requirements.
While the current leverage remains relatively low, the volatility in debt levels indicates a lack of predictable internal cash generation. This reliance on external financing warrants further investigation into the company's long-term ability to service debt obligations without further diluting shareholder equity.
According to the most recent quarterly filings, OPK maintains a current ratio of 3.61, which provides a superficial buffer against short-term shocks, yet this liquidity position is heavily dependent on cash balances that have been volatile, dropping from $436 million in 2025Q1 to $341.9 million in 2026Q1.
The high current ratio may be misleading if the underlying current assets are tied up in difficult-to-collect receivables from the diagnostic segment. The consistent burn rate suggests that this liquidity buffer is a finite resource that will require replenishment if the pharmaceutical royalty streams do not scale rapidly.
As evidenced by the company's balance sheet, retained earnings have remained deeply negative at -$2.3 billion, a figure that has stayed stagnant over the last several quarters, indicating that the firm has yet to achieve the profitability necessary to begin reversing its historical capital erosion.
The persistent negative retained earnings highlight the long-term struggle to convert R&D and diagnostic infrastructure into sustainable shareholder value. This structural deficit suggests that any future equity growth will likely be driven by external capital injections rather than organic earnings retention.
Based on reported financial data, goodwill remains a significant component of the balance sheet at $482.3 million, which warrants caution as it represents nearly 40% of total equity and may be subject to future impairment if the diagnostic segment fails to reach profitability targets.
The presence of substantial goodwill suggests that the carrying value of past acquisitions may not be supported by current operational performance. Investors should monitor for potential impairment charges, which could further weaken the balance sheet and signal a failure to realize the synergies originally envisioned by management.
Quick answers to the most common questions about buying OPK stock.
As of 2025, OPKO Health, Inc. (OPK) had total assets of $1.93B including $581.9M in current assets.
OPKO Health, Inc. (OPK) carries total debt of $433.6M, offset by $369.1M in cash and short-term investments. Comparing total debt to cash helps evaluate the company's debt burden and net leverage.
OPKO Health, Inc. (OPK) has total shareholders' equity (book value) of $1.27B ($1.66 book value per share). Book value represents the net worth of the company belonging to common stock holders.
OPKO Health, Inc. (OPK) reported a current ratio of 3.97x. A current ratio above 1.0x indicates that the company has more current assets than current liabilities, suggesting sufficient short-term liquidity.