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OPK Stock Risk & Deep Value Analysis

OPKO Health Inc

Healthcare • Diagnostics & Research

DVR Score

5.5

out of 10

Proceed with Caution

What You Need to Know About OPK Stock

We analyzed OPKO Health Inc using our deep value framework. Sign in to see our full verdict and DVR Score.

We ran OPK through our deep value framework — analyzing financial health, distress signals, competitive moat, and risk factors. Our risk assessment: Aggressive. Here's what we found.

Updated Mar 24, 2026Run Fresh Analysis →

OPK Risk Analysis & Red Flags

Risk Matrix

Overall

Aggressive

Financial

Medium

Market

Medium

Competitive

Medium

Execution

Medium

Regulatory

Low

Upcoming Risk Events

  • 📅

    Slower-than-expected Ngenla adoption or competitive pressures

  • 📅

    Continued sharp decline in BioReference Labs revenue

  • 📅

    Failure of pipeline assets in clinical trials

  • 📅

    Persistent unprofitability leading to renewed cash burn concerns despite current reserves

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What Does OPKO Health Inc (OPK) Do?

Market Cap

$888.10M

Sector

Healthcare

Industry

Diagnostics & Research

Employees

2,997

OPKO 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 offer 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 4Kscore prostate cancer test services. Its Pharmaceutical segment offers Rayaldee to treat secondary hyperparathyroidism in adults with stage 3 or 4 chronic kidney disease, and vitamin D insufficiency. This segment also develops multi-specific immune therapies focused on oncology, immunology, and infectious diseases; OPK88004, an orally administered selective androgen receptor modulator; OPK88003, a once-weekly administered peptide for the treatment of type 2 diabetes and related obesity; Somatrogon (hGH-CTP), a once-weekly human growth hormone injection; and Factor VIIa-CTP, a novel long-acting coagulation factor to treat hemophilia. In addition, it develops and commercializes longer-acting proprietary versions of already approved therapeutic proteins or peptides; develops and produces 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 markets, distributes, and sells pharmaceutical products for a range of indications, including cardiovascular products, vaccines, antibiotics, gastro-intestinal products, hormones, and others. The company also operates pharmaceutical platforms in Spain, Ireland, Chile, and Mexico. OPKO Health, Inc. was founded in 2007 and is headquartered in Miami, Florida.

Visit OPKO Health Inc Website

Investment Thesis

OPKO Health is a deep-value turnaround play hinged on the successful global commercialization of Ngenla/Skytrofa, which offers a clear competitive edge. Despite current revenue headwinds, the company's significantly fortified balance sheet, substantial cash reserves, and commitment to shareholder value through share repurchases provide a crucial runway. This financial stability, combined with a potentially undervalued asset base, offers a speculative opportunity for substantial gains if Ngenla's growth can ultimately reverse the company's overall revenue decline and demonstrate a clear path to profitability.

Is OPK Stock Undervalued?

OPKO Health presents a high-risk, moderate-reward profile. Its primary growth driver, Ngenla/Skytrofa (Somatrogon), partnered with Pfizer, continues its global launch, holding a clear competitive advantage in the hGH market. This asset remains a significant long-term catalyst for potential market leadership. Critically, the company has materially strengthened its financial foundation, now boasting a robust balance sheet with $369.1M in cash and low debt, alongside active share repurchases that mitigate previous concerns about dilution and cash runway pressure. However, this positive shift is significantly overshadowed by persistent overall revenue contraction (-19.1% YoY in Q4 2025 and a lowered FY2026 guidance), signaling that Ngenla's growth is not yet offsetting declines in other segments. While financially more stable, the path to 10x growth requires a fundamental reversal of the revenue trend, which currently remains a substantial hurdle.

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OPK Price Targets & Strategy

12-Month Target

$2.50

Bull Case

$5.00

Bear Case

$0.80

Valuation Basis

Based on a projected market re-rating to 2.8x FY2026 P/S, reflecting Ngenla's ongoing global launch and strong balance sheet.

Entry Strategy

Consider dollar-cost averaging near current levels ($1.10-$1.20), close to the recent insider purchase price of $1.14.

Exit Strategy

Take partial profits at $2.50, re-evaluate at $4.00, with a stop-loss order placed below $0.95 (recent support).

Portfolio Allocation

2-4% for aggressive risk tolerance.

Price Targets & Strategy

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Is OPK Financially Healthy?

Valuation

P/E Ratio

7.46

Profitability

Gross Margin

43.20%

Net Margin

-37.19%

Return on Equity

-17.42%

EPS

$-0.30

Balance Sheet

Cash & Equivalents

$369.10M

Cash Flow

Operating Cash Flow

-$28.20M

Does OPK Have a Competitive Moat?

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Moat Rating

🛡️ Narrow

Moat Trend

Stable (Ngenla's moat is solidifying with global launch, but overall company struggles to leverage it for broader growth)

Moat Sources

3 Identified

Intangible Assets/IP (Ngenla's formulation and patent protection)Switching Costs (for patients on specific hGH therapies)Brand Power (through Pfizer partnership and Ngenla's efficacy/convenience)

Ngenla's once-weekly formulation provides a durable advantage in the hGH market, protected by patents and supported by Pfizer's global reach. However, competition in other segments (like lab services) is intense, limiting a company-wide wide moat.

Moat Erosion Risks

  • Emergence of superior long-acting hGH therapies or biosimilars
  • Patent challenges or expiry for Ngenla
  • Failure to convert Ngenla's clinical advantage into significant market adoption

OPK Competitive Moat Analysis

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OPK Market Intelligence

Sentiment & Insider Activity

Social Sentiment

Neutral (no specific data available, but typically speculative retail interest around growth catalysts)

Institutional Sentiment

Neutral/Slightly Negative (Consensus 'Hold' from 6 firms, recent target cuts by Barrington Research and Wall Street Zen, but high institutional ownership at 64.63%)

Insider Activity (Form 4)

Director John Paganelli bought 10,000 shares for $11,400 on March 20, 2026 (avg $1.14/share); post-purchase ownership 394,340 shares (+2.6%). No CEO/CFO activity reported.

Options Flow

Normal options activity (no specific unusual activity provided)

Earnings Intelligence

Next Earnings

2026-04-29 (Estimated Q1 2026)

Surprise Probability

Medium (Q4 2025 EPS beat consensus, but revenue guidance is lower, increasing scrutiny)

Historical Earnings Pattern

No consistent historical pattern of stock price reaction to earnings reports provided in the data.

Key Metrics to Watch

Total consolidated revenue vs. guidance, especially Ngenla's contributionCash burn rate and updated cash runway projectionsGross and operating margins, especially for the Pharma segment

Competitive Position

Top Competitor

N/A (no specific peer provided in research; relevant competitors vary by segment, e.g., Novo Nordisk for hGH, Quest Diagnostics for lab services)

Market Share Trend

Gaining in the hGH segment with Ngenla/Skytrofa, but likely losing overall market share due to declining consolidated revenue, suggesting weakness in other business units.

Valuation vs Peers

Trading at a discount on EV/Sales (approx. 0.9x based on FY26 guidance) relative to many specialty pharma/biotech firms, largely due to current revenue contraction and unprofitability.

Competitive Advantages

  • Ngenla's differentiated once-weekly dosing (significant convenience advantage)
  • Strategic global partnership with Pfizer for Ngenla distribution
  • Proprietary technology and intellectual property (IP) for pipeline assets

Market Intelligence

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What Could Drive OPK Stock Higher?

Near-Term (0-6 months)

  • Q1 2026 Earnings (Estimated April 29, 2026)
  • Updates on Ngenla/Skytrofa global market penetration and sales growth

Medium-Term (6-18 months)

  • Potential Regeneron milestones (>$200M)
  • Advancements and updates on ModeX Therapeutics pipeline assets
  • Stabilization and potential return to growth in BioReference Labs segment

Long-Term (18+ months)

  • Ngenla/Skytrofa achieving significant market leadership in the long-acting hGH segment
  • Successful commercialization of additional pipeline products
  • Strategic partnerships expanding product reach or reducing R&D costs

Catalysts & Growth Drivers

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What's the Bull Case for OPK?

  • Accelerated growth in Ngenla/Skytrofa sales exceeding expectations

  • Evidence of stabilization or growth in the BioReference Labs segment

  • Clear path to consolidated profitability and positive free cash flow

Bull Case Analysis

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Competing with OPK

See how OPKO Health Inc compares to related companies

CompanyMarket CapDVR ScoreP/ERevenueProfit MarginRev Growth

OPKO Health Inc

OPK

$888.1M5.57.5$863.5M-37.2%0.0%

AbbVie Inc

ABBV

$403.8B0.1171.8Compare →

Johnson & Johnson

JNJ

1.0Compare →

Eli Lilly and Co

LLY

$965.0B0.552.6Compare →

Pfizer Inc

PFE

$150.6B0.219.4$62.6B12.4%-1.6%Compare →

UnitedHealth Group Inc

UNH

$276.2B0.322.9$113.7B2.7%1181.0%Compare →

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FAQ

What is the DVR Score for OPKO Health Inc (OPK)?

As of March 24, 2026, OPKO Health Inc has a DVR Score of 5.5 out of 10, placing it in the "Proceed with Caution" category. This score is generated by our AI-powered deep value analysis framework that evaluates growth potential, financial health, competitive moat, and risk factors.

What is the market capitalization of OPKO Health Inc?

OPKO Health Inc's market capitalization is approximately $888.1M. The company operates in the Healthcare sector within the Diagnostics & Research industry.

What ticker symbol does OPKO Health Inc use?

OPK is the ticker symbol for OPKO Health Inc. The company trades on the NMS.

What is the risk level for OPK stock?

Our analysis rates OPKO Health Inc's overall risk as Aggressive. This assessment considers execution risk, market risk, financial risk, competitive risk, and regulatory risk. For a full breakdown, see the risk analysis section above.

What is the P/E ratio of OPK?

OPKO Health Inc currently has a price-to-earnings (P/E) ratio of 7.5. This is below the market average, which could indicate the stock is undervalued or facing headwinds.

Is OPKO Health Inc's revenue growing?

OPKO Health Inc has reported revenue growth of 0.0%. Revenue has been declining, which warrants closer examination.

Is OPK stock profitable?

OPKO Health Inc has a profit margin of -37.2%. The company is currently unprofitable.

How often is the OPK DVR analysis updated?

Our AI-powered analysis of OPKO Health Inc is refreshed regularly to incorporate the latest financial data, market conditions, and news. The most recent update was on March 24, 2026.

Important Disclaimer – Not Financial Advice

Deep Value Reports is an independent research platform for educational and informational purposes only. We are not financial advisors, investment advisors, or licensed professionals. The analysis, scores, and information provided on this page for OPK (OPKO Health Inc) should not be construed as personalized investment advice, a recommendation to buy or sell any security, or an offer to provide investment advisory services.

All investments involve risk, including the potential loss of principal. Past performance does not guarantee future results. Always conduct your own research, consider your financial situation, and consult with a qualified financial advisor before making any investment decisions.

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