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Side-by-side financial comparison of AMERISAFE INC (AMSF) and OPKO HEALTH, INC. (OPK). Click either name above to swap in a different company.
OPKO HEALTH, INC. is the larger business by last-quarter revenue ($148.5M vs $80.1M, roughly 1.9× AMERISAFE INC). AMERISAFE INC runs the higher net margin — 10.2% vs -21.1%, a 31.2% gap on every dollar of revenue. On growth, AMERISAFE INC posted the faster year-over-year revenue change (10.3% vs -19.2%). Over the past eight quarters, AMERISAFE INC's revenue compounded faster (2.8% CAGR vs -7.5%).
AMERISAFE Inc. is a specialty insurance provider that focuses exclusively on workers' compensation coverage for small and mid-sized businesses in high-hazard industries including construction, logging, trucking, and manufacturing. It operates across 49 U.S. states, offering tailored insurance policies paired with targeted risk management support for clients.
OPKO Health, Inc. is a medical test and medication company focused on diagnostics and pharmaceuticals. The company is a publicly traded company on NASDAQ and TASE under the symbol "OPK".
AMSF vs OPK — Head-to-Head
Income Statement — Q1 FY2026 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $80.1M | $148.5M |
| Net Profit | $8.1M | $-31.3M |
| Gross Margin | — | 43.1% |
| Operating Margin | — | -25.8% |
| Net Margin | 10.2% | -21.1% |
| Revenue YoY | 10.3% | -19.2% |
| Net Profit YoY | -9.0% | -322.8% |
| EPS (diluted) | $0.43 | $-0.04 |
Green = leading value per metric. Periods may differ when fiscal calendars don't align.
8-Quarter Revenue & Profit Trend
Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.
| Q1 26 | $80.1M | — | ||
| Q4 25 | $81.6M | $148.5M | ||
| Q3 25 | $82.0M | $151.7M | ||
| Q2 25 | $81.1M | $156.8M | ||
| Q1 25 | $72.6M | $150.0M | ||
| Q4 24 | $74.0M | $183.6M | ||
| Q3 24 | $78.7M | $173.6M | ||
| Q2 24 | $75.8M | $182.2M |
| Q1 26 | $8.1M | — | ||
| Q4 25 | $10.4M | $-31.3M | ||
| Q3 25 | $13.8M | $21.6M | ||
| Q2 25 | $14.0M | $-148.4M | ||
| Q1 25 | $8.9M | $-67.6M | ||
| Q4 24 | $13.2M | $14.0M | ||
| Q3 24 | $14.3M | $24.9M | ||
| Q2 24 | $11.0M | $-10.3M |
| Q1 26 | — | — | ||
| Q4 25 | — | 43.1% | ||
| Q3 25 | — | 32.9% | ||
| Q2 25 | — | 31.5% | ||
| Q1 25 | — | 28.4% | ||
| Q4 24 | — | 46.1% | ||
| Q3 24 | — | 23.1% | ||
| Q2 24 | — | 28.4% |
| Q1 26 | — | — | ||
| Q4 25 | 15.6% | -25.8% | ||
| Q3 25 | 21.3% | 31.7% | ||
| Q2 25 | 21.5% | -38.3% | ||
| Q1 25 | 15.5% | -44.8% | ||
| Q4 24 | 22.7% | -18.0% | ||
| Q3 24 | 22.6% | 8.2% | ||
| Q2 24 | 18.1% | -33.9% |
| Q1 26 | 10.2% | — | ||
| Q4 25 | 12.8% | -21.1% | ||
| Q3 25 | 16.9% | 14.3% | ||
| Q2 25 | 17.2% | -94.7% | ||
| Q1 25 | 12.3% | -45.1% | ||
| Q4 24 | 17.8% | 7.6% | ||
| Q3 24 | 18.2% | 14.3% | ||
| Q2 24 | 14.5% | -5.7% |
| Q1 26 | $0.43 | — | ||
| Q4 25 | $0.55 | $-0.04 | ||
| Q3 25 | $0.72 | $0.03 | ||
| Q2 25 | $0.73 | $-0.19 | ||
| Q1 25 | $0.47 | $-0.10 | ||
| Q4 24 | $0.69 | $0.02 | ||
| Q3 24 | $0.75 | $0.03 | ||
| Q2 24 | $0.57 | $-0.01 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $34.2M | $364.4M |
| Total DebtLower is stronger | — | $344.0M |
| Stockholders' EquityBook value | $246.6M | $1.3B |
| Total Assets | — | $1.9B |
| Debt / EquityLower = less leverage | — | 0.27× |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | $34.2M | — | ||
| Q4 25 | $61.9M | $364.4M | ||
| Q3 25 | $54.7M | $412.0M | ||
| Q2 25 | $48.5M | $267.3M | ||
| Q1 25 | $44.8M | $428.8M | ||
| Q4 24 | $44.1M | $426.6M | ||
| Q3 24 | $63.7M | $400.1M | ||
| Q2 24 | $30.6M | $40.6M |
| Q1 26 | — | — | ||
| Q4 25 | — | $344.0M | ||
| Q3 25 | — | $344.2M | ||
| Q2 25 | — | $343.3M | ||
| Q1 25 | — | $439.2M | ||
| Q4 24 | — | $437.2M | ||
| Q3 24 | — | $441.0M | ||
| Q2 24 | — | $201.9M |
| Q1 26 | $246.6M | — | ||
| Q4 25 | $251.6M | $1.3B | ||
| Q3 25 | $274.8M | $1.3B | ||
| Q2 25 | $265.6M | $1.3B | ||
| Q1 25 | $260.8M | $1.3B | ||
| Q4 24 | $257.3M | $1.4B | ||
| Q3 24 | $314.4M | $1.4B | ||
| Q2 24 | $301.0M | $1.4B |
| Q1 26 | — | — | ||
| Q4 25 | $1.1B | $1.9B | ||
| Q3 25 | $1.2B | $2.0B | ||
| Q2 25 | $1.2B | $2.0B | ||
| Q1 25 | $1.2B | $2.1B | ||
| Q4 24 | $1.2B | $2.2B | ||
| Q3 24 | $1.3B | $2.3B | ||
| Q2 24 | $1.2B | $2.0B |
| Q1 26 | — | — | ||
| Q4 25 | — | 0.27× | ||
| Q3 25 | — | 0.26× | ||
| Q2 25 | — | 0.26× | ||
| Q1 25 | — | 0.33× | ||
| Q4 24 | — | 0.32× | ||
| Q3 24 | — | 0.31× | ||
| Q2 24 | — | 0.14× |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | — | $-25.9M |
| Free Cash FlowOCF − Capex | — | $-28.6M |
| FCF MarginFCF / Revenue | — | -19.3% |
| Capex IntensityCapex / Revenue | — | 1.8% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | — | $-190.8M |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | — | ||
| Q4 25 | $11.1M | $-25.9M | ||
| Q3 25 | $10.7M | $-34.6M | ||
| Q2 25 | $-8.4M | $-83.4M | ||
| Q1 25 | $-1.8M | $-34.6M | ||
| Q4 24 | $24.2M | $-44.4M | ||
| Q3 24 | $8.4M | $-77.1M | ||
| Q2 24 | $-2.6M | $-26.4M |
| Q1 26 | — | — | ||
| Q4 25 | $8.9M | $-28.6M | ||
| Q3 25 | $9.8M | $-37.8M | ||
| Q2 25 | $-9.5M | $-86.7M | ||
| Q1 25 | $-1.8M | $-37.7M | ||
| Q4 24 | $23.4M | $-49.8M | ||
| Q3 24 | $8.4M | $-85.0M | ||
| Q2 24 | $-2.6M | $-33.7M |
| Q1 26 | — | — | ||
| Q4 25 | 10.9% | -19.3% | ||
| Q3 25 | 11.9% | -24.9% | ||
| Q2 25 | -11.7% | -55.3% | ||
| Q1 25 | -2.5% | -25.2% | ||
| Q4 24 | 31.5% | -27.1% | ||
| Q3 24 | 10.7% | -49.0% | ||
| Q2 24 | -3.5% | -18.5% |
| Q1 26 | — | — | ||
| Q4 25 | 2.6% | 1.8% | ||
| Q3 25 | 1.1% | 2.1% | ||
| Q2 25 | 1.3% | 2.1% | ||
| Q1 25 | 0.0% | 2.1% | ||
| Q4 24 | 1.1% | 2.9% | ||
| Q3 24 | 0.0% | 4.6% | ||
| Q2 24 | 0.1% | 4.0% |
| Q1 26 | — | — | ||
| Q4 25 | 1.06× | — | ||
| Q3 25 | 0.77× | -1.60× | ||
| Q2 25 | -0.61× | — | ||
| Q1 25 | -0.20× | — | ||
| Q4 24 | 1.83× | -3.17× | ||
| Q3 24 | 0.59× | -3.10× | ||
| Q2 24 | -0.24× | — |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
AMSF
Segment breakdown not available.
OPK
| Services | $71.1M | 48% |
| Transfer Of Intellectual Property And Other | $33.7M | 23% |
| IE | $22.1M | 15% |
| Rayaldee | $8.8M | 6% |
| Barda Agreement | $6.8M | 5% |
| MX | $6.3M | 4% |
