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Side-by-side financial comparison of H2O AMERICA (HTO) and OPKO HEALTH, INC. (OPK). Click either name above to swap in a different company.

H2O AMERICA is the larger business by last-quarter revenue ($199.4M vs $148.5M, roughly 1.3× OPKO HEALTH, INC.). H2O AMERICA runs the higher net margin — 8.1% vs -21.1%, a 29.2% gap on every dollar of revenue. On growth, H2O AMERICA posted the faster year-over-year revenue change (1.5% vs -19.2%). Over the past eight quarters, H2O AMERICA's revenue compounded faster (15.3% CAGR vs -7.5%).

H2O Wireless is a United States-based prepaid cell phone service, that utilizes the AT&T network. It is a brand of the mobile virtual network operator (MVNO) Locus Telecommunications, a subsidiary of Telrite Holdings, Inc., since 2019. Locus was formerly a subsidiary of KDDI America corporation, starting in 2010. H2O Wireless is primarily advertised as a non-restrictive phone service for customers to bring or buy unlocked smartphones, although AT&T contract/locked phones may be accepted as well.

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".

HTO vs OPK — Head-to-Head

Bigger by revenue
HTO
HTO
1.3× larger
HTO
$199.4M
$148.5M
OPK
Growing faster (revenue YoY)
HTO
HTO
+20.6% gap
HTO
1.5%
-19.2%
OPK
Higher net margin
HTO
HTO
29.2% more per $
HTO
8.1%
-21.1%
OPK
Faster 2-yr revenue CAGR
HTO
HTO
Annualised
HTO
15.3%
-7.5%
OPK

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
HTO
HTO
OPK
OPK
Revenue
$199.4M
$148.5M
Net Profit
$16.2M
$-31.3M
Gross Margin
43.1%
Operating Margin
16.6%
-25.8%
Net Margin
8.1%
-21.1%
Revenue YoY
1.5%
-19.2%
Net Profit YoY
-29.2%
-322.8%
EPS (diluted)
$0.45
$-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
HTO
HTO
OPK
OPK
Q4 25
$199.4M
$148.5M
Q3 25
$243.5M
$151.7M
Q2 25
$197.8M
$156.8M
Q1 25
$164.9M
$150.0M
Q4 24
$196.5M
$183.6M
Q3 24
$216.7M
$173.6M
Q2 24
$173.1M
$182.2M
Q1 24
$150.0M
$173.7M
Net Profit
HTO
HTO
OPK
OPK
Q4 25
$16.2M
$-31.3M
Q3 25
$45.1M
$21.6M
Q2 25
$24.7M
$-148.4M
Q1 25
$16.6M
$-67.6M
Q4 24
$22.9M
$14.0M
Q3 24
$38.7M
$24.9M
Q2 24
$20.7M
$-10.3M
Q1 24
$11.7M
$-81.8M
Gross Margin
HTO
HTO
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
HTO
HTO
OPK
OPK
Q4 25
16.6%
-25.8%
Q3 25
26.5%
31.7%
Q2 25
22.2%
-38.3%
Q1 25
21.8%
-44.8%
Q4 24
22.2%
-18.0%
Q3 24
26.9%
8.2%
Q2 24
23.4%
-33.9%
Q1 24
18.6%
-41.2%
Net Margin
HTO
HTO
OPK
OPK
Q4 25
8.1%
-21.1%
Q3 25
18.5%
14.3%
Q2 25
12.5%
-94.7%
Q1 25
10.0%
-45.1%
Q4 24
11.7%
7.6%
Q3 24
17.8%
14.3%
Q2 24
12.0%
-5.7%
Q1 24
7.8%
-47.1%
EPS (diluted)
HTO
HTO
OPK
OPK
Q4 25
$0.45
$-0.04
Q3 25
$1.27
$0.03
Q2 25
$0.71
$-0.19
Q1 25
$0.49
$-0.10
Q4 24
$0.70
$0.02
Q3 24
$1.17
$0.03
Q2 24
$0.64
$-0.01
Q1 24
$0.36
$-0.12

Balance Sheet & Financial Strength

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

Metric
HTO
HTO
OPK
OPK
Cash + ST InvestmentsLiquidity on hand
$20.7M
$364.4M
Total DebtLower is stronger
$1.9B
$344.0M
Stockholders' EquityBook value
$1.5B
$1.3B
Total Assets
$5.1B
$1.9B
Debt / EquityLower = less leverage
1.23×
0.27×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HTO
HTO
OPK
OPK
Q4 25
$20.7M
$364.4M
Q3 25
$11.3M
$412.0M
Q2 25
$19.8M
$267.3M
Q1 25
$23.7M
$428.8M
Q4 24
$11.1M
$426.6M
Q3 24
$4.0M
$400.1M
Q2 24
$22.8M
$40.6M
Q1 24
$4.5M
$75.6M
Total Debt
HTO
HTO
OPK
OPK
Q4 25
$1.9B
$344.0M
Q3 25
$344.2M
Q2 25
$343.3M
Q1 25
$439.2M
Q4 24
$1.7B
$437.2M
Q3 24
$441.0M
Q2 24
$201.9M
Q1 24
$350.1M
Stockholders' Equity
HTO
HTO
OPK
OPK
Q4 25
$1.5B
$1.3B
Q3 25
$1.5B
$1.3B
Q2 25
$1.5B
$1.3B
Q1 25
$1.4B
$1.3B
Q4 24
$1.4B
$1.4B
Q3 24
$1.3B
$1.4B
Q2 24
$1.3B
$1.4B
Q1 24
$1.2B
$1.3B
Total Assets
HTO
HTO
OPK
OPK
Q4 25
$5.1B
$1.9B
Q3 25
$5.0B
$2.0B
Q2 25
$4.8B
$2.0B
Q1 25
$4.7B
$2.1B
Q4 24
$4.7B
$2.2B
Q3 24
$4.6B
$2.3B
Q2 24
$4.4B
$2.0B
Q1 24
$4.4B
$2.0B
Debt / Equity
HTO
HTO
OPK
OPK
Q4 25
1.23×
0.27×
Q3 25
0.26×
Q2 25
0.26×
Q1 25
0.33×
Q4 24
1.26×
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
HTO
HTO
OPK
OPK
Operating Cash FlowLast quarter
$63.5M
$-25.9M
Free Cash FlowOCF − Capex
$-28.6M
FCF MarginFCF / Revenue
-19.3%
Capex IntensityCapex / Revenue
1.8%
Cash ConversionOCF / Net Profit
3.92×
TTM Free Cash FlowTrailing 4 quarters
$-190.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HTO
HTO
OPK
OPK
Q4 25
$63.5M
$-25.9M
Q3 25
$77.3M
$-34.6M
Q2 25
$60.8M
$-83.4M
Q1 25
$43.2M
$-34.6M
Q4 24
$41.5M
$-44.4M
Q3 24
$53.5M
$-77.1M
Q2 24
$49.3M
$-26.4M
Q1 24
$51.2M
$-35.6M
Free Cash Flow
HTO
HTO
OPK
OPK
Q4 25
$-28.6M
Q3 25
$-37.8M
Q2 25
$-86.7M
Q1 25
$-37.7M
Q4 24
$-49.8M
Q3 24
$-85.0M
Q2 24
$-33.7M
Q1 24
$-40.0M
FCF Margin
HTO
HTO
OPK
OPK
Q4 25
-19.3%
Q3 25
-24.9%
Q2 25
-55.3%
Q1 25
-25.2%
Q4 24
-27.1%
Q3 24
-49.0%
Q2 24
-18.5%
Q1 24
-23.0%
Capex Intensity
HTO
HTO
OPK
OPK
Q4 25
1.8%
Q3 25
2.1%
Q2 25
2.1%
Q1 25
2.1%
Q4 24
2.9%
Q3 24
4.6%
Q2 24
4.0%
Q1 24
2.6%
Cash Conversion
HTO
HTO
OPK
OPK
Q4 25
3.92×
Q3 25
1.71×
-1.60×
Q2 25
2.47×
Q1 25
2.61×
Q4 24
1.81×
-3.17×
Q3 24
1.39×
-3.10×
Q2 24
2.38×
Q1 24
4.38×

Financial Flow Comparison

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

Revenue Breakdown by Segment

HTO
HTO

Water Utility Services$191.0M96%
Other$8.4M4%

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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