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Side-by-side financial comparison of OPKO HEALTH, INC. (OPK) and Palomar Holdings, Inc. (PLMR). Click either name above to swap in a different company.
Palomar Holdings, Inc. is the larger business by last-quarter revenue ($253.4M vs $148.5M, roughly 1.7× OPKO HEALTH, INC.). On growth, Palomar Holdings, Inc. posted the faster year-over-year revenue change (62.7% vs -19.2%). Palomar Holdings, Inc. produced more free cash flow last quarter ($409.0M vs $-28.6M). Over the past eight quarters, Palomar Holdings, Inc.'s revenue compounded faster (46.2% CAGR vs -7.5%).
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".
Palomar Holdings, Inc. is a specialty insurance holding company that primarily provides property insurance products for catastrophe-exposed residential and commercial assets. It mainly operates across the United States, focusing on core segments including earthquake, flood, and windstorm coverage to meet high-risk property protection demands of customers.
OPK vs PLMR — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $148.5M | $253.4M |
| Net Profit | $-31.3M | — |
| Gross Margin | 43.1% | — |
| Operating Margin | -25.8% | 28.7% |
| Net Margin | -21.1% | — |
| Revenue YoY | -19.2% | 62.7% |
| Net Profit YoY | -322.8% | — |
| EPS (diluted) | $-0.04 | $2.05 |
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.
| Q4 25 | $148.5M | $253.4M | ||
| Q3 25 | $151.7M | $244.7M | ||
| Q2 25 | $156.8M | $203.3M | ||
| Q1 25 | $150.0M | $174.6M | ||
| Q4 24 | $183.6M | $155.8M | ||
| Q3 24 | $173.6M | $148.5M | ||
| Q2 24 | $182.2M | $131.1M | ||
| Q1 24 | $173.7M | $118.5M |
| Q4 25 | $-31.3M | — | ||
| Q3 25 | $21.6M | $51.5M | ||
| Q2 25 | $-148.4M | $46.5M | ||
| Q1 25 | $-67.6M | $42.9M | ||
| Q4 24 | $14.0M | — | ||
| Q3 24 | $24.9M | $30.5M | ||
| Q2 24 | $-10.3M | $25.7M | ||
| Q1 24 | $-81.8M | $26.4M |
| 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% | — |
| Q4 25 | -25.8% | 28.7% | ||
| Q3 25 | 31.7% | 27.4% | ||
| Q2 25 | -38.3% | 29.5% | ||
| Q1 25 | -44.8% | 30.8% | ||
| Q4 24 | -18.0% | 28.9% | ||
| Q3 24 | 8.2% | 25.9% | ||
| Q2 24 | -33.9% | 25.5% | ||
| Q1 24 | -41.2% | 29.0% |
| Q4 25 | -21.1% | — | ||
| Q3 25 | 14.3% | 21.0% | ||
| Q2 25 | -94.7% | 22.9% | ||
| Q1 25 | -45.1% | 24.6% | ||
| Q4 24 | 7.6% | — | ||
| Q3 24 | 14.3% | 20.5% | ||
| Q2 24 | -5.7% | 19.6% | ||
| Q1 24 | -47.1% | 22.3% |
| Q4 25 | $-0.04 | $2.05 | ||
| Q3 25 | $0.03 | $1.87 | ||
| Q2 25 | $-0.19 | $1.68 | ||
| Q1 25 | $-0.10 | $1.57 | ||
| Q4 24 | $0.02 | $1.29 | ||
| Q3 24 | $0.03 | $1.15 | ||
| Q2 24 | $-0.01 | $1.00 | ||
| Q1 24 | $-0.12 | $1.04 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $364.4M | $106.9M |
| Total DebtLower is stronger | $344.0M | — |
| Stockholders' EquityBook value | $1.3B | $942.7M |
| Total Assets | $1.9B | $3.1B |
| Debt / EquityLower = less leverage | 0.27× | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $364.4M | $106.9M | ||
| Q3 25 | $412.0M | $111.7M | ||
| Q2 25 | $267.3M | $81.3M | ||
| Q1 25 | $428.8M | $119.3M | ||
| Q4 24 | $426.6M | $80.4M | ||
| Q3 24 | $400.1M | $86.5M | ||
| Q2 24 | $40.6M | $47.8M | ||
| Q1 24 | $75.6M | $61.4M |
| 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 | — |
| Q4 25 | $1.3B | $942.7M | ||
| Q3 25 | $1.3B | $878.1M | ||
| Q2 25 | $1.3B | $847.2M | ||
| Q1 25 | $1.3B | $790.4M | ||
| Q4 24 | $1.4B | $729.0M | ||
| Q3 24 | $1.4B | $703.3M | ||
| Q2 24 | $1.4B | $532.6M | ||
| Q1 24 | $1.3B | $501.7M |
| Q4 25 | $1.9B | $3.1B | ||
| Q3 25 | $2.0B | $2.9B | ||
| Q2 25 | $2.0B | $2.8B | ||
| Q1 25 | $2.1B | $2.4B | ||
| Q4 24 | $2.2B | $2.3B | ||
| Q3 24 | $2.3B | $2.3B | ||
| Q2 24 | $2.0B | $2.0B | ||
| Q1 24 | $2.0B | $1.9B |
| 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 | | |
|---|---|---|
| Operating Cash FlowLast quarter | $-25.9M | $409.1M |
| Free Cash FlowOCF − Capex | $-28.6M | $409.0M |
| FCF MarginFCF / Revenue | -19.3% | 161.4% |
| Capex IntensityCapex / Revenue | 1.8% | 0.1% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | $-190.8M | $700.6M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $-25.9M | $409.1M | ||
| Q3 25 | $-34.6M | $83.6M | ||
| Q2 25 | $-83.4M | $120.9M | ||
| Q1 25 | $-34.6M | $87.2M | ||
| Q4 24 | $-44.4M | $261.2M | ||
| Q3 24 | $-77.1M | $100.3M | ||
| Q2 24 | $-26.4M | $55.1M | ||
| Q1 24 | $-35.6M | $33.1M |
| Q4 25 | $-28.6M | $409.0M | ||
| Q3 25 | $-37.8M | $83.6M | ||
| Q2 25 | $-86.7M | $120.8M | ||
| Q1 25 | $-37.7M | $87.1M | ||
| Q4 24 | $-49.8M | $260.9M | ||
| Q3 24 | $-85.0M | $100.1M | ||
| Q2 24 | $-33.7M | — | ||
| Q1 24 | $-40.0M | — |
| Q4 25 | -19.3% | 161.4% | ||
| Q3 25 | -24.9% | 34.2% | ||
| Q2 25 | -55.3% | 59.4% | ||
| Q1 25 | -25.2% | 49.9% | ||
| Q4 24 | -27.1% | 167.5% | ||
| Q3 24 | -49.0% | 67.4% | ||
| Q2 24 | -18.5% | — | ||
| Q1 24 | -23.0% | — |
| Q4 25 | 1.8% | 0.1% | ||
| Q3 25 | 2.1% | 0.0% | ||
| Q2 25 | 2.1% | 0.0% | ||
| Q1 25 | 2.1% | 0.0% | ||
| Q4 24 | 2.9% | 0.2% | ||
| Q3 24 | 4.6% | 0.1% | ||
| Q2 24 | 4.0% | 0.0% | ||
| Q1 24 | 2.6% | 0.0% |
| Q4 25 | — | — | ||
| Q3 25 | -1.60× | 1.63× | ||
| Q2 25 | — | 2.60× | ||
| Q1 25 | — | 2.03× | ||
| Q4 24 | -3.17× | — | ||
| Q3 24 | -3.10× | 3.29× | ||
| Q2 24 | — | 2.14× | ||
| Q1 24 | — | 1.26× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
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% |
PLMR
Segment breakdown not available.
