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Side-by-side financial comparison of HCI Group, Inc. (HCI) and OPKO HEALTH, INC. (OPK). Click either name above to swap in a different company.

HCI Group, Inc. is the larger business by last-quarter revenue ($246.2M vs $148.5M, roughly 1.7× OPKO HEALTH, INC.). HCI Group, Inc. runs the higher net margin — 39.7% vs -21.1%, a 60.7% gap on every dollar of revenue. On growth, HCI Group, Inc. posted the faster year-over-year revenue change (52.1% vs -19.2%). HCI Group, Inc. produced more free cash flow last quarter ($440.8M vs $-28.6M). Over the past eight quarters, HCI Group, Inc.'s revenue compounded faster (9.2% CAGR vs -7.5%).

HCI Equity Partners is a Washington, DC–based private equity firm with an additional office in Chicago, Illinois.

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".

HCI vs OPK — Head-to-Head

Bigger by revenue
HCI
HCI
1.7× larger
HCI
$246.2M
$148.5M
OPK
Growing faster (revenue YoY)
HCI
HCI
+71.3% gap
HCI
52.1%
-19.2%
OPK
Higher net margin
HCI
HCI
60.7% more per $
HCI
39.7%
-21.1%
OPK
More free cash flow
HCI
HCI
$469.4M more FCF
HCI
$440.8M
$-28.6M
OPK
Faster 2-yr revenue CAGR
HCI
HCI
Annualised
HCI
9.2%
-7.5%
OPK

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
HCI
HCI
OPK
OPK
Revenue
$246.2M
$148.5M
Net Profit
$97.7M
$-31.3M
Gross Margin
43.1%
Operating Margin
58.5%
-25.8%
Net Margin
39.7%
-21.1%
Revenue YoY
52.1%
-19.2%
Net Profit YoY
3679.2%
-322.8%
EPS (diluted)
$7.29
$-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
HCI
HCI
OPK
OPK
Q4 25
$246.2M
$148.5M
Q3 25
$216.3M
$151.7M
Q2 25
$221.9M
$156.8M
Q1 25
$216.4M
$150.0M
Q4 24
$161.9M
$183.6M
Q3 24
$175.3M
$173.6M
Q2 24
$206.2M
$182.2M
Q1 24
$206.6M
$173.7M
Net Profit
HCI
HCI
OPK
OPK
Q4 25
$97.7M
$-31.3M
Q3 25
$65.5M
$21.6M
Q2 25
$66.2M
$-148.4M
Q1 25
$69.7M
$-67.6M
Q4 24
$2.6M
$14.0M
Q3 24
$5.7M
$24.9M
Q2 24
$54.1M
$-10.3M
Q1 24
$47.6M
$-81.8M
Gross Margin
HCI
HCI
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
HCI
HCI
OPK
OPK
Q4 25
58.5%
-25.8%
Q3 25
41.9%
31.7%
Q2 25
42.5%
-38.3%
Q1 25
46.4%
-44.8%
Q4 24
3.6%
-18.0%
Q3 24
8.0%
8.2%
Q2 24
36.9%
-33.9%
Q1 24
37.5%
-41.2%
Net Margin
HCI
HCI
OPK
OPK
Q4 25
39.7%
-21.1%
Q3 25
30.3%
14.3%
Q2 25
29.8%
-94.7%
Q1 25
32.2%
-45.1%
Q4 24
1.6%
7.6%
Q3 24
3.2%
14.3%
Q2 24
26.2%
-5.7%
Q1 24
23.0%
-47.1%
EPS (diluted)
HCI
HCI
OPK
OPK
Q4 25
$7.29
$-0.04
Q3 25
$4.90
$0.03
Q2 25
$5.18
$-0.19
Q1 25
$5.35
$-0.10
Q4 24
$0.32
$0.02
Q3 24
$0.52
$0.03
Q2 24
$4.24
$-0.01
Q1 24
$3.81
$-0.12

Balance Sheet & Financial Strength

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

Metric
HCI
HCI
OPK
OPK
Cash + ST InvestmentsLiquidity on hand
$1.2B
$364.4M
Total DebtLower is stronger
$344.0M
Stockholders' EquityBook value
$1.0B
$1.3B
Total Assets
$2.5B
$1.9B
Debt / EquityLower = less leverage
0.27×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HCI
HCI
OPK
OPK
Q4 25
$1.2B
$364.4M
Q3 25
$987.9M
$412.0M
Q2 25
$947.2M
$267.3M
Q1 25
$754.5M
$428.8M
Q4 24
$532.5M
$426.6M
Q3 24
$518.8M
$400.1M
Q2 24
$445.8M
$40.6M
Q1 24
$655.4M
$75.6M
Total Debt
HCI
HCI
OPK
OPK
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 24
$350.1M
Stockholders' Equity
HCI
HCI
OPK
OPK
Q4 25
$1.0B
$1.3B
Q3 25
$821.8M
$1.3B
Q2 25
$758.6M
$1.3B
Q1 25
$522.7M
$1.3B
Q4 24
$453.3M
$1.4B
Q3 24
$455.3M
$1.4B
Q2 24
$447.3M
$1.4B
Q1 24
$395.7M
$1.3B
Total Assets
HCI
HCI
OPK
OPK
Q4 25
$2.5B
$1.9B
Q3 25
$2.3B
$2.0B
Q2 25
$2.4B
$2.0B
Q1 25
$2.3B
$2.1B
Q4 24
$2.2B
$2.2B
Q3 24
$2.0B
$2.3B
Q2 24
$1.9B
$2.0B
Q1 24
$1.8B
$2.0B
Debt / Equity
HCI
HCI
OPK
OPK
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×
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
HCI
HCI
OPK
OPK
Operating Cash FlowLast quarter
$444.4M
$-25.9M
Free Cash FlowOCF − Capex
$440.8M
$-28.6M
FCF MarginFCF / Revenue
179.0%
-19.3%
Capex IntensityCapex / Revenue
1.5%
1.8%
Cash ConversionOCF / Net Profit
4.55×
TTM Free Cash FlowTrailing 4 quarters
$771.4M
$-190.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HCI
HCI
OPK
OPK
Q4 25
$444.4M
$-25.9M
Q3 25
$26.7M
$-34.6M
Q2 25
$145.0M
$-83.4M
Q1 25
$162.0M
$-34.6M
Q4 24
$331.8M
$-44.4M
Q3 24
$104.1M
$-77.1M
Q2 24
$-29.0M
$-26.4M
Q1 24
$182.0M
$-35.6M
Free Cash Flow
HCI
HCI
OPK
OPK
Q4 25
$440.8M
$-28.6M
Q3 25
$25.9M
$-37.8M
Q2 25
$144.5M
$-86.7M
Q1 25
$160.3M
$-37.7M
Q4 24
$327.8M
$-49.8M
Q3 24
$103.2M
$-85.0M
Q2 24
$-30.1M
$-33.7M
Q1 24
$181.0M
$-40.0M
FCF Margin
HCI
HCI
OPK
OPK
Q4 25
179.0%
-19.3%
Q3 25
12.0%
-24.9%
Q2 25
65.1%
-55.3%
Q1 25
74.1%
-25.2%
Q4 24
202.5%
-27.1%
Q3 24
58.9%
-49.0%
Q2 24
-14.6%
-18.5%
Q1 24
87.6%
-23.0%
Capex Intensity
HCI
HCI
OPK
OPK
Q4 25
1.5%
1.8%
Q3 25
0.4%
2.1%
Q2 25
0.2%
2.1%
Q1 25
0.8%
2.1%
Q4 24
2.5%
2.9%
Q3 24
0.5%
4.6%
Q2 24
0.5%
4.0%
Q1 24
0.5%
2.6%
Cash Conversion
HCI
HCI
OPK
OPK
Q4 25
4.55×
Q3 25
0.41×
-1.60×
Q2 25
2.19×
Q1 25
2.32×
Q4 24
128.41×
-3.17×
Q3 24
18.33×
-3.10×
Q2 24
-0.54×
Q1 24
3.82×

Financial Flow Comparison

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

Revenue Breakdown by Segment

HCI
HCI

Insurance Operation$218.3M89%
Reciprocal Exchange Operation$27.0M11%

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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