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Side-by-side financial comparison of FIRST MID BANCSHARES, INC. (FMBH) 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 $88.2M, roughly 1.7× FIRST MID BANCSHARES, INC.). FIRST MID BANCSHARES, INC. runs the higher net margin — 26.8% vs -21.1%, a 47.9% gap on every dollar of revenue. On growth, FIRST MID BANCSHARES, INC. posted the faster year-over-year revenue change (3.4% vs -19.2%). FIRST MID BANCSHARES, INC. produced more free cash flow last quarter ($124.0M vs $-28.6M). Over the past eight quarters, FIRST MID BANCSHARES, INC.'s revenue compounded faster (5.0% CAGR vs -7.5%).

First Mid Bancshares Inc. is a U.S.-headquartered regional financial services holding company. It provides full-range retail and commercial banking products, wealth management, insurance solutions, and agricultural financing, mainly serving individual consumers, small and medium-sized enterprises, and agricultural clients across multiple Midwestern states including Illinois, Missouri, and Indiana.

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".

FMBH vs OPK — Head-to-Head

Bigger by revenue
OPK
OPK
1.7× larger
OPK
$148.5M
$88.2M
FMBH
Growing faster (revenue YoY)
FMBH
FMBH
+22.6% gap
FMBH
3.4%
-19.2%
OPK
Higher net margin
FMBH
FMBH
47.9% more per $
FMBH
26.8%
-21.1%
OPK
More free cash flow
FMBH
FMBH
$152.6M more FCF
FMBH
$124.0M
$-28.6M
OPK
Faster 2-yr revenue CAGR
FMBH
FMBH
Annualised
FMBH
5.0%
-7.5%
OPK

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
FMBH
FMBH
OPK
OPK
Revenue
$88.2M
$148.5M
Net Profit
$23.7M
$-31.3M
Gross Margin
43.1%
Operating Margin
34.0%
-25.8%
Net Margin
26.8%
-21.1%
Revenue YoY
3.4%
-19.2%
Net Profit YoY
23.5%
-322.8%
EPS (diluted)
$0.98
$-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.

Revenue
FMBH
FMBH
OPK
OPK
Q4 25
$88.2M
$148.5M
Q3 25
$89.3M
$151.7M
Q2 25
$87.5M
$156.8M
Q1 25
$84.3M
$150.0M
Q4 24
$85.3M
$183.6M
Q3 24
$80.6M
$173.6M
Q2 24
$79.2M
$182.2M
Q1 24
$79.9M
$173.7M
Net Profit
FMBH
FMBH
OPK
OPK
Q4 25
$23.7M
$-31.3M
Q3 25
$22.5M
$21.6M
Q2 25
$23.4M
$-148.4M
Q1 25
$22.2M
$-67.6M
Q4 24
$19.2M
$14.0M
Q3 24
$19.5M
$24.9M
Q2 24
$19.7M
$-10.3M
Q1 24
$20.5M
$-81.8M
Gross Margin
FMBH
FMBH
OPK
OPK
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 24
24.2%
Operating Margin
FMBH
FMBH
OPK
OPK
Q4 25
34.0%
-25.8%
Q3 25
32.2%
31.7%
Q2 25
34.4%
-38.3%
Q1 25
33.4%
-44.8%
Q4 24
29.7%
-18.0%
Q3 24
31.5%
8.2%
Q2 24
33.7%
-33.9%
Q1 24
33.7%
-41.2%
Net Margin
FMBH
FMBH
OPK
OPK
Q4 25
26.8%
-21.1%
Q3 25
25.2%
14.3%
Q2 25
26.8%
-94.7%
Q1 25
26.3%
-45.1%
Q4 24
22.5%
7.6%
Q3 24
24.2%
14.3%
Q2 24
24.9%
-5.7%
Q1 24
25.6%
-47.1%
EPS (diluted)
FMBH
FMBH
OPK
OPK
Q4 25
$0.98
$-0.04
Q3 25
$0.94
$0.03
Q2 25
$0.98
$-0.19
Q1 25
$0.93
$-0.10
Q4 24
$0.81
$0.02
Q3 24
$0.81
$0.03
Q2 24
$0.82
$-0.01
Q1 24
$0.86
$-0.12

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
FMBH
FMBH
OPK
OPK
Cash + ST InvestmentsLiquidity on hand
$364.4M
Total DebtLower is stronger
$354.5M
$344.0M
Stockholders' EquityBook value
$958.7M
$1.3B
Total Assets
$8.0B
$1.9B
Debt / EquityLower = less leverage
0.37×
0.27×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FMBH
FMBH
OPK
OPK
Q4 25
$364.4M
Q3 25
$412.0M
Q2 25
$267.3M
Q1 25
$428.8M
Q4 24
$426.6M
Q3 24
$400.1M
Q2 24
$40.6M
Q1 24
$75.6M
Total Debt
FMBH
FMBH
OPK
OPK
Q4 25
$354.5M
$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 24
$350.1M
Stockholders' Equity
FMBH
FMBH
OPK
OPK
Q4 25
$958.7M
$1.3B
Q3 25
$932.2M
$1.3B
Q2 25
$894.1M
$1.3B
Q1 25
$870.9M
$1.3B
Q4 24
$846.4M
$1.4B
Q3 24
$858.5M
$1.4B
Q2 24
$813.6M
$1.4B
Q1 24
$798.0M
$1.3B
Total Assets
FMBH
FMBH
OPK
OPK
Q4 25
$8.0B
$1.9B
Q3 25
$7.8B
$2.0B
Q2 25
$7.7B
$2.0B
Q1 25
$7.6B
$2.1B
Q4 24
$7.5B
$2.2B
Q3 24
$7.6B
$2.3B
Q2 24
$7.6B
$2.0B
Q1 24
$7.7B
$2.0B
Debt / Equity
FMBH
FMBH
OPK
OPK
Q4 25
0.37×
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×
Q1 24
0.28×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
FMBH
FMBH
OPK
OPK
Operating Cash FlowLast quarter
$130.9M
$-25.9M
Free Cash FlowOCF − Capex
$124.0M
$-28.6M
FCF MarginFCF / Revenue
140.6%
-19.3%
Capex IntensityCapex / Revenue
7.8%
1.8%
Cash ConversionOCF / Net Profit
5.53×
TTM Free Cash FlowTrailing 4 quarters
$207.9M
$-190.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FMBH
FMBH
OPK
OPK
Q4 25
$130.9M
$-25.9M
Q3 25
$33.0M
$-34.6M
Q2 25
$7.7M
$-83.4M
Q1 25
$47.9M
$-34.6M
Q4 24
$124.4M
$-44.4M
Q3 24
$33.1M
$-77.1M
Q2 24
$24.0M
$-26.4M
Q1 24
$29.0M
$-35.6M
Free Cash Flow
FMBH
FMBH
OPK
OPK
Q4 25
$124.0M
$-28.6M
Q3 25
$31.9M
$-37.8M
Q2 25
$6.0M
$-86.7M
Q1 25
$46.0M
$-37.7M
Q4 24
$119.5M
$-49.8M
Q3 24
$32.0M
$-85.0M
Q2 24
$22.9M
$-33.7M
Q1 24
$27.6M
$-40.0M
FCF Margin
FMBH
FMBH
OPK
OPK
Q4 25
140.6%
-19.3%
Q3 25
35.8%
-24.9%
Q2 25
6.8%
-55.3%
Q1 25
54.5%
-25.2%
Q4 24
140.0%
-27.1%
Q3 24
39.7%
-49.0%
Q2 24
28.9%
-18.5%
Q1 24
34.5%
-23.0%
Capex Intensity
FMBH
FMBH
OPK
OPK
Q4 25
7.8%
1.8%
Q3 25
1.2%
2.1%
Q2 25
2.0%
2.1%
Q1 25
2.3%
2.1%
Q4 24
5.8%
2.9%
Q3 24
1.4%
4.6%
Q2 24
1.4%
4.0%
Q1 24
1.9%
2.6%
Cash Conversion
FMBH
FMBH
OPK
OPK
Q4 25
5.53×
Q3 25
1.47×
-1.60×
Q2 25
0.33×
Q1 25
2.16×
Q4 24
6.49×
-3.17×
Q3 24
1.70×
-3.10×
Q2 24
1.21×
Q1 24
1.42×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

FMBH
FMBH

Segment breakdown not available.

OPK
OPK

Services$71.1M48%
Transfer Of Intellectual Property And Other$33.7M23%
IE$22.1M15%
Rayaldee$8.8M6%
Barda Agreement$6.8M5%
MX$6.3M4%

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