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Side-by-side financial comparison of OPKO HEALTH, INC. (OPK) and Repay Holdings Corp (RPAY). Click either name above to swap in a different company.
OPKO HEALTH, INC. is the larger business by last-quarter revenue ($148.5M vs $78.6M, roughly 1.9× Repay Holdings Corp). OPKO HEALTH, INC. runs the higher net margin — -21.1% vs -178.3%, a 157.2% gap on every dollar of revenue. On growth, Repay Holdings Corp posted the faster year-over-year revenue change (0.4% vs -19.2%). Repay Holdings Corp produced more free cash flow last quarter ($23.2M vs $-28.6M). Over the past eight quarters, Repay Holdings Corp's revenue compounded faster (-1.3% 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".
Repay Holdings Corp is a leading payment technology provider delivering integrated end-to-end payment processing solutions for businesses across North America. Its offerings include credit/debit card processing, ACH transfer services, POS system integrations and digital payment tools, serving retail, healthcare, automotive and e-commerce segments to help clients streamline transaction workflows and boost operational efficiency.
OPK vs RPAY — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $148.5M | $78.6M |
| Net Profit | $-31.3M | $-140.1M |
| Gross Margin | 43.1% | 74.2% |
| Operating Margin | -25.8% | -182.2% |
| Net Margin | -21.1% | -178.3% |
| Revenue YoY | -19.2% | 0.4% |
| Net Profit YoY | -322.8% | -3304.1% |
| EPS (diluted) | $-0.04 | $-1.68 |
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 | $78.6M | ||
| Q3 25 | $151.7M | $77.7M | ||
| Q2 25 | $156.8M | $75.6M | ||
| Q1 25 | $150.0M | $77.3M | ||
| Q4 24 | $183.6M | $78.3M | ||
| Q3 24 | $173.6M | $79.1M | ||
| Q2 24 | $182.2M | $74.9M | ||
| Q1 24 | $173.7M | $80.7M |
| Q4 25 | $-31.3M | $-140.1M | ||
| Q3 25 | $21.6M | $-6.4M | ||
| Q2 25 | $-148.4M | $-102.3M | ||
| Q1 25 | $-67.6M | $-7.9M | ||
| Q4 24 | $14.0M | $-4.1M | ||
| Q3 24 | $24.9M | $3.2M | ||
| Q2 24 | $-10.3M | $-4.1M | ||
| Q1 24 | $-81.8M | $-5.2M |
| Q4 25 | 43.1% | 74.2% | ||
| Q3 25 | 32.9% | 74.4% | ||
| Q2 25 | 31.5% | 75.7% | ||
| Q1 25 | 28.4% | 75.9% | ||
| Q4 24 | 46.1% | 76.3% | ||
| Q3 24 | 23.1% | 77.8% | ||
| Q2 24 | 28.4% | 78.2% | ||
| Q1 24 | 24.2% | 76.2% |
| Q4 25 | -25.8% | -182.2% | ||
| Q3 25 | 31.7% | -3.9% | ||
| Q2 25 | -38.3% | -138.7% | ||
| Q1 25 | -44.8% | -4.7% | ||
| Q4 24 | -18.0% | -1.5% | ||
| Q3 24 | 8.2% | -0.9% | ||
| Q2 24 | -33.9% | -4.6% | ||
| Q1 24 | -41.2% | -3.1% |
| Q4 25 | -21.1% | -178.3% | ||
| Q3 25 | 14.3% | -8.3% | ||
| Q2 25 | -94.7% | -135.2% | ||
| Q1 25 | -45.1% | -10.3% | ||
| Q4 24 | 7.6% | -5.3% | ||
| Q3 24 | 14.3% | 4.1% | ||
| Q2 24 | -5.7% | -5.4% | ||
| Q1 24 | -47.1% | -6.5% |
| Q4 25 | $-0.04 | $-1.68 | ||
| Q3 25 | $0.03 | $-0.08 | ||
| Q2 25 | $-0.19 | $-1.15 | ||
| Q1 25 | $-0.10 | $-0.09 | ||
| Q4 24 | $0.02 | $-0.04 | ||
| Q3 24 | $0.03 | $0.03 | ||
| Q2 24 | $-0.01 | $-0.04 | ||
| Q1 24 | $-0.12 | $-0.06 |
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 | $115.7M |
| Total DebtLower is stronger | $344.0M | $280.1M |
| Stockholders' EquityBook value | $1.3B | $484.4M |
| Total Assets | $1.9B | $1.2B |
| Debt / EquityLower = less leverage | 0.27× | 0.58× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $364.4M | $115.7M | ||
| Q3 25 | $412.0M | $95.7M | ||
| Q2 25 | $267.3M | $162.6M | ||
| Q1 25 | $428.8M | $165.5M | ||
| Q4 24 | $426.6M | $189.5M | ||
| Q3 24 | $400.1M | $168.7M | ||
| Q2 24 | $40.6M | $147.1M | ||
| Q1 24 | $75.6M | $128.3M |
| Q4 25 | $344.0M | $280.1M | ||
| Q3 25 | $344.2M | $279.5M | ||
| Q2 25 | $343.3M | $279.0M | ||
| Q1 25 | $439.2M | $497.6M | ||
| Q4 24 | $437.2M | $496.8M | ||
| Q3 24 | $441.0M | $496.2M | ||
| Q2 24 | $201.9M | $435.6M | ||
| Q1 24 | $350.1M | $434.9M |
| Q4 25 | $1.3B | $484.4M | ||
| Q3 25 | $1.3B | $616.9M | ||
| Q2 25 | $1.3B | $633.7M | ||
| Q1 25 | $1.3B | $755.7M | ||
| Q4 24 | $1.4B | $761.3M | ||
| Q3 24 | $1.4B | $754.7M | ||
| Q2 24 | $1.4B | $815.4M | ||
| Q1 24 | $1.3B | $813.8M |
| Q4 25 | $1.9B | $1.2B | ||
| Q3 25 | $2.0B | $1.3B | ||
| Q2 25 | $2.0B | $1.4B | ||
| Q1 25 | $2.1B | $1.5B | ||
| Q4 24 | $2.2B | $1.6B | ||
| Q3 24 | $2.3B | $1.6B | ||
| Q2 24 | $2.0B | $1.5B | ||
| Q1 24 | $2.0B | $1.5B |
| Q4 25 | 0.27× | 0.58× | ||
| Q3 25 | 0.26× | 0.45× | ||
| Q2 25 | 0.26× | 0.44× | ||
| Q1 25 | 0.33× | 0.66× | ||
| Q4 24 | 0.32× | 0.65× | ||
| Q3 24 | 0.31× | 0.66× | ||
| Q2 24 | 0.14× | 0.53× | ||
| Q1 24 | 0.28× | 0.53× |
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 | $23.3M |
| Free Cash FlowOCF − Capex | $-28.6M | $23.2M |
| FCF MarginFCF / Revenue | -19.3% | 29.6% |
| Capex IntensityCapex / Revenue | 1.8% | 0.1% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | $-190.8M | $90.7M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $-25.9M | $23.3M | ||
| Q3 25 | $-34.6M | $32.2M | ||
| Q2 25 | $-83.4M | $33.1M | ||
| Q1 25 | $-34.6M | $2.5M | ||
| Q4 24 | $-44.4M | $34.3M | ||
| Q3 24 | $-77.1M | $60.1M | ||
| Q2 24 | $-26.4M | $31.0M | ||
| Q1 24 | $-35.6M | $24.8M |
| Q4 25 | $-28.6M | $23.2M | ||
| Q3 25 | $-37.8M | $32.1M | ||
| Q2 25 | $-86.7M | $33.0M | ||
| Q1 25 | $-37.7M | $2.4M | ||
| Q4 24 | $-49.8M | $34.0M | ||
| Q3 24 | $-85.0M | $59.8M | ||
| Q2 24 | $-33.7M | $30.5M | ||
| Q1 24 | $-40.0M | $24.7M |
| Q4 25 | -19.3% | 29.6% | ||
| Q3 25 | -24.9% | 41.3% | ||
| Q2 25 | -55.3% | 43.6% | ||
| Q1 25 | -25.2% | 3.0% | ||
| Q4 24 | -27.1% | 43.5% | ||
| Q3 24 | -49.0% | 75.6% | ||
| Q2 24 | -18.5% | 40.7% | ||
| Q1 24 | -23.0% | 30.6% |
| Q4 25 | 1.8% | 0.1% | ||
| Q3 25 | 2.1% | 0.2% | ||
| Q2 25 | 2.1% | 0.1% | ||
| Q1 25 | 2.1% | 0.2% | ||
| Q4 24 | 2.9% | 0.3% | ||
| Q3 24 | 4.6% | 0.3% | ||
| Q2 24 | 4.0% | 0.6% | ||
| Q1 24 | 2.6% | 0.1% |
| Q4 25 | — | — | ||
| Q3 25 | -1.60× | — | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | -3.17× | — | ||
| Q3 24 | -3.10× | 18.52× | ||
| Q2 24 | — | — | ||
| Q1 24 | — | — |
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% |
RPAY
| Sales Channel Directly To Consumer | $69.4M | 88% |
| Other | $6.8M | 9% |
| Sales Channel Through Intermediary | $2.3M | 3% |
