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Side-by-side financial comparison of OPKO HEALTH, INC. (OPK) and SHENANDOAH TELECOMMUNICATIONS CO (SHEN). Click either name above to swap in a different company.

OPKO HEALTH, INC. is the larger business by last-quarter revenue ($148.5M vs $91.6M, roughly 1.6× SHENANDOAH TELECOMMUNICATIONS CO). SHENANDOAH TELECOMMUNICATIONS CO runs the higher net margin — -5.9% vs -21.1%, a 15.2% gap on every dollar of revenue. On growth, SHENANDOAH TELECOMMUNICATIONS CO posted the faster year-over-year revenue change (7.2% vs -19.2%). OPKO HEALTH, INC. produced more free cash flow last quarter ($-28.6M vs $-78.6M). Over the past eight quarters, SHENANDOAH TELECOMMUNICATIONS CO's revenue compounded faster (15.0% 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".

Shenandoah Telecommunications Co is a U.S. regional telecom provider offering broadband internet, wireless voice/data services, digital cable TV, and fiber-optic solutions. It serves residential, small business and enterprise clients across Mid-Atlantic states, focusing on underserved rural and suburban markets in Virginia, West Virginia, Maryland and Pennsylvania.

OPK vs SHEN — Head-to-Head

Bigger by revenue
OPK
OPK
1.6× larger
OPK
$148.5M
$91.6M
SHEN
Growing faster (revenue YoY)
SHEN
SHEN
+26.4% gap
SHEN
7.2%
-19.2%
OPK
Higher net margin
SHEN
SHEN
15.2% more per $
SHEN
-5.9%
-21.1%
OPK
More free cash flow
OPK
OPK
$50.0M more FCF
OPK
$-28.6M
$-78.6M
SHEN
Faster 2-yr revenue CAGR
SHEN
SHEN
Annualised
SHEN
15.0%
-7.5%
OPK

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
OPK
OPK
SHEN
SHEN
Revenue
$148.5M
$91.6M
Net Profit
$-31.3M
$-5.4M
Gross Margin
43.1%
Operating Margin
-25.8%
-1.0%
Net Margin
-21.1%
-5.9%
Revenue YoY
-19.2%
7.2%
Net Profit YoY
-322.8%
-95.8%
EPS (diluted)
$-0.04
$-0.13

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
OPK
OPK
SHEN
SHEN
Q4 25
$148.5M
$91.6M
Q3 25
$151.7M
$89.8M
Q2 25
$156.8M
$88.6M
Q1 25
$150.0M
$87.9M
Q4 24
$183.6M
$85.4M
Q3 24
$173.6M
$87.6M
Q2 24
$182.2M
$85.8M
Q1 24
$173.7M
$69.2M
Net Profit
OPK
OPK
SHEN
SHEN
Q4 25
$-31.3M
$-5.4M
Q3 25
$21.6M
$-9.4M
Q2 25
$-148.4M
$-9.0M
Q1 25
$-67.6M
$-9.1M
Q4 24
$14.0M
$-2.7M
Q3 24
$24.9M
$-5.3M
Q2 24
$-10.3M
$-12.9M
Q1 24
$-81.8M
$214.7M
Gross Margin
OPK
OPK
SHEN
SHEN
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
OPK
OPK
SHEN
SHEN
Q4 25
-25.8%
-1.0%
Q3 25
31.7%
-8.0%
Q2 25
-38.3%
-10.3%
Q1 25
-44.8%
-6.9%
Q4 24
-18.0%
-6.7%
Q3 24
8.2%
-4.8%
Q2 24
-33.9%
-18.5%
Q1 24
-41.2%
-4.0%
Net Margin
OPK
OPK
SHEN
SHEN
Q4 25
-21.1%
-5.9%
Q3 25
14.3%
-10.5%
Q2 25
-94.7%
-10.2%
Q1 25
-45.1%
-10.4%
Q4 24
7.6%
-3.2%
Q3 24
14.3%
-6.0%
Q2 24
-5.7%
-15.0%
Q1 24
-47.1%
310.0%
EPS (diluted)
OPK
OPK
SHEN
SHEN
Q4 25
$-0.04
$-0.13
Q3 25
$0.03
$-0.20
Q2 25
$-0.19
$-0.19
Q1 25
$-0.10
$-0.19
Q4 24
$0.02
$-0.34
Q3 24
$0.03
$-0.13
Q2 24
$-0.01
$-0.24
Q1 24
$-0.12
$4.25

Balance Sheet & Financial Strength

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

Metric
OPK
OPK
SHEN
SHEN
Cash + ST InvestmentsLiquidity on hand
$364.4M
$27.3M
Total DebtLower is stronger
$344.0M
$642.4M
Stockholders' EquityBook value
$1.3B
$880.8M
Total Assets
$1.9B
$1.9B
Debt / EquityLower = less leverage
0.27×
0.73×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
OPK
OPK
SHEN
SHEN
Q4 25
$364.4M
$27.3M
Q3 25
$412.0M
$22.6M
Q2 25
$267.3M
$29.1M
Q1 25
$428.8M
$87.5M
Q4 24
$426.6M
$46.3M
Q3 24
$400.1M
$43.1M
Q2 24
$40.6M
$43.8M
Q1 24
$75.6M
$389.7M
Total Debt
OPK
OPK
SHEN
SHEN
Q4 25
$344.0M
$642.4M
Q3 25
$344.2M
$535.4M
Q2 25
$343.3M
$513.1M
Q1 25
$439.2M
$515.8M
Q4 24
$437.2M
$418.0M
Q3 24
$441.0M
$345.2M
Q2 24
$201.9M
$297.4M
Q1 24
$350.1M
$298.7M
Stockholders' Equity
OPK
OPK
SHEN
SHEN
Q4 25
$1.3B
$880.8M
Q3 25
$1.3B
$892.7M
Q2 25
$1.3B
$902.0M
Q1 25
$1.3B
$910.5M
Q4 24
$1.4B
$918.6M
Q3 24
$1.4B
$925.4M
Q2 24
$1.4B
$933.1M
Q1 24
$1.3B
$871.6M
Total Assets
OPK
OPK
SHEN
SHEN
Q4 25
$1.9B
$1.9B
Q3 25
$2.0B
$1.9B
Q2 25
$2.0B
$1.8B
Q1 25
$2.1B
$1.8B
Q4 24
$2.2B
$1.7B
Q3 24
$2.3B
$1.7B
Q2 24
$2.0B
$1.7B
Q1 24
$2.0B
$1.4B
Debt / Equity
OPK
OPK
SHEN
SHEN
Q4 25
0.27×
0.73×
Q3 25
0.26×
0.60×
Q2 25
0.26×
0.57×
Q1 25
0.33×
0.57×
Q4 24
0.32×
0.46×
Q3 24
0.31×
0.37×
Q2 24
0.14×
0.32×
Q1 24
0.28×
0.34×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
OPK
OPK
SHEN
SHEN
Operating Cash FlowLast quarter
$-25.9M
$28.8M
Free Cash FlowOCF − Capex
$-28.6M
$-78.6M
FCF MarginFCF / Revenue
-19.3%
-85.8%
Capex IntensityCapex / Revenue
1.8%
117.2%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$-190.8M
$-257.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
OPK
OPK
SHEN
SHEN
Q4 25
$-25.9M
$28.8M
Q3 25
$-34.6M
$30.7M
Q2 25
$-83.4M
$20.9M
Q1 25
$-34.6M
$20.5M
Q4 24
$-44.4M
$20.6M
Q3 24
$-77.1M
$24.3M
Q2 24
$-26.4M
$2.5M
Q1 24
$-35.6M
$15.2M
Free Cash Flow
OPK
OPK
SHEN
SHEN
Q4 25
$-28.6M
$-78.6M
Q3 25
$-37.8M
$-51.4M
Q2 25
$-86.7M
$-65.3M
Q1 25
$-37.7M
$-62.7M
Q4 24
$-49.8M
$-72.0M
Q3 24
$-85.0M
$-51.3M
Q2 24
$-33.7M
$-78.3M
Q1 24
$-40.0M
$-54.9M
FCF Margin
OPK
OPK
SHEN
SHEN
Q4 25
-19.3%
-85.8%
Q3 25
-24.9%
-57.2%
Q2 25
-55.3%
-73.7%
Q1 25
-25.2%
-71.3%
Q4 24
-27.1%
-84.3%
Q3 24
-49.0%
-58.5%
Q2 24
-18.5%
-91.3%
Q1 24
-23.0%
-79.3%
Capex Intensity
OPK
OPK
SHEN
SHEN
Q4 25
1.8%
117.2%
Q3 25
2.1%
91.4%
Q2 25
2.1%
97.3%
Q1 25
2.1%
94.7%
Q4 24
2.9%
108.4%
Q3 24
4.6%
86.2%
Q2 24
4.0%
94.2%
Q1 24
2.6%
101.2%
Cash Conversion
OPK
OPK
SHEN
SHEN
Q4 25
Q3 25
-1.60×
Q2 25
Q1 25
Q4 24
-3.17×
Q3 24
-3.10×
Q2 24
Q1 24
0.07×

Financial Flow Comparison

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

Revenue Breakdown by Segment

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%

SHEN
SHEN

Residential And SMB Incumbent Broadband$41.5M45%
Residential And SMB Glo Fiber Expansion Markets$23.0M25%
Commercial Fiber$20.3M22%
RLEC Other$6.8M7%

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