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Side-by-side financial comparison of Fathom Holdings Inc. (FTHM) 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 $90.6M, roughly 1.6× Fathom Holdings Inc.). Fathom Holdings Inc. runs the higher net margin — -7.4% vs -21.1%, a 13.6% gap on every dollar of revenue. On growth, Fathom Holdings Inc. posted the faster year-over-year revenue change (-1.2% vs -19.2%). Fathom Holdings Inc. produced more free cash flow last quarter ($-20.7M vs $-28.6M). Over the past eight quarters, Fathom Holdings Inc.'s revenue compounded faster (13.4% CAGR vs -7.5%).

Fathom Holdings Inc. is a US-based real estate technology and services enterprise. It provides end-to-end solutions for real estate agents, brokers, and consumers, including digital transaction management tools, mortgage services, title insurance, and residential property brokerage services, covering most regional markets across the United States.

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".

FTHM vs OPK — Head-to-Head

Bigger by revenue
OPK
OPK
1.6× larger
OPK
$148.5M
$90.6M
FTHM
Growing faster (revenue YoY)
FTHM
FTHM
+17.9% gap
FTHM
-1.2%
-19.2%
OPK
Higher net margin
FTHM
FTHM
13.6% more per $
FTHM
-7.4%
-21.1%
OPK
More free cash flow
FTHM
FTHM
$7.9M more FCF
FTHM
$-20.7M
$-28.6M
OPK
Faster 2-yr revenue CAGR
FTHM
FTHM
Annualised
FTHM
13.4%
-7.5%
OPK

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
FTHM
FTHM
OPK
OPK
Revenue
$90.6M
$148.5M
Net Profit
$-6.7M
$-31.3M
Gross Margin
43.1%
Operating Margin
-5.2%
-25.8%
Net Margin
-7.4%
-21.1%
Revenue YoY
-1.2%
-19.2%
Net Profit YoY
-7.7%
-322.8%
EPS (diluted)
$-0.20
$-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
FTHM
FTHM
OPK
OPK
Q4 25
$90.6M
$148.5M
Q3 25
$115.3M
$151.7M
Q2 25
$121.4M
$156.8M
Q1 25
$93.1M
$150.0M
Q4 24
$91.7M
$183.6M
Q3 24
$83.7M
$173.6M
Q2 24
$89.2M
$182.2M
Q1 24
$70.5M
$173.7M
Net Profit
FTHM
FTHM
OPK
OPK
Q4 25
$-6.7M
$-31.3M
Q3 25
$-4.4M
$21.6M
Q2 25
$-3.6M
$-148.4M
Q1 25
$-5.6M
$-67.6M
Q4 24
$-6.2M
$14.0M
Q3 24
$-8.1M
$24.9M
Q2 24
$-1.3M
$-10.3M
Q1 24
$-5.9M
$-81.8M
Gross Margin
FTHM
FTHM
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
FTHM
FTHM
OPK
OPK
Q4 25
-5.2%
-25.8%
Q3 25
-3.5%
31.7%
Q2 25
-2.0%
-38.3%
Q1 25
-4.8%
-44.8%
Q4 24
-7.0%
-18.0%
Q3 24
-9.3%
8.2%
Q2 24
-4.1%
-33.9%
Q1 24
-8.0%
-41.2%
Net Margin
FTHM
FTHM
OPK
OPK
Q4 25
-7.4%
-21.1%
Q3 25
-3.8%
14.3%
Q2 25
-3.0%
-94.7%
Q1 25
-6.1%
-45.1%
Q4 24
-6.8%
7.6%
Q3 24
-9.7%
14.3%
Q2 24
-1.5%
-5.7%
Q1 24
-8.4%
-47.1%
EPS (diluted)
FTHM
FTHM
OPK
OPK
Q4 25
$-0.20
$-0.04
Q3 25
$-0.15
$0.03
Q2 25
$-0.13
$-0.19
Q1 25
$-0.24
$-0.10
Q4 24
$-0.29
$0.02
Q3 24
$-0.40
$0.03
Q2 24
$-0.07
$-0.01
Q1 24
$-0.31
$-0.12

Balance Sheet & Financial Strength

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

Metric
FTHM
FTHM
OPK
OPK
Cash + ST InvestmentsLiquidity on hand
$5.8M
$364.4M
Total DebtLower is stronger
$5.6M
$344.0M
Stockholders' EquityBook value
$37.4M
$1.3B
Total Assets
$78.0M
$1.9B
Debt / EquityLower = less leverage
0.15×
0.27×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FTHM
FTHM
OPK
OPK
Q4 25
$5.8M
$364.4M
Q3 25
$9.8M
$412.0M
Q2 25
$4.9M
$267.3M
Q1 25
$8.0M
$428.8M
Q4 24
$7.1M
$426.6M
Q3 24
$13.1M
$400.1M
Q2 24
$10.4M
$40.6M
Q1 24
$5.7M
$75.6M
Total Debt
FTHM
FTHM
OPK
OPK
Q4 25
$5.6M
$344.0M
Q3 25
$5.1M
$344.2M
Q2 25
$5.1M
$343.3M
Q1 25
$5.1M
$439.2M
Q4 24
$9.5M
$437.2M
Q3 24
$8.8M
$441.0M
Q2 24
$3.6M
$201.9M
Q1 24
$3.7M
$350.1M
Stockholders' Equity
FTHM
FTHM
OPK
OPK
Q4 25
$37.4M
$1.3B
Q3 25
$43.4M
$1.3B
Q2 25
$40.7M
$1.3B
Q1 25
$43.4M
$1.3B
Q4 24
$44.7M
$1.4B
Q3 24
$47.1M
$1.4B
Q2 24
$53.1M
$1.4B
Q1 24
$51.9M
$1.3B
Total Assets
FTHM
FTHM
OPK
OPK
Q4 25
$78.0M
$1.9B
Q3 25
$83.2M
$2.0B
Q2 25
$80.4M
$2.0B
Q1 25
$81.0M
$2.1B
Q4 24
$75.4M
$2.2B
Q3 24
$80.9M
$2.3B
Q2 24
$80.2M
$2.0B
Q1 24
$78.2M
$2.0B
Debt / Equity
FTHM
FTHM
OPK
OPK
Q4 25
0.15×
0.27×
Q3 25
0.12×
0.26×
Q2 25
0.12×
0.26×
Q1 25
0.12×
0.33×
Q4 24
0.21×
0.32×
Q3 24
0.19×
0.31×
Q2 24
0.07×
0.14×
Q1 24
0.07×
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
FTHM
FTHM
OPK
OPK
Operating Cash FlowLast quarter
$-20.5M
$-25.9M
Free Cash FlowOCF − Capex
$-20.7M
$-28.6M
FCF MarginFCF / Revenue
-22.8%
-19.3%
Capex IntensityCapex / Revenue
0.1%
1.8%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$-29.4M
$-190.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FTHM
FTHM
OPK
OPK
Q4 25
$-20.5M
$-25.9M
Q3 25
$3.0M
$-34.6M
Q2 25
$-5.9M
$-83.4M
Q1 25
$-5.7M
$-34.6M
Q4 24
$-4.7M
$-44.4M
Q3 24
$-330.0K
$-77.1M
Q2 24
$-3.1M
$-26.4M
Q1 24
$-947.0K
$-35.6M
Free Cash Flow
FTHM
FTHM
OPK
OPK
Q4 25
$-20.7M
$-28.6M
Q3 25
$3.0M
$-37.8M
Q2 25
$-6.0M
$-86.7M
Q1 25
$-5.8M
$-37.7M
Q4 24
$-4.7M
$-49.8M
Q3 24
$-364.0K
$-85.0M
Q2 24
$-3.1M
$-33.7M
Q1 24
$-948.0K
$-40.0M
FCF Margin
FTHM
FTHM
OPK
OPK
Q4 25
-22.8%
-19.3%
Q3 25
2.6%
-24.9%
Q2 25
-4.9%
-55.3%
Q1 25
-6.2%
-25.2%
Q4 24
-5.2%
-27.1%
Q3 24
-0.4%
-49.0%
Q2 24
-3.5%
-18.5%
Q1 24
-1.3%
-23.0%
Capex Intensity
FTHM
FTHM
OPK
OPK
Q4 25
0.1%
1.8%
Q3 25
0.0%
2.1%
Q2 25
0.0%
2.1%
Q1 25
0.0%
2.1%
Q4 24
0.1%
2.9%
Q3 24
0.0%
4.6%
Q2 24
0.0%
4.0%
Q1 24
0.0%
2.6%
Cash Conversion
FTHM
FTHM
OPK
OPK
Q4 25
Q3 25
-1.60×
Q2 25
Q1 25
Q4 24
-3.17×
Q3 24
-3.10×
Q2 24
Q1 24

Financial Flow Comparison

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

Revenue Breakdown by Segment

FTHM
FTHM

Real Estate Brokerage$84.9M94%
Mortgage Segment$3.4M4%
Other$2.3M3%

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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