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

Upstart Holdings, Inc. is the larger business by last-quarter revenue ($296.1M vs $148.5M, roughly 2.0× OPKO HEALTH, INC.). Upstart Holdings, Inc. runs the higher net margin — 6.3% vs -21.1%, a 27.3% gap on every dollar of revenue. On growth, Upstart Holdings, Inc. posted the faster year-over-year revenue change (35.2% vs -19.2%). Upstart Holdings, Inc. produced more free cash flow last quarter ($108.4M vs $-28.6M). Over the past eight quarters, Upstart Holdings, Inc.'s revenue compounded faster (52.2% 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".

Upstart is an AI lending platform that partners with banks and credit unions to provide consumer loans using non-traditional variables, such as education and employment, to predict creditworthiness.

OPK vs UPST — Head-to-Head

Bigger by revenue
UPST
UPST
2.0× larger
UPST
$296.1M
$148.5M
OPK
Growing faster (revenue YoY)
UPST
UPST
+54.4% gap
UPST
35.2%
-19.2%
OPK
Higher net margin
UPST
UPST
27.3% more per $
UPST
6.3%
-21.1%
OPK
More free cash flow
UPST
UPST
$137.0M more FCF
UPST
$108.4M
$-28.6M
OPK
Faster 2-yr revenue CAGR
UPST
UPST
Annualised
UPST
52.2%
-7.5%
OPK

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
OPK
OPK
UPST
UPST
Revenue
$148.5M
$296.1M
Net Profit
$-31.3M
$18.6M
Gross Margin
43.1%
Operating Margin
-25.8%
6.4%
Net Margin
-21.1%
6.3%
Revenue YoY
-19.2%
35.2%
Net Profit YoY
-322.8%
776.4%
EPS (diluted)
$-0.04
$0.20

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
UPST
UPST
Q4 25
$148.5M
$296.1M
Q3 25
$151.7M
$277.1M
Q2 25
$156.8M
$257.3M
Q1 25
$150.0M
$213.4M
Q4 24
$183.6M
$219.0M
Q3 24
$173.6M
$162.1M
Q2 24
$182.2M
$127.6M
Q1 24
$173.7M
$127.8M
Net Profit
OPK
OPK
UPST
UPST
Q4 25
$-31.3M
$18.6M
Q3 25
$21.6M
$31.8M
Q2 25
$-148.4M
$5.6M
Q1 25
$-67.6M
$-2.4M
Q4 24
$14.0M
$-2.8M
Q3 24
$24.9M
$-6.8M
Q2 24
$-10.3M
$-54.5M
Q1 24
$-81.8M
$-64.6M
Gross Margin
OPK
OPK
UPST
UPST
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
UPST
UPST
Q4 25
-25.8%
6.4%
Q3 25
31.7%
8.5%
Q2 25
-38.3%
1.8%
Q1 25
-44.8%
-2.1%
Q4 24
-18.0%
-2.2%
Q3 24
8.2%
-27.8%
Q2 24
-33.9%
-43.5%
Q1 24
-41.2%
-52.8%
Net Margin
OPK
OPK
UPST
UPST
Q4 25
-21.1%
6.3%
Q3 25
14.3%
11.5%
Q2 25
-94.7%
2.2%
Q1 25
-45.1%
-1.1%
Q4 24
7.6%
-1.3%
Q3 24
14.3%
-4.2%
Q2 24
-5.7%
-42.7%
Q1 24
-47.1%
-50.5%
EPS (diluted)
OPK
OPK
UPST
UPST
Q4 25
$-0.04
$0.20
Q3 25
$0.03
$0.23
Q2 25
$-0.19
$0.05
Q1 25
$-0.10
$-0.03
Q4 24
$0.02
$-0.01
Q3 24
$0.03
$-0.07
Q2 24
$-0.01
$-0.62
Q1 24
$-0.12
$-0.74

Balance Sheet & Financial Strength

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

Metric
OPK
OPK
UPST
UPST
Cash + ST InvestmentsLiquidity on hand
$364.4M
$652.4M
Total DebtLower is stronger
$344.0M
Stockholders' EquityBook value
$1.3B
$798.8M
Total Assets
$1.9B
$3.0B
Debt / EquityLower = less leverage
0.27×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
OPK
OPK
UPST
UPST
Q4 25
$364.4M
$652.4M
Q3 25
$412.0M
$489.8M
Q2 25
$267.3M
$395.9M
Q1 25
$428.8M
$599.8M
Q4 24
$426.6M
$788.4M
Q3 24
$400.1M
Q2 24
$40.6M
Q1 24
$75.6M
Total Debt
OPK
OPK
UPST
UPST
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
OPK
OPK
UPST
UPST
Q4 25
$1.3B
$798.8M
Q3 25
$1.3B
$743.7M
Q2 25
$1.3B
$722.0M
Q1 25
$1.3B
$676.6M
Q4 24
$1.4B
$633.2M
Q3 24
$1.4B
$595.5M
Q2 24
$1.4B
$594.7M
Q1 24
$1.3B
$612.8M
Total Assets
OPK
OPK
UPST
UPST
Q4 25
$1.9B
$3.0B
Q3 25
$2.0B
$2.9B
Q2 25
$2.0B
$2.5B
Q1 25
$2.1B
$2.3B
Q4 24
$2.2B
$2.4B
Q3 24
$2.3B
$1.8B
Q2 24
$2.0B
$1.8B
Q1 24
$2.0B
$1.9B
Debt / Equity
OPK
OPK
UPST
UPST
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
OPK
OPK
UPST
UPST
Operating Cash FlowLast quarter
$-25.9M
$108.6M
Free Cash FlowOCF − Capex
$-28.6M
$108.4M
FCF MarginFCF / Revenue
-19.3%
36.6%
Capex IntensityCapex / Revenue
1.8%
0.1%
Cash ConversionOCF / Net Profit
5.82×
TTM Free Cash FlowTrailing 4 quarters
$-190.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
OPK
OPK
UPST
UPST
Q4 25
$-25.9M
$108.6M
Q3 25
$-34.6M
$-122.6M
Q2 25
$-83.4M
$-120.2M
Q1 25
$-34.6M
$-13.5M
Q4 24
$-44.4M
$-110.9M
Q3 24
$-77.1M
$179.3M
Q2 24
$-26.4M
$65.3M
Q1 24
$-35.6M
$52.6M
Free Cash Flow
OPK
OPK
UPST
UPST
Q4 25
$-28.6M
$108.4M
Q3 25
$-37.8M
$-122.7M
Q2 25
$-86.7M
$-120.3M
Q1 25
$-37.7M
Q4 24
$-49.8M
Q3 24
$-85.0M
$179.2M
Q2 24
$-33.7M
$65.3M
Q1 24
$-40.0M
$51.9M
FCF Margin
OPK
OPK
UPST
UPST
Q4 25
-19.3%
36.6%
Q3 25
-24.9%
-44.3%
Q2 25
-55.3%
-46.7%
Q1 25
-25.2%
Q4 24
-27.1%
Q3 24
-49.0%
110.5%
Q2 24
-18.5%
51.1%
Q1 24
-23.0%
40.6%
Capex Intensity
OPK
OPK
UPST
UPST
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%
0.0%
Q3 24
4.6%
0.1%
Q2 24
4.0%
0.0%
Q1 24
2.6%
0.5%
Cash Conversion
OPK
OPK
UPST
UPST
Q4 25
5.82×
Q3 25
-1.60×
-3.86×
Q2 25
-21.43×
Q1 25
Q4 24
-3.17×
Q3 24
-3.10×
Q2 24
Q1 24

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%

UPST
UPST

Personal Lending Segment$201.4M68%
Servicing Fees Net$39.5M13%
Servicing Fees$27.5M9%
Other$15.7M5%
Borrower Fees$8.4M3%
Collection Agency Fees$3.5M1%

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