7Baggers

OPKO Health, Inc
(NASDAQ:OPK) 

OPK stock logo

OPKO Health, Inc., a healthcare company, engages in the diagnostics and pharmaceuticals businesses in the United States, Ireland, Chile, Spain, Israel, Mexico, and internationally. The company's Diagnostics segment operates BioReference Laboratories that offers laboratory testing services for the de...

Founded: 1991
Full Time Employees: 6,096
CEO: Phillip Frost  
Sector: Healthcare
Industry: Diagnostics & Research

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Quarterly
Annual
    Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 
                                                                  
      revenues:
                                                                  
      revenue from services
    72,186,000 71,085,000 95,244,000 101,101,000 102,844,000 103,110,000 121,271,000 129,395,000 126,890,000 124,175,000 131,679,000 127,052,000 132,368,000 139,371,000 142,856,000 186,804,000 286,599,000 362,794,000 340,163,000 397,197,000 506,951,000 457,933,000 382,498,000 250,971,000 170,839,000 177,946,000 181,139,000 178,458,000 178,891,000 183,068,000 202,811,000 216,055,000 211,315,000 148,084,000 229,035,000 256,671,000 255,286,000 234,570,000 259,025,000 266,012,000 252,522,000 221,810,000 103,919,000 1,908,000 2,069,000 2,060,000 2,482,000 2,153,000 1,970,000 2,608,000 2,770,000 3,188,000 3,092,000          
      revenue from products
    38,042,000 43,663,000 37,676,000 40,743,000 34,842,000 37,436,000 39,143,000 40,485,000 38,047,000 43,004,000 40,670,000 43,500,000 40,383,000 37,907,000 32,388,000 35,892,000 36,658,000 35,280,000 36,882,000 35,663,000 33,945,000 30,819,000 28,702,000 29,356,000 31,074,000 32,041,000 26,161,000 28,680,000 25,301,000 25,343,000 25,395,000 28,523,000 27,851,000 33,767,000 22,795,000 28,966,000 22,231,000 20,192,000 20,569,000 22,807,000 19,899,000 21,080,000 20,765,000                    
      revenue from transfer of intellectual property and other
    13,968,000 33,702,000 18,749,000 14,963,000 12,266,000 43,092,000 13,218,000 12,306,000 8,749,000 14,725,000 6,246,000 94,866,000 64,826,000 8,062,000 4,500,000 87,197,000 5,962,000 3,257,000 8,768,000 9,548,000 4,269,000 5,922,000 16,864,000 20,880,000 9,553,000 14,356,000 21,472,000 19,230,000 18,259,000 13,443,000 21,609,000 19,107,000 15,748,000 11,849,000 11,665,000 28,576,000 18,579,000 20,727,000 18,441,000 68,281,000 18,616,000                      
      total revenues
    124,196,000 148,450,000 151,669,000 156,807,000 149,952,000 183,638,000 173,632,000 182,186,000 173,686,000 181,904,000 178,595,000 265,418,000 237,577,000 185,340,000 179,744,000 309,893,000 329,219,000 401,331,000 385,813,000 442,408,000 545,165,000 494,674,000 428,064,000 301,207,000 211,466,000 224,343,000 228,772,000 226,368,000 222,451,000 221,854,000 249,815,000 263,685,000 254,914,000 193,700,000 263,495,000 314,213,000 296,096,000 275,489,000 298,035,000 357,100,000 291,037,000 276,191,000 143,034,000 42,429,000 30,084,000 25,533,000 19,773,000 23,545,000 22,274,000 20,692,000 20,641,000 23,821,000 31,376,000 16,261,000 11,795,000        
      yoy
    -17.18% -19.16% -12.65% -13.93% -13.66% 0.95% -2.78% -31.36% -26.89% -1.85% -0.64% -14.35% -27.84% -53.82% -53.41% -29.95% -39.61% -18.87% -9.87% 46.88% 157.80% 120.50% 87.11% 33.06% -4.94% 1.12% -8.42% -14.15% -12.73% 14.53% -5.19% -16.08% -13.91% -29.69% -11.59% -12.01% 1.74% -0.25% 108.37% 741.64% 867.41% 981.70% 623.38% 80.20% 35.06% 23.40% -4.21% -1.16% -29.01% 27.25% 75.00%            
      qoq
    -16.34% -2.12% -3.28% 4.57% -18.34% 5.76% -4.70% 4.89% -4.52% 1.85% -32.71% 11.72% 28.18% 3.11% -42.00% -5.87% -17.97% 4.02% -12.79% -18.85% 10.21% 15.56% 42.12% 42.44% -5.74% -1.94% 1.06% 1.76% 0.27% -11.19% -5.26% 3.44% 31.60% -26.49% -16.14% 6.12% 7.48% -7.56% -16.54% 22.70% 5.38% 93.09% 237.11% 41.04% 17.82% 29.13% -16.02% 5.71% 7.65% 0.25% -13.35% -24.08% 92.95% 37.86%         
      costs and expenses:
                                                                  
      cost of service revenue
    56,143,000 60,047,000 80,402,000 82,383,000 84,518,000 76,311,000 108,847,000 107,078,000 109,873,000 112,370,000 106,375,000 113,028,000 114,059,000 106,327,000 128,182,000 171,836,000 221,202,000 271,744,000 223,193,000 267,807,000 339,429,000 300,926,000 255,292,000 144,794,000 122,887,000 124,877,000 126,348,000 130,078,000 129,903,000 135,458,000 137,347,000 134,408,000 139,441,000 139,883,000 135,203,000 143,901,000 139,966,000 146,982,000 138,554,000 140,971,000 137,597,000 15,358,500 56,670,000                    
      cost of product revenue
    22,298,000 24,378,000 21,374,000 25,022,000 22,814,000 22,668,000 24,656,000 23,455,000 21,744,000 24,827,000 24,543,000 25,911,000 24,255,000 23,019,000 20,263,000 22,475,000 22,673,000 21,079,000 20,764,000 25,101,000 24,078,000 17,799,000 17,481,000 17,857,000 17,371,000 17,404,000 15,573,000 14,145,000 14,156,000 14,073,000 13,609,000 15,652,000 14,648,000 16,736,000 16,107,000 13,505,000 14,830,000 12,346,000 12,626,000 12,468,000 9,939,000 11,284,000 10,658,000                    
      selling, general and administrative
    48,607,000 50,515,000 53,804,000 59,597,000 59,086,000 67,029,000 98,203,000 68,821,000 70,167,000 72,883,000 72,240,000 79,794,000 75,642,000 73,997,000 79,674,000 101,464,000 117,537,000 138,214,000 105,120,000 113,236,000 112,286,000 101,824,000 99,897,000 77,721,000 76,132,000 79,130,000 80,542,000 88,475,000 95,158,000 95,104,000 84,071,000 87,653,000 91,519,000 124,635,000 131,336,000 128,338,000 136,685,000 120,530,000 124,845,000 117,511,000 128,001,000 102,947,000 55,246,000 20,937,000 17,446,000 15,243,000 14,010,000 14,874,000 13,812,000 15,445,000 13,572,000 13,879,000 12,424,000 10,367,000 7,322,000 5,435,000 4,671,000 5,067,000 4,348,000 4,919,000 5,586,000  
      research and development
    29,199,000 32,772,000 30,078,000 30,342,000 30,841,000 30,425,000 28,770,000 24,082,000 21,937,000 19,394,000 19,435,000 18,159,000 32,605,000 19,528,000 18,792,000 17,254,000 18,312,000 21,007,000 18,306,000 18,222,000 19,315,000 17,454,000 18,493,000 17,608,000 21,760,000 23,038,000 30,017,000 28,286,000 36,529,000 33,328,000 30,160,000 29,211,000 32,887,000 34,242,000 32,329,000 32,593,000 26,022,000 27,611,000 24,424,000 31,348,000 27,822,000 25,478,000 18,937,000 29,570,000 25,503,000 25,827,000 20,517,000 16,234,000 20,994,000 23,350,000 11,085,000 9,557,000 9,910,000 6,578,000 3,621,000 4,490,000 4,831,000 4,255,000 3,301,000 3,154,000 1,645,000  
      amortization of intangible assets
    18,966,000 19,055,000 19,531,000 19,444,000 19,861,000 20,344,000 20,433,000 20,420,000 21,437,000 21,489,000 21,534,000 21,535,000 21,474,000 21,559,000 21,407,000 22,793,000 22,025,000 12,518,000 12,609,000 12,574,000 12,577,000 12,638,000 13,879,000 14,937,000 14,938,000 15,390,000 16,412,000 16,419,000 16,562,000 16,536,000 16,899,000 17,227,000 17,271,000 30,774,000 18,023,000 17,953,000 17,929,000 17,070,000 18,116,000 15,778,000 13,443,000 13,966,000 8,110,000 3,236,000 2,665,000 2,615,000 2,735,000 2,826,000 2,744,000 2,941,000 2,790,000 2,688,000 2,714,000          
      total costs and expenses
    175,213,000 186,767,000 103,613,000 216,788,000 217,120,000 216,777,000 159,416,000 243,856,000 245,158,000 250,950,000 243,002,000 258,393,000 268,171,000 240,609,000 267,564,000 320,632,000 401,643,000 464,415,000 347,987,000 436,837,000 506,728,000 445,318,000 406,125,000 274,028,000 252,228,000 336,807,000 267,783,000 273,628,000 297,769,000 311,867,000 283,279,000 268,793,000 297,525,000 347,322,000 321,785,000 340,656,000 337,803,000 325,889,000 321,658,000 328,834,000 318,555,000 284,125,000 151,257,000 67,838,000 86,998,000 57,987,000 67,974,000 58,430,000 52,551,000 56,558,000 39,651,000 41,804,000           
      operating income
    -51,017,000 -38,317,000 48,056,000 -59,981,000 -67,168,000 -33,139,000 14,216,000 -61,670,000 -71,472,000 -69,046,000 -64,407,000 7,025,000 -30,594,000 -55,269,000 -87,820,000 -10,739,000 -72,424,000 -63,084,000 37,826,000 5,571,000 38,437,000 49,356,000 21,939,000 27,179,000 -40,762,000 -112,464,000 -39,011,000 -47,260,000 -75,318,000 -90,013,000 -33,464,000 -5,108,000 -42,611,000 -153,622,000 -58,290,000 -26,443,000 -41,707,000 -50,400,000 -23,623,000 28,266,000 -27,518,000 -7,934,000 -8,223,000 -25,409,000 -56,914,000 -32,454,000 -48,201,000 -34,885,000 -30,277,000           -5,162,000 -5,086,000  
      yoy
    -24.05% 15.63% 238.04% -2.74% -6.02% -52.00% -122.07% -977.86% 133.61% 24.93% -26.66% -165.42% -57.76% -12.39% -332.17% -292.77% -288.42% -227.81% 72.41% -79.50% -194.30% -143.89% -156.24% -157.51% -45.88% 24.94% 16.58% 825.22% 76.76% -41.41% -42.59% -80.68% 2.17% 204.81% 146.75% -193.55% 51.56% 535.24% 187.28% -211.24% -51.65% -75.55% -82.94% -27.16% 87.98%                  
      qoq
    33.14% -179.73% -180.12% -10.70% 102.69% -333.11% -123.05% -13.71% 3.51% 7.20% -1016.83% -122.96% -44.65% -37.07% 717.77% -85.17% 14.81% -266.77% 578.98% -85.51% -22.12% 124.97% -19.28% -166.68% -63.76% 188.29% -17.45% -37.25% -16.33% 168.98% 555.13% -88.01% -72.26% 163.55% 120.44% -36.60% -17.25% 113.35% -183.57% -202.72% 246.84% -3.51% -67.64% -55.36% 75.37% -32.67% 38.17% 15.22%            1.49%   
      operating margin %
    -41.08% -25.81% 31.68% -38.25% -44.79% -18.05% 8.19% -33.85% -41.15% -37.96% -36.06% 2.65% -12.88% -29.82% -48.86% -3.47% -22.00% -15.72% 9.80% 1.26% 7.05% 9.98% 5.13% 9.02% -19.28% -50.13% -17.05% -20.88% -33.86% -40.57% -13.40% -1.94% -16.72% -79.31% -22.12% -8.42% -14.09% -18.29% -7.93% 7.92% -9.46% -2.87% -5.75% -59.89% -189.18% -127.11% -243.77% -148.16% -135.93% 0% 0% 0% 0% 0% 0% NaN% NaN% NaN% NaN% -Infinity% -Infinity%  
      other income, net:
                                                                  
      interest income
    3,007,000 3,820,000 3,023,000 3,287,000 4,681,000 4,294,000 2,928,000 391,000 813,000 906,000 970,000 1,077,000 1,030,000 1,143,000 667,000 161,000 10,000 7,000 9,000 6,000 5,000 3,000 1,000 5,000 142,000 233,000 350,000 572,000 556,000 1,129,000 43,000 27,000 39,000 -24,000 249,000 136,000 249,000 137,000 163,000 135,000 43,000 228,000 13,000 5,000 8,000 321,000 402,000 7,000 40,000 139,000 88,000 90,000 59,000 65,000 49,000 47,000 27,000      
      interest expense
    -10,939,000 -11,310,000 -11,358,000 -70,327,000 -15,466,000 -14,240,000 -17,359,000 -8,180,000 -7,686,000 -3,453,000 -3,384,000 -3,277,000 -3,391,000 -3,302,000 -3,017,000 -3,075,000 -2,662,000 -4,308,000 -4,290,000 -4,887,000 -5,395,000 -5,420,000 -5,544,000 -5,474,000 -5,496,000 -5,468,000 -5,792,000 -5,501,000 -4,755,000 -3,957,000 -2,944,000 -2,722,000 -2,267,000 -1,830,000 -1,840,000 -1,502,000 -1,429,000 -1,408,000 -2,018,000 -2,217,000 -1,787,000 -2,123,000 -2,745,000 -986,000 -2,565,000 -1,691,000 -2,402,000 -4,685,000 -3,486,000 -3,654,000 -3,409,000 -3,842,000 -2,897,000 -430,000 -393,000 -231,000 -351,000      
      fair value changes of derivative instruments
    -298,000 -134,000 -38,000 16,000 -273,000  -1,000 1,000 -26,161,000 48,000 88,000 142,000 -1,059,000 -3,000 446,000 338,000 -132,000 275,000 1,283,000 -272,000 -439,000 -62,000 -496,000 -13,000 621,000 168,000 -21,000 -388,000 415,000 -446,000 -155,000 2,248,000 1,396,000 -1,917,000 -7,550,000 5,482,000 4,037,000 8,667,000 -5,701,000 1,235,000 -1,423,000 -4,983,000 32,244,000 -16,556,000 -49,788,000 -14,390,000 3,305,000 10,967,000 -10,515,000 2,202,000 -27,793,000 12,651,000 -23,549,000          
      other income
    -1,709,000 -960,000 1,748,000 -35,515,000 4,852,000 78,069,000 48,636,000 58,874,000 21,323,000   -21,417,000 17,017,000    -1,442,000 1,297,000 -3,356,000 -11,783,000 -927,000 2,064,000 4,749,000 18,223,000 -12,332,000 9,086,000 -15,470,000 -5,874,000 977,000 -8,118,000 -824,000 8,584,000 1,893,000 7,352,000 597,000 -533,000 3,042,000 360,000 -2,972,000 5,970,000 546,000 -9,004,000 17,482,000 760,000 -1,508,000 -5,132,000 -2,764,000 2,990,000 1,817,000 22,758,000 -7,787,000 8,027,000 2,331,000 -6,000 224,000 -243,000 1,298,000    38,000  
      other expense
    -9,939,000    -6,206,000     -11,253,000 -11,645,000   -27,772,750 -36,651,000 -72,997,000                                          430,000 -671,000 -139,000   
      loss before income taxes and investment losses
    -60,956,000   -162,520,000 -73,374,000   -10,584,000 -83,183,000 -72,494,000 -78,378,000 -16,450,000 -16,997,000            -57,827,000 -108,445,000 -59,944,000  -78,125,000 -101,405,000 -37,344,000  -41,550,000 -150,041,000 -66,834,000  -35,808,000    -30,139,000   -42,186,000 -110,767,000 -53,346,000 -49,660,000 -25,606,000 -42,421,000   -1,057,000 -30,829,000        -5,048,000  
      income tax benefit
    6,110,000 15,661,000 -19,797,000 14,079,000 5,770,000   280,000 1,350,000 6,019,000 -6,075,000 -3,148,000 -1,233,000 16,975,000 40,327,000 -15,070,000 21,266,000 -1,998,250 -2,680,000   -13,596,000 3,178,000   -3,424,000 -1,769,000  -783,000 28,289,000 11,563,000 -2,017,000 892,000 -61,164,000 24,405,000 10,960,000 6,944,000 31,489,000 19,988,000 -15,868,000 20,506,000 26,457,000 92,978,000 -251,000 -5,509,000    -614,000              
      net loss before investment losses
    -54,846,000   -148,441,000 -67,604,000   -10,304,000 -81,833,000 -66,475,000 -84,453,000 -19,598,000 -18,230,000            -58,998,000 -111,869,000 -61,713,000  -78,908,000 -73,116,000 -25,781,000  -40,658,000 -211,205,000 -42,429,000  -28,864,000                          
      loss from investments in investees
    -2,000 -17,000 -3,000  -9,000 -11,000 -3,000 -1,000 -3,000 -8,000 -20,000 -42,000 -37,000 -24,000 -43,000 -268,000 -49,000 -466,000 -53,000 -67,000 -43,000 -47,000 -110,000 -189,000 -134,000 -481,000 -294,000 -271,000 -1,854,000 -2,955,000 -1,874,000 -7,213,000 -2,456,000 -2,700,000 -4,013,000 -5,628,000 -2,131,000 -2,505,000 -814,000 -1,988,000 -2,345,000 -1,038,000 -3,502,000 -804,000 -1,761,000 -1,101,000 -60,000 -370,000 -2,056,000 -3,595,000 -1,600,000 -2,371,000 -3,890,000 -598,000 -468,000 -475,000 -523,000 -414,000 -301,000 -451,000 -423,000  
      net income
    -54,848,000 -31,257,000 21,631,000 -148,441,000 -67,613,000 14,027,000 24,890,000 -10,305,000 -81,836,000 -66,483,000 -84,473,000 -19,640,000 -18,267,000 -85,231,000 -86,091,000 -101,650,000 -55,433,000 -73,774,000 28,739,000 -16,186,000 31,078,000 32,298,000 23,717,000 33,703,000 -59,132,000 -112,350,000 -62,007,000 -59,806,000 -80,762,000 -76,071,000 -27,655,000 -6,201,000 -43,114,000 -213,905,000 -46,442,000 -17,528,000 -30,995,000 -13,660,000 -14,977,000 15,533,000 -11,978,000 1,603,000 128,247,000 -43,241,000 -118,037,000 -53,462,000 -50,014,000 -26,077,000 -45,091,000 -17,430,000 -60,801,000 -4,353,000 -34,762,000 -1,040,000 -9,646,000 -10,245,000 -8,611,000 18,403,000 -8,236,000 -5,746,000 -5,704,000  
      yoy
    -18.88% -322.83% -13.09% 1340.48% -17.38% -121.10% -129.47% -47.53% 348.00% -22.00% -1.88% -80.68% -67.05% 15.53% -399.56% 528.01% -278.37% -328.42% 21.17% -148.03% -152.56% -128.75% -138.25% -156.35% -26.78% 47.69% 124.22% 864.46% 87.32% -64.44% -40.45% -64.62% 39.10% 1465.92% 210.09% -212.84% 158.77% -952.15% -111.68% -135.92% -89.85% -103.00% -356.42% 65.82% 161.78% 206.72% -17.74% 499.06% 29.71% 1575.96% 530.32% -57.51% 303.69% -105.65% 17.12% 78.30% 50.96%      
      qoq
    75.47% -244.50% -114.57% 119.55% -582.02% -43.64% -341.53% -87.41% 23.09% -21.30% 330.11% 7.52% -78.57% -1.00% -15.31% 83.37% -24.86% -356.70% -277.55% -152.08% -3.78% 36.18% -29.63% -157.00% -47.37% 81.19% 3.68% -25.95% 6.17% 175.07% 345.98% -85.62% -79.84% 360.59% 164.96% -43.45% 126.90% -8.79% -196.42% -229.68% -847.22% -98.75% -396.59% -63.37% 120.79% 6.89% 91.79% -42.17% 158.70% -71.33% 1296.76% -87.48% 3242.50% -89.22% -5.85% 18.98% -146.79% -323.45% 43.33% 0.74%   
      net income margin %
    -44.16% -21.06% 14.26% -94.66% -45.09% 7.64% 14.33% -5.66% -47.12% -36.55% -47.30% -7.40% -7.69% -45.99% -47.90% -32.80% -16.84% -18.38% 7.45% -3.66% 5.70% 6.53% 5.54% 11.19% -27.96% -50.08% -27.10% -26.42% -36.31% -34.29% -11.07% -2.35% -16.91% -110.43% -17.63% -5.58% -10.47% -4.96% -5.03% 4.35% -4.12% 0.58% 89.66% -101.91% -392.36% -209.38% -252.94% -110.75% -202.44% -84.24% -294.56% -18.27% -110.79% -6.40% -81.78% -Infinity% -Infinity% Infinity% -Infinity% -Infinity% -Infinity%  
      loss per share:
                                                                  
      loss per share, basic and diluted
    -0.07   -0.19 -0.1                                                       -0.02 -0.02  
      weighted-average common shares outstanding, basic and diluted
    758,876,415   788,006,992 671,577,429   697,211,592 706,882,189  751,525,007 751,727,383 751,506,257  750,396,263 712,548,661 660,302,426  651,843,074 646,996,891 640,853,200  640,699,982 640,578,794 640,578,794  586,351,045 586,351,045 586,344,207  559,786,382  559,473,838  559,405,309  558,434,153    545,823,434                      
      gain on sale of assets
      -101,576,000    -121,493,000       -3,194,000  -15,365,000   -31,508,000                                            
      income before income taxes and investment losses
     -48,615,750 41,431,000   -11,336,500 48,420,000       -102,182,000 -126,375,000 -86,312,000 -76,650,000 -65,813,000 31,472,000 -11,365,000 31,681,000 45,941,000 20,649,000 39,920,000    -58,451,000    3,029,000    -22,860,000  -7,725,500 -34,151,000 33,389,000  -28,545,500 38,771,000                    
      net income before investment losses
     -48,602,750 21,634,000   -16,811,000 24,893,000       -85,207,000 -86,048,000 -101,382,000 -55,384,000 -73,309,000 28,792,000 -16,119,000 31,121,000 32,345,000 23,827,000 33,892,000    -59,535,000    1,012,000    -11,900,000                           
      income per share:
                                                                  
      income per share, basic
     -0.065 0.03   -0.025 0.04                                                        
      income per share, diluted
     -0.065 0.03   -0.025 0.03                                                        
      weighted-average common shares outstanding, basic
      777,154,808    694,622,466                         559,541,253    559,347,540   552,229,266 547,558,800   500,562,254                    
      weighted-average common shares outstanding, diluted
      779,919,259    998,363,636                         559,541,253    564,163,808   552,229,266 557,040,435   514,320,570                    
      other income and (expense), net:
                                                                  
      contingent consideration
             -13,000 -1,125,000 -34,000 136,000 -627,000 -754,000 175,000 -106,000 -147,000 -497,000 -103,000 -957,000 -5,323,000 1,083,000 1,111,000 -860,000 -14,776,000 -1,109,000 -3,775,000 4,806,000 -4,410,000 1,193,000 -15,358,000 1,759,000 1,052,000 -11,213,000 4,366,000 2,371,000 1,350,000 3,093,000 10,758,000 1,753,000 -1,421,000 1,636,000 -339,000 5,175,000 368,000 19,592,000 1,876,000 2,610,000 2,774,000 252,000 2,577,000 1,344,000 -1,880,000 556,000 965,000 1,144,000      
      income tax provision
         -5,474,500 -23,527,000             -4,754,000 -560,000   -6,028,000 -1,171,000   -1,084,000                  -252,250 -294,000 -101,000  564,500 1,290,000 925,000 43,000 22,250 -128,000 2,000 215,000 49,750 -27,000 -6,000 233,000  
      loss per share, basic and diluted:
                                                                  
      loss per share
           -0.01 -0.12 -0.09 -0.11 -0.03 -0.02            -0.09 -0.18 -0.11 -0.1 -0.14 -0.035 -0.05   -0.043 -0.08                       -0.02 -0.03    
      income per share, basic and diluted:
                                                                  
      income per share
                 -0.12 -0.11 -0.14 -0.08 -0.12 0.04 -0.03 0.05  0.04 0.05                                       
      other income and (expense)
                    -4,226,000 -2,729,000 -6,354,000 -16,936,000 -6,756,000 -3,415,000 -1,290,000 12,741,000 -17,065,000 4,019,000 -20,933,000 -11,191,000 -2,807,000 -11,392,000 -3,880,000 8,137,000 1,061,000 3,581,000 -8,544,000 3,583,000 5,899,000 7,756,000 -10,528,000 5,123,000 -2,621,000 -15,882,000 46,994,000 -16,777,000 -53,853,000 -20,892,000 -1,459,000 9,279,000 -12,144,000 21,445,000 -38,901,000 16,926,000 -24,056,000 -371,000 -120,000 -427,000 974,000      
      asset impairment charges
                             91,744,000   655,000                                  
      loss per share, basic
                                   -0.01                               
      loss per share, diluted
                                   -0.01                               
      net income per share
                                    -0.08    -0.06    -0.02   -0.09 -0.26 -0.13 -0.11 -0.06 -0.11 -0.03 -0.17   -0.01 -0.03 -0.04 -0.03      
      earnings per share:
                                                                  
      earnings per share, basic
                                       -0.03  -0.005 -0.03 0.03  -0.018 0.26                    
      earnings per share, diluted
                                       -0.04  -0.005 -0.03 0.02  -0.018 0.25                    
      grant repayment
                                                25,889,000                  
      income before investment losses
                                         -1,569,000 -14,163,000 17,521,000  -6,741,000 131,749,000                    
      less: net loss attributable to noncontrolling interests
                                               -475,000 -925,000 -491,000 -1,345,000 -597,000 -540,000 -630,000 -803,000 -959,000 -547,000          
      net income attributable to common shareholders
                                         -2,855,750 -14,977,000 15,533,000  -7,907,750 128,247,000                    
      loss before investment losses
                                            -9,633,000   -42,437,000 -116,276,000 -52,361,000 -49,954,000 -25,707,000 -43,035,000   -1,982,000 -30,872,000       -5,295,000 -5,281,000  
      net loss attributable to common shareholders
                                            -11,978,000   -42,766,000 -117,112,000 -52,971,000 -48,669,000 -25,480,000 -44,551,000 -16,800,000 -59,998,000 -3,394,000 -34,635,000 -1,108,000 -10,206,000 -10,805,000 -9,171,000 17,884,000 -8,836,000 -6,361,000 -6,349,000  
      other revenue, principally transfer of intellectual property
                                             12,138,000 18,350,000                    
      in-process research and development
                                                                  
      products
                                               22,848,000 15,486,000 18,473,000 17,291,000 21,392,000 19,828,000 17,453,000 16,563,000 18,618,000 15,527,000          
      revenue from transfer of intellectual property
                                               17,673,000 12,529,000 5,000,000   476,000 631,000 1,308,000 2,015,000 12,757,000          
      costs of revenues
                                               14,434,000 10,320,000 11,934,000 11,120,000 12,565,000 12,391,000 12,048,000 11,952,000 13,103,000           
      weighted-average number of common shares outstanding, basic and diluted
     751,132,891    694,019,535    751,765,915    719,060,942    648,077,716    640,655,290    595,454,394        559,160,565    550,846,553    488,065,908  462,253,161 446,480,884 422,014,039 427,577,102 413,339,679 412,909,809 355,095,701 360,638,527 336,732,215 312,932,561 295,750,077 298,103,882 297,836,707 297,543,066 280,673,122 285,582,259 285,135,830 261,042,274  
      in process research and development
                                                 2,513,750  10,055,000               
      net loss attributable to common shareholders before preferred stock dividend
                                                 -52,971,000 -48,669,000 -25,480,000 -44,551,000 -16,800,000 -59,998,000 -3,394,000 -34,215,000          
      preferred stock dividend
                                                        -420,000 -560,000 -560,000 -560,000 -560,000 -519,000 -600,000 -615,000 -645,000  
      operating loss from continuing operations
                                                     -35,866,000 -19,010,000   -9,712,000 -9,369,000 -9,341,000 -8,847,000 -8,475,000 -5,804,000    
      loss from continuing operations before income taxes and investment losses
                                                     -14,421,000 -57,911,000   -10,083,000 -9,489,000 -9,768,000 -7,873,000      
      loss from continuing operations before investment losses
                                                     -13,835,000 -59,201,000     -9,770,000 -8,088,000 10,795,000 -6,448,000    
      loss from continuing operations
                                                     -17,430,000 -60,801,000   -966,000 -9,829,000 -10,245,000 -8,611,000 10,381,000 -6,749,000    
      income from discontinued operations, net of tax
                                                         -74,000 183,000        
      income from discontinued operations
                                                                  
      income from operations
                                                       -17,983,000 -6,773,000          
      basic and diluted loss per share
                                                       -0.01 -0.11          
      cost of revenues, excluding amortization of intangible assets
                                                        11,757,000          
      gross margin, excluding amortization of intangible assets
                                                        19,619,000 7,411,000 4,308,000 3,657,000 3,790,000 1,636,000 2,790,000 3,931,000 3,025,000  
      operating expenses:
                                                                  
      total operating expenses
                                                        26,392,000 17,123,000 13,677,000 12,998,000 12,637,000 10,111,000 8,594,000 9,093,000 8,111,000  
      product sales
                                                         7,512,750 11,495,000 9,917,000 8,639,000 5,528,250 6,760,000 10,130,000 8,635,000  
      other revenue
                                                         183,000 300,000 294,000 138,000 18,000 47,000 12,000 13,000  
      cost of goods sold, excluding amortization of intangible assets
                                                         4,757,000 7,487,000 6,554,000 4,987,000 4,158,000 4,017,000 6,211,000 5,623,000  
      other operating expenses, principally amortization of intangible assets
                                                         1,569,250 2,178,000 2,108,000 1,991,000 789,000 945,000 1,020,000 880,000  
      loss from continuing operation before investment losses
                                                         -6,804,750 -9,361,000        
      revenue:
                                                                  
      total revenue
                                                           10,211,000 8,777,000 5,794,000 6,807,000 10,142,000 8,648,000  
      loss from discontinued operations, net of tax
                                                             -710,250 -1,487,000    
      loss from discontinued operations
                                                                  
      revenue
                                                                  
      operating expenses
                                                                  
      other income and
                                                                  
      loss from continuing operations before income taxes and investment loss
                                                             -3,867,750 -6,475,000    
      loss per share from continuing operations
                                                             -0.015 -0.02    
      loss before income taxes and investment
                                                                  
      loss
                                                               -5,301,000   
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 
                                                                    
        assets
                                                                    
        current assets:
                                                                    
        cash, cash equivalents and current restricted cash
      341,881,000 369,074,000 415,198,000 271,718,000 435,999,000 431,936,000 406,400,000                                                        
        accounts receivable
      79,636,000 90,255,000 94,580,000 99,376,000 96,150,000 118,017,000 106,579,000 105,313,000 111,367,000 123,379,000 117,449,000 210,982,000 121,486,000 127,312,000 123,188,000 158,425,000 212,755,000 259,637,000 255,192,000 265,856,000 320,462,000 286,314,000 241,544,000 214,352,000 132,476,000 134,617,000 140,765,000 148,287,000 144,383,000 143,907,000 157,374,000 152,777,000 158,642,000 165,516,000 233,916,000 251,747,000 238,893,000 220,284,000 223,827,000 213,372,000 204,479,000 193,875,000 189,725,000 26,980,000 19,064,000 19,969,000 21,210,000 23,113,000 19,664,000 19,767,000 21,372,000 22,227,000 21,170,000 21,162,000 19,142,000 15,901,000 16,249,000 12,544,000 12,688,000 15,528,000 14,001,000 13,317,000 
        inventory
      64,397,000 65,823,000 64,954,000 66,345,000 64,001,000 56,797,000 59,408,000 60,153,000 59,366,000 65,697,000 68,960,000 73,749,000 75,411,000 74,060,000 71,429,000 83,306,000 99,406,000 86,502,000 112,861,000 134,722,000 159,104,000 132,341,000 111,873,000 72,965,000 58,697,000 53,434,000 50,109,000 48,293,000 44,610,000 42,299,000 43,379,000 46,753,000 49,815,000 49,333,000 46,954,000 48,293,000 47,492,000 47,228,000 43,186,000 42,046,000 40,575,000 39,681,000 40,693,000 20,519,000 18,324,000 16,604,000 16,662,000 18,334,000 18,865,000 18,079,000 19,516,000 19,778,000 23,022,000 22,261,000  17,087,000 18,393,000 13,339,000 10,516,000 16,326,000 18,137,000 19,957,000 
        other current assets and prepaid expenses
      49,448,000 56,729,000 52,398,000 58,883,000 54,441,000 55,339,000 57,249,000 32,288,000 24,652,000 24,519,000 32,209,000 40,950,000 98,691,000 39,962,000 38,516,000 42,563,000 23,274,000 27,170,000 40,858,000 47,627,000 29,980,000 32,313,000 38,398,000 51,125,000 48,754,000 50,542,000 37,301,000 36,533,000 38,994,000 35,052,000 45,346,000 41,651,000 40,946,000 37,113,000 49,324,000 41,946,000 42,495,000 47,356,000 90,408,000 78,506,000                       
        total current assets
      535,362,000 581,881,000 627,130,000 583,333,000 737,604,000 662,089,000 629,636,000 357,981,000 391,303,000 309,476,000 357,239,000 433,789,000 406,418,000 394,525,000 413,971,000 494,752,000 754,069,000 823,013,000 557,510,000 547,029,000 599,049,000 523,179,000 428,109,000 360,054,000 274,457,000 324,045,000 292,842,000 344,228,000 435,237,000 317,731,000 289,817,000 321,562,000 349,346,000 343,461,000 430,556,000 472,516,000 459,932,000 483,601,000 502,067,000 505,573,000 453,532,000 454,058,000 517,416,000 278,339,000 394,025,000 142,869,000 163,148,000 183,010,000 205,272,000 242,728,000 241,277,000 230,116,000 237,683,000 78,657,000 87,985,000 92,346,000 99,411,000 99,582,000 117,629,000 127,628,000 142,785,000 54,072,000 
        property, plant and equipment
      72,585,000 73,926,000 74,994,000 74,937,000 71,195,000 70,134,000 72,271,000 66,766,000 64,165,000 75,429,000 78,170,000 78,876,000 80,853,000 82,879,000 79,949,000 78,601,000 81,899,000 79,727,000 107,500,000 106,652,000 139,069,000 140,554,000 134,102,000 130,540,000 127,304,000 127,111,000 128,519,000 137,106,000 139,965,000 144,674,000 147,386,000 150,156,000 148,718,000 146,557,000 142,437,000 133,355,000 126,256,000 122,831,000 125,486,000 128,274,000 133,948,000 131,798,000 126,822,000                    
        intangible assets
      496,351,000 516,276,000 535,378,000 555,988,000 568,518,000 616,613,000 641,396,000 659,111,000 680,034,000 740,283,000 758,414,000 782,195,000 803,616,000 823,520,000 835,136,000 862,409,000 890,498,000 321,683,000 433,855,000 445,515,000 456,309,000 475,002,000 486,418,000 499,125,000 513,511,000 528,962,000 564,310,000 581,306,000 597,316,000 614,452,000 631,434,000 648,541,000 667,637,000 683,835,000 714,552,000 731,134,000 746,654,000 763,976,000 781,890,000 804,445,000 625,405,000 638,152,000 660,287,000 94,247,000 59,432,000 62,649,000 65,553,000 69,059,000 71,921,000 74,533,000 77,333,000 79,775,000 82,354,000 95,784,000 82,586,000 75,835,000 75,094,000 76,730,000 14,252,000 18,545,000 19,355,000 9,964,000 
        in-process research and development
      195,000,000 195,000,000 195,000,000 195,000,000 195,000,000 195,000,000 195,000,000 195,000,000 195,000,000 195,000,000 195,000,000 195,000,000 195,000,000 195,000,000 195,000,000 195,000,000  590,200,000 590,200,000 590,200,000 590,200,000 590,200,000 590,200,000 590,200,000 590,200,000 590,200,000 635,000,000 635,569,000 635,561,000 635,572,000 646,339,000 645,714,000 646,386,000 647,347,000 648,377,000 645,957,000 645,058,000 644,713,000 646,970,000 606,035,000 793,626,000 792,275,000 812,723,000 812,446,000 793,000,000 793,152,000 793,214,000 793,326,000 793,339,000 793,341,000 793,312,000 203,052,000 203,030,000          
        goodwill
      482,268,000 484,289,000 484,032,000 484,185,000 476,672,000 529,252,000 535,868,000 530,106,000 530,615,000 598,260,000 594,457,000 597,375,000 597,380,000 595,851,000 573,499,000 578,845,000 519,052,000 520,601,000 674,574,000 677,360,000 676,162,000 680,602,000 675,795,000 671,599,000 669,582,000 671,940,000 695,798,000 699,842,000 698,522,000 700,193,000 713,629,000 714,234,000 719,891,000 717,099,000 715,573,000 712,075,000 705,990,000 704,603,000 700,526,000 691,060,000 746,961,000 743,348,000 761,234,000 289,607,000 223,219,000 224,292,000 224,769,000 226,001,000 226,062,000 226,373,000 222,340,000 82,086,000 82,709,000 80,450,000 49,738,000 40,988,000 40,319,000 39,815,000 6,234,000 6,853,000 6,672,000 5,856,000 
        investments
      10,529,000 14,168,000 13,367,000 13,045,000 12,750,000 54,584,000 100,609,000 101,489,000 40,990,000 16,082,000 19,377,000 27,783,000 41,231,000 28,080,000 77,804,000 108,685,000 9,472,000 10,729,000 11,753,000 8,945,000 10,410,000 15,731,000 14,325,000 26,260,000 10,669,000 20,746,000 11,695,000 24,767,000 32,297,000 31,228,000 42,737,000 45,497,000 41,289,000 40,642,000 32,196,000 34,495,000 37,285,000 41,139,000 38,783,000 34,249,000 35,212,000 34,716,000 34,695,000 21,434,000 22,380,000 22,453,000 26,849,000 33,428,000 35,697,000 30,653,000 24,690,000 26,690,000 28,546,000 15,636,000 14,998,000 14,826,000 10,136,000 6,717,000 5,862,000 4,240,000 4,691,000 5,114,000 
        operating lease right-of-use assets
      45,800,000 46,930,000 45,681,000 46,627,000 47,819,000 54,003,000 62,812,000 61,622,000 63,331,000 68,088,000 44,690,000 34,938,000 36,832,000 38,725,000 39,790,000 42,412,000 42,768,000 44,228,000 33,502,000 36,349,000 38,631,000 37,735,000 36,485,000 38,469,000 39,793,000 39,380,000 35,826,000 29,640,000 33,277,000                                  
        other assets
      18,901,000 19,474,000 19,926,000 19,874,000 18,769,000 18,537,000 18,511,000 7,796,000 8,578,000 9,080,000 9,333,000 8,943,000 8,340,000 8,679,000 9,636,000 8,898,000 9,100,000 9,534,000 8,744,000 9,600,000 9,745,000 10,060,000 5,857,000 7,487,000 7,026,000 6,888,000 5,528,000 3,770,000 3,126,000 7,222,000 9,652,000 5,246,000 5,627,000 5,615,000 38,299,000 39,162,000 38,893,000 5,756,000 4,305,000 4,385,000 4,522,000 5,267,000  6,013,000 5,073,000 5,838,000 4,673,000 4,910,000 6,520,000 6,861,000 7,003,000 2,784,000 2,863,000 2,777,000 1,870,000 1,244,000 1,267,000 1,287,000 824,000 60,000 33,000 111,000 
        total assets
      1,856,796,000 1,931,944,000 1,995,508,000 1,972,989,000 2,128,327,000 2,200,212,000 2,256,103,000 1,979,871,000 1,974,016,000 2,011,698,000 2,056,680,000 2,158,899,000 2,169,670,000 2,167,259,000 2,224,785,000 2,369,602,000 2,306,858,000 2,399,715,000 2,417,638,000 2,421,650,000 2,519,575,000 2,473,063,000 2,371,291,000 2,323,734,000 2,232,542,000 2,309,272,000 2,369,518,000 2,456,228,000 2,575,301,000 2,451,072,000 2,480,994,000 2,530,950,000 2,578,894,000 2,584,556,000 2,721,990,000 2,768,694,000 2,760,068,000 2,766,619,000 2,800,027,000 2,774,021,000 2,793,206,000 2,799,614,000 3,015,853,000 1,525,491,000 1,512,249,000 1,267,664,000 1,295,242,000 1,327,082,000 1,355,692,000 1,391,516,000 1,382,982,000 641,080,000 653,935,000 289,830,000 250,022,000 230,471,000 231,570,000 229,489,000 151,001,000 160,419,000 176,307,000 77,846,000 
        liabilities and equity
                                                                    
        current liabilities:
                                                                    
        accounts payable
      44,176,000 41,103,000 50,827,000 56,683,000 59,370,000 47,071,000 62,721,000 82,242,000 71,157,000 69,677,000 66,801,000 87,877,000 80,503,000 66,993,000 49,748,000 56,107,000 94,240,000 82,040,000 94,393,000 88,512,000 162,690,000 100,883,000 65,685,000 44,671,000 55,866,000 62,537,000 77,296,000 60,376,000 51,085,000 47,395,000 65,613,000 69,061,000 64,229,000 74,307,000 66,536,000 62,153,000 74,558,000 53,360,000 58,544,000 61,062,000 73,436,000 72,535,000 77,969,000 16,039,000 10,472,000 8,744,000 8,841,000 10,041,000 14,696,000 13,414,000 13,631,000 11,646,000 11,287,000 10,200,000 7,238,000 4,402,000 4,877,000 4,891,000 2,556,000 2,890,000 4,574,000 7,170,000 
        accrued expenses
      83,476,000 84,406,000 95,603,000 90,555,000 113,209,000 118,357,000 122,806,000 94,516,000 88,772,000 90,086,000 92,368,000 98,604,000 106,058,000 98,269,000 112,015,000 128,254,000 157,316,000 193,493,000 163,926,000 187,172,000 213,119,000 240,869,000 248,422,000 210,111,000 164,939,000 164,925,000 172,734,000 198,382,000 217,534,000 203,513,000 214,907,000 200,992,000 217,133,000 215,102,000 176,300,000 206,403,000 178,866,000 197,955,000 186,076,000 209,848,000 182,342,000 167,899,000 201,113,000 149,843,000 158,763,000 60,912,000 55,554,000 54,964,000 58,772,000 65,874,000 43,269,000 31,045,000 26,673,000 24,656,000 21,794,000 12,650,000 10,389,000 4,956,000 3,678,000 4,033,000 5,557,000 5,739,000 
        current maturities of operating leases
      11,086,000 10,917,000 10,106,000 9,919,000 9,888,000 12,649,000 12,741,000 11,624,000 11,742,000 12,996,000 11,267,000 11,240,000 11,490,000 11,628,000 11,535,000 12,122,000 11,690,000 11,624,000 9,823,000 10,102,000 10,305,000 9,028,000 9,080,000 10,298,000 11,480,000 12,038,000 12,921,000 13,376,000 15,123,000                                  
        current portion of lines of credit and notes payable
      9,645,000 10,251,000 12,785,000 14,024,000 12,145,000 14,849,000 13,222,000 22,129,000 22,820,000 27,293,000 30,118,000 28,729,000 24,371,000 33,540,000 23,342,000 18,989,000 17,412,000 14,695,000 14,893,000 17,961,000 17,816,000 24,703,000 12,702,000 14,463,000 12,802,000 9,619,000 7,187,000 11,240,000 112,316,000 5,851,000 6,353,000 6,465,000 6,971,000 11,926,000 16,112,000 14,496,000 11,527,000 11,981,000 9,891,000 10,327,000 11,454,000 11,468,000 78,508,000 14,599,000 13,603,000 13,455,000 12,446,000 14,397,000 11,032,000 12,562,000 14,477,000 16,778,000 20,264,000 17,526,000 17,408,000 14,571,000 14,194,000 8,757,000    14,690,000 
        total current liabilities
      148,383,000 146,677,000 169,321,000 171,181,000 295,854,000 193,096,000 211,660,000 219,553,000 204,338,000 200,052,000 200,554,000 226,450,000 222,422,000 213,480,000 267,272,000 215,472,000 309,170,000 330,008,000 283,035,000 303,980,000 403,930,000 375,483,000 335,889,000 279,543,000 245,087,000 249,119,000 270,138,000 283,374,000 396,058,000 288,321,000 317,830,000 306,861,000 318,077,000 301,335,000 258,948,000 283,052,000 264,951,000 263,296,000 254,511,000 281,237,000 267,232,000 251,902,000 357,590,000 180,481,000 182,838,000 83,111,000 76,841,000 79,402,000 84,500,000 91,850,000 71,377,000 59,469,000 58,224,000 52,382,000 46,441,000 31,710,000 29,705,000 18,778,000 20,241,000 21,527,000 24,683,000 27,599,000 
        operating lease liabilities
      35,636,000 36,815,000 36,273,000 37,291,000 38,344,000 48,849,000 52,057,000 49,624,000 50,931,000 54,140,000 34,649,000 24,912,000 26,462,000 27,963,000 29,005,000 30,876,000 31,596,000 33,097,000 28,256,000 30,605,000 32,394,000 29,760,000 28,225,000 28,759,000 28,669,000 27,665,000 23,318,000 16,673,000 18,621,000                                  
        long term portion of convertible notes
      87,380,000 85,020,000 82,699,000 80,466,000 77,226,000 173,606,000 178,695,000 175,942,000 323,108,000  213,285,000 212,299,000 211,328,000  141,815,000                                                
        senior secured royalty financing
      246,643,000                                                              
        deferred tax liabilities
      114,562,000 126,241,000 130,341,000 113,328,000 129,435,000 140,799,000 128,412,000 119,120,000 121,635,000 126,773,000 138,007,000 133,049,000 129,668,000 126,426,000 135,073,000 176,741,000 125,030,000 148,487,000 134,247,000 136,416,000 135,244,000 137,208,000 119,182,000 118,979,000 118,600,000 118,717,000 113,479,000 113,334,000 116,009,000 115,193,000 134,112,000 148,255,000 148,732,000 148,729,000 118,799,000 142,212,000 159,286,000 165,331,000 184,493,000 207,595,000 202,680,000 226,036,000 408,213,000                    
        other long-term liabilities
      19,582,000  25,160,000 27,807,000 30,011,000                                                          
        total long-term liabilities
      503,803,000 517,308,000 520,697,000 504,904,000 520,810,000 641,668,000 641,026,000 365,001,000 516,870,000 422,427,000 411,558,000 397,101,000 395,438,000 392,131,000 328,445,000 435,331,000 382,804,000 384,581,000 369,036,000 375,085,000 419,131,000 426,029,000 411,632,000 455,848,000 438,836,000 445,394,000 457,451,000 463,923,000 416,506,000 371,460,000 374,521,000 413,593,000 437,553,000 397,843,000 374,006,000 378,813,000 388,147,000 411,515,000 440,124,000 477,144,000 528,100,000 567,918,000 688,895,000 518,024,000 516,838,000 348,812,000 331,057,000 334,855,000 439,943,000 426,687,000 443,679,000 269,127,000 275,933,000          
        total liabilities
      652,186,000 663,985,000 690,018,000 676,085,000 816,664,000 834,764,000 852,686,000 584,554,000 721,208,000 622,479,000 612,112,000 623,551,000 617,860,000 605,611,000 595,717,000 650,803,000 691,974,000 714,589,000 652,071,000 679,065,000 823,061,000 801,512,000 747,521,000 735,391,000 683,923,000 694,513,000 727,589,000 747,297,000 812,564,000 659,781,000 692,351,000 720,454,000 755,630,000 699,178,000 632,954,000 661,865,000 653,098,000 674,811,000 694,635,000 758,381,000 795,332,000 819,820,000 1,046,485,000 698,505,000 699,676,000 431,923,000 407,898,000 414,257,000 524,443,000 518,537,000 515,056,000 328,596,000 334,157,000 86,550,000 79,371,000 54,583,000 52,204,000 44,221,000 22,395,000 23,127,000 26,566,000 28,666,000 
        equity:
                                                                    
        common stock - 0.01 par value...
      7,850,000 7,900,000 7,990,000 8,097,000 7,015,000 7,015,000 7,124,000 7,273,000 7,269,000 7,820,000 7,817,000 7,817,000 7,813,000 7,813,000 7,814,000 7,806,000 6,902,000 6,901,000 6,900,000 6,898,000 6,707,000 6,706,000 6,706,000 6,704,000 6,704,000 6,704,000 6,162,000 6,162,000 6,162,000 5,869,000 5,604,000 5,602,000 5,600,000 5,600,000 5,600,000 5,600,000 5,596,000 5,586,000 5,581,000 5,483,000 5,480,000 5,462,000 5,459,000 4,646,000 4,593,000 4,334,000 4,329,000 4,271,000 4,154,000 4,148,000 4,089,000 3,391,000 3,388,000  2,982,000 2,980,000   2,881,000    
        treasury stock
      -1,791,000 -3,176,000 -2,390,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,791,000 -1,911,000 -1,911,000 -1,911,000 -1,911,000 -1,911,000 -3,645,000 -3,645,000 -3,645,000 -4,051,000 -4,051,000 -4,051,000 -4,051,000 -7,300,000 -7,362,000 -7,457,000 -7,457,000 -7,457,000 -7,457,000 -7,457,000 -8,092,000 -8,092,000 -8,092,000 -7,893,000 -7,893,000 -61,000 -61,000 
        additional paid-in capital
      3,571,575,000 3,574,942,000 3,584,789,000 3,596,392,000 3,484,068,000 3,481,364,000 3,516,735,000 3,540,414,000 3,386,147,000 3,433,006,000 3,430,340,000 3,427,094,000 3,424,589,000 3,421,872,000 3,418,763,000 3,413,556,000 3,191,139,000 3,222,487,000 3,218,583,000 3,214,351,000 3,155,648,000 3,152,694,000 3,150,437,000 3,147,030,000 3,145,444,000 3,142,993,000 3,065,059,000 3,061,631,000 3,058,509,000 3,004,422,000 2,907,017,000 2,901,086,000 2,895,191,000 2,889,256,000 2,883,026,000 2,863,025,000 2,856,645,000 2,845,096,000 2,834,300,000 2,736,816,000 2,728,264,000 2,705,385,000 2,696,420,000 1,687,389,000 1,628,818,000 1,529,096,000 1,523,548,000 1,490,071,000 1,384,694,000 1,379,383,000 1,357,235,000 742,097,000 739,778,000 565,201,000 529,958,000 528,468,000 526,023,000 524,814,000 485,181,000 482,910,000 482,521,000 376,008,000 
        accumulated other comprehensive loss
      -27,486,000 -21,017,000 -25,466,000 -24,730,000 -45,006,000 -56,130,000 -39,614,000 -46,652,000 -45,195,000 -38,030,000 -46,495,000 -36,942,000 -37,611,000 -43,323,000 -58,026,000 -49,171,000 -31,415,000 -30,495,000 -19,923,000 -9,932,000 -13,295,000 -4,225,000 -17,451,000 -25,752,000 -30,187,000  -28,774,000 -20,351,000 -23,229,000  -13,138,000 -13,004,000 -539,000  -5,422,000 -14,070,000 -24,953,000 -27,009,000 -16,284,000 -23,431,000 -17,110,000 -22,537,000                     
        accumulated deficit
      -2,345,538,000 -2,290,690,000 -2,259,433,000 -2,281,064,000 -2,132,623,000 -2,065,010,000 -2,079,037,000 -2,103,927,000 -2,093,622,000 -2,011,786,000 -1,945,303,000 -1,860,830,000 -1,841,190,000 -1,822,923,000 -1,737,692,000 -1,651,601,000 -1,549,951,000 -1,511,976,000 -1,438,202,000 -1,466,941,000 -1,450,755,000 -1,481,833,000 -1,514,131,000 -1,537,848,000 -1,571,551,000 -1,511,077,000 -1,398,727,000 -1,336,720,000 -1,276,914,000 -1,197,078,000 -1,109,049,000 -1,081,397,000 -1,075,197,000 -1,007,159,000 -792,377,000 -745,935,000 -728,407,000 -729,954,000 -716,294,000 -701,317,000 -716,849,000 -704,871,000 -706,474,000 -834,721,000 -791,955,000 -674,843,000 -621,872,000 -573,203,000 -547,727,000 -503,177,000 -486,377,000 -426,379,000 -422,985,000 -388,770,000 -388,222,000 -378,576,000 -368,333,000 -359,722,000 -378,125,000 -369,889,000 -364,128,000 -358,379,000 
        total shareholders’ equity
      1,204,610,000 1,267,959,000 1,305,490,000 1,296,904,000 1,311,663,000 1,365,448,000 1,403,417,000 1,395,317,000 1,252,808,000 1,389,219,000 1,444,568,000 1,535,348,000 1,551,810,000 1,561,648,000 1,629,068,000 1,718,799,000 1,614,884,000 1,685,126,000 1,765,567,000 1,742,585,000 1,696,514,000 1,671,551,000 1,623,770,000 1,588,343,000 1,548,619,000 1,614,759,000 1,641,929,000 1,708,931,000 1,762,737,000 1,791,291,000 1,788,643,000 1,810,496,000 1,823,264,000 1,885,378,000 2,089,036,000 2,106,829,000 2,106,970,000 2,091,808,000 2,105,392,000 2,015,640,000 1,997,874,000 1,979,794,000 1,969,368,000 826,986,000 812,573,000 835,741,000 887,344,000 912,825,000 831,249,000 876,410,000 870,727,000 314,482,000 320,817,000 179,386,000 146,265,000 151,502,000 154,980,000 160,882,000 102,478,000 111,164,000 123,613,000 23,052,000 
        total liabilities and equity
      1,856,796,000 1,931,944,000 1,995,508,000 1,972,989,000 2,128,327,000 2,200,212,000 2,256,103,000 1,979,871,000 1,974,016,000 2,011,698,000 2,056,680,000 2,158,899,000 2,169,670,000 2,167,259,000 2,224,785,000 2,369,602,000 2,306,858,000 2,399,715,000 2,417,638,000 2,421,650,000 2,519,575,000 2,473,063,000 2,371,291,000 2,323,734,000 2,232,542,000 2,309,272,000 2,369,518,000 2,456,228,000 2,575,301,000 2,451,072,000 2,480,994,000 2,530,950,000 2,578,894,000 2,584,556,000 2,721,990,000 2,768,694,000 2,760,068,000 2,766,619,000 2,800,027,000 2,774,021,000 2,793,206,000 2,799,614,000 3,015,853,000 1,525,491,000 1,512,249,000 1,267,664,000 1,295,242,000 1,327,082,000 1,355,692,000              
        current portion of convertible notes
          101,242,000 170,000 170,000 170,000 170,000     3,050,000 70,632,000                                                
        senior secured notes
       246,433,000 246,224,000 246,012,000 245,794,000 245,576,000 245,358,000                                                        
        other long-term liabilities, principally contingent consideration and lines of credit
       22,799,000    32,838,000                                                         
        assets held for sale
         87,011,000 87,013,000   119,651,000 120,279,000        316,353,000 314,994,000  33,067,000                                           
        other long-term liabilities, principally contract liabilities, contingent consideration and lines of credit
            36,504,000 20,315,000 21,196,000 27,189,000 25,617,000 26,841,000 27,980,000 27,371,000 22,552,000 16,237,000 15,658,000 15,062,000 20,990,000 24,866,000 26,711,000 37,072,000    87,804,000    198,968,000                                 
        cash and cash equivalents
             40,576,000 75,639,000 95,881,000 138,621,000 108,108,000 110,830,000 153,191,000 180,838,000 210,458,000 102,281,000 134,710,000 148,599,000 65,757,000 89,503,000 72,211,000 36,294,000 21,612,000 34,530,000 85,452,000 64,667,000 111,115,000 207,250,000 96,473,000 43,718,000 80,381,000 99,943,000 91,499,000 100,362,000 130,530,000 131,052,000 168,733,000 144,646,000 156,015,000 174,973,000 193,598,000 212,144,000 221,217,000 348,192,000 96,907,000 118,258,000 134,010,000 156,396,000 185,798,000 155,834,000 119,061,000 181,596,000 27,361,000 23,428,000 38,171,000 47,118,000 71,516,000 47,235,000 38,849,000 47,879,000 18,016,000 
        liabilities associated with assets held for sale
             8,872,000 9,677,000         28,156,000                                             
        convertible notes
               214,325,000    210,371,000  211,477,000 210,520,000 187,935,000 185,543,000 183,198,000 224,782,000 221,989,000 219,194,000 216,457,000 213,805,000 211,208,000 208,695,000 206,165,000 203,711,000                                  
        liabilities associated with assets held-for-sale
                      28,512,000   233,000                                           
        other long-term liabilities, principally contract liabilities, contingent consideration and line of credit
                            45,031,000 91,653,000 77,762,000  111,959,000 127,751,000 78,165,000  183,812,000 209,444,000 233,622,000                              
        accumulated other comprehensive income
                               -22,070,000    -20,131,000    -528,000         -20,992,000 -18,880,000 -17,503,000 -12,392,000 -8,697,000 304,000 1,399,000 3,418,000 3,237,000 2,830,000 8,093,000 7,356,000 9,004,000 6,722,000 2,406,000 907,000 434,000 3,157,000 2,424,000 2,921,000 
        current portion of 2033 senior notes
                                   31,562,000 30,957,000 30,343,000 29,744,000                              
        2023 convertible notes and 2033 senior notes
                                   57,299,000 56,597,000 55,894,000 55,199,000                              
        2033 senior notes, net of discount
                                       29,160,000 28,590,000                            
        other long-term liabilities, principally deferred revenue, contingent consideration and lines of credit
                                       219,954,000                             
        other long-term liabilities, principally deferred revenue, contingent consideration and line of credit
                                        226,617,000 201,843,000                           
        2033 senior notes and estimated fair value of embedded derivatives, net of discount
                                         34,758,000 39,285,000 43,701,000 51,537,000 45,233,000 49,608,000                      
        other long-term liabilities, principally deferred revenue and line of credit
                                          189,576,000 202,483,000 204,094,000 224,316,000 275,812,000                      
        marketable securities
                                             15,634,000           25,004,000 50,027,000   18,923,000 17,117,000 14,997,000  40,182,000 54,998,000 59,983,000  
        prepaid expenses and other current assets
                                              33,505,000 26,904,000 74,854,000 9,623,000 8,445,000 9,389,000 7,018,000 7,553,000 10,347,000 19,084,000 19,551,000 19,023,000 11,895,000 7,873,000 5,004,000 4,070,000 2,654,000 2,179,000 1,729,000 1,927,000 2,785,000 2,782,000 
        2033 senior notes, net of discount and estimated fair value of embedded derivatives
                                               49,412,000 44,206,000 109,203,000 106,673,000 131,454,000 114,883,000 116,365,000 224,801,000              
        other long-term liabilities, principally deferred revenue
                                               292,470,000                     
        total shareholders’ equity attributable to opko
                                               1,979,794,000 1,970,768,000 834,789,000 819,902,000 842,144,000 893,257,000 917,392,000               
        noncontrolling interests
                                                -1,400,000 -7,803,000 -7,329,000 -6,403,000 -5,913,000 -4,567,000 -3,971,000 -3,431,000 -2,801,000 -1,998,000 -1,039,000 -492,000         
        other assets, principally deferred tax assets
                                                102,676,000                    
        other long-term liabilities, principally deferred revenue and contingent consideration
                                                236,476,000                    
        property, plant, equipment, and investment properties
                                                 23,405,000 15,120,000 16,411,000 17,036,000 17,348,000 16,881,000 17,027,000 17,027,000 16,577,000  16,526,000         
        other long-term liabilities, principally deferred revenue and deferred tax liabilities
                                                 408,821,000 410,165,000                  
        other long-term liabilities, principally contingent consideration and deferred tax liabilities
                                                   217,358,000 216,174,000 218,490,000 215,142,000 214,775,000 234,762,000 80,603,000 79,512,000 34,168,000 32,930,000 22,873,000 22,499,000 25,443,000     
        total shareholders’ equity attributable to parent
                                                      835,220,000              
        liabilities, series d preferred stock, and equity
                                                                    
        3.00% convertible senior notes, net of discount and estimated fair value of embedded derivatives
                                                       211,912,000 208,917,000 188,524,000 196,421,000          
        commitments and contingencies:
                                                                    
        series d preferred stock - 0.01 par value...
                                                            24,386,000 24,386,000   26,128,000    
        series a preferred stock - 0.01 par value...
                                                                    
        series c preferred stock - 0.01 par value...
                                                                    
        total equity
                                                       872,979,000 867,926,000 312,484,000 319,778,000 178,894,000         
        total liabilities, series d preferred stock, and equity
                                                       1,391,516,000 1,382,982,000 641,080,000 653,935,000          
        current assets
                                                                    
        property, equipment, and investment properties
                                                          16,750,000          
        current liabilities
                                                                    
        commitments and contingencies
                                                                    
        equity
                                                                    
        current assets of discontinued operations
                                                               4,000 5,279,000    
        liabilities, series d preferred stock and equity
                                                                    
        current liabilities of discontinued operations
                                                             87,000 245,000 174,000 1,460,000    
        series d preferred stock – 0.01 par value...
                                                           24,386,000   24,386,000 24,386,000     
        series a preferred stock – 0.01 par value...
                                                                    
        series c preferred stock – 0.01 par value...
                                                                    
        common stock – 0.01 par value...
                                                           3,056,000   2,976,000 2,975,000     
        total liabilities, series d preferred stock and equity
                                                           289,830,000         
        inventories
                                                            21,488,000        
        property and equipment
                                                            12,845,000 5,232,000 5,343,000 5,358,000 3,271,000 3,093,000 2,771,000 2,729,000 
        liabilities, series d preferred stock, and shareholders’ equity
                                                                    
        current liabilities of discounted operations
                                                            1,000        
        shareholders’ equity:
                                                                    
        total liabilities, series d preferred stock, and shareholders’ equity
                                                            250,022,000 230,471,000 231,570,000 229,489,000 151,001,000 160,419,000 176,307,000  
        shareholders’ equity
                                                                    
        assets of discontinued operations
                                                                2,929,000    
        current portion of lines of credit
                                                                12,547,000 14,604,000 14,552,000  
        long-term liabilities
                                                                2,154,000 1,600,000 1,883,000  
        series d preferred stock — 0.01 par value...
                                                                 26,128,000 26,128,000 26,128,000 
        series a preferred stock — 0.01 par value...
                                                                  7,000 9,000 
        series c preferred stock — 0.01 par value...
                                                                    
        common stock — 0.01 par value...
                                                                 2,879,000 2,850,000 2,554,000 
        liabilities, series d preferred stock and shareholders’ equity
                                                                    
        long-term liabilities — interest payable to related party
                                                                    
        other long-term liabilities, principally deferred tax liabilities
                                                                   1,067,000 
        line of credit with related party, net of unamortized discount of 0 and 68, respectively
                                                                    
        total liabilities, series d preferred stock and shareholders’ equity
                                                                   77,846,000 
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 
                                                                     
          cash flows from operating activities:
                                                                     
          net loss
        -54,848,000 -31,257,000 21,631,000 -148,441,000 -67,613,000 14,027,000 24,890,000 -10,305,000 -81,836,000 -66,483,000 -84,473,000 -19,640,000 -18,267,000          23,717,000 33,703,000 -59,132,000 -112,350,000 -62,007,000 -59,806,000 -80,762,000 -76,071,000 -27,654,000 -6,201,000 -43,114,000 -213,905,000   -30,995,000 -13,660,000   -11,978,000 1,603,000 128,247,000 -43,241,000 -118,037,000 -53,462,000 -50,013,000 -26,072,000 -45,091,000 -17,430,000 -60,801,000 -4,353,000 -34,762,000 -1,040,000 -9,646,000 -10,243,000 -8,611,000     
          adjustments to reconcile net loss to net cash from operating activities:
                                                                     
          depreciation and amortization
        22,201,000 22,373,000 22,740,000 23,027,000 23,487,000 24,039,000 24,163,000 24,154,000 25,820,000 25,982,000 26,322,000 26,547,000 26,446,000 26,460,000 26,386,000 27,995,000 27,814,000 19,191,000 18,964,000 20,572,000 19,989,000 20,067,000 20,977,000 22,266,000 22,052,000 22,526,000 23,804,000 23,661,000 23,816,000 23,904,000 23,922,000 24,761,000 24,757,000 25,416,000 25,396,000 25,551,000 25,730,000 23,964,000 25,832,000 24,581,000 22,199,000 22,175,000 12,388,000 4,160,000 3,525,000 3,658,000 3,678,000 4,027,000 3,564,000 4,568,000 3,768,000 3,451,000 3,429,000 2,713,000 2,665,000 2,454,000 2,328,000 972,000 776,000 1,085,000 997,000 
          non-cash interest
        2,433,000 2,391,000 2,309,000 56,908,000 4,649,000 4,794,000 4,615,000 4,295,000 3,843,000 693,000 693,000 686,000 678,000 693,000 693,000 686,000 678,000 2,225,000 2,183,000 2,396,000 2,585,000 2,355,000 2,617,000 2,539,000 2,483,000 4,173,000 1,690,000 -142,000 3,010,000 1,344,000 1,361,000 1,355,000 843,000 631,000 650,000 654,000 640,000 636,000 655,000 659,000 749,000                     
          amortization of deferred financing costs
        137,000 137,000 138,000 4,529,000 430,000 646,000 382,000 427,000 519,000 314,000 310,000 302,000 296,000 298,000 294,000 288,000 281,000 182,000 179,000 202,000 222,000 221,000 215,000 208,000 203,000 489,000 198,000 -97,000 405,000 32,000 56,000 56,000 43,000 56,000 56,000 56,000 56,000 62,000 101,000 37,000 37,000 37,000 280,000 144,000 751,000 100,000 100,000 1,630,000 177,000 177,000 650,000 198,000 145,000         
          losses from investments in investees
        2,000 17,000 3,000 9,000 11,000 4,000 3,000 8,000 20,000 42,000 37,000 24,000 43,000 267,000 49,000 466,000 53,000 67,000 43,000 47,000 110,000 189,000 134,000 481,000 294,000 271,000 1,854,000 2,955,000 1,873,000 7,213,000 2,456,000 2,700,000 4,013,000 5,627,000 2,131,000 2,505,000 814,000 1,988,000 2,345,000 1,038,000 3,502,000 804,000 1,761,000 1,101,000 60,000 370,000 2,056,000 3,595,000 1,600,000 2,371,000 3,890,000         
          equity-based compensation – employees and non-employees
        2,735,000 2,917,000 2,969,000 2,212,000 2,616,000 3,065,000 2,784,000 2,609,000 2,590,000 2,667,000 3,219,000 2,810,000 2,717,000 3,194,000 3,390,000 4,308,000 7,617,000 3,703,000 3,822,000 3,460,000 2,647,000 2,170,000 2,740,000 1,586,000 2,451,000 2,414,000 3,428,000 3,122,000 4,457,000 5,170,000 5,077,000 5,578,000 5,936,000 6,015,000 6,448,000 6,151,000 9,693,000 7,754,000 8,834,000 8,798,000 17,307,000 8,309,000 3,675,000 6,708,000 7,382,000 4,691,000 3,095,000 3,414,000 3,579,000 3,572,000 408,000 1,798,000 5,205,000    1,180,000     
          realized gain on disposal of fixed assets and sales of equity securities
        -34,000  12,000 -72,000 -3,786,000                                                         
          change in fair value of equity securities and derivative instruments
        3,934,000 -824,000 -287,000 -646,000 2,380,000 -19,803,000 -35,378,000 -60,499,000 1,251,000 3,241,000 8,260,000 13,276,000 -7,130,000 49,709,000 30,402,000 72,425,000 1,299,000 2,048,000 1,046,000 1,152,000 -279,000  7,768,000 -15,774,000 9,259,000  11,747,000 7,256,000 -1,825,000 7,822,000 473,000 -11,718,000 -3,101,000                             
          deferred income tax provision
        -7,890,000 -10,149,000    7,049,000 12,172,000 -1,797,000 -2,680,000         7,781,000 -101,000 3,512,000 -1,033,000 13,666,000 946,000 415,000 613,000 2,259,000 1,897,000              -22,244,000                     
          changes in assets and liabilities:
                                                                     
          accounts receivable
        9,526,000 6,709,000 4,389,000 -3,815,000 22,930,000 -15,900,000 327,000 5,835,000 9,518,000 -5,330,000 90,563,000 -89,186,000 7,364,000 -1,450,000 34,188,000 51,443,000 44,421,000 -22,702,000 7,582,000 55,590,000 -35,238,000 -43,182,000 -25,716,000 -80,776,000 -763,000 4,119,000 7,655,000 -3,959,000 -439,000 12,696,000 -4,739,000 5,683,000 6,757,000 71,605,000 17,271,000 -13,094,000 -17,771,000 3,337,000 -10,586,000 -8,464,000 -9,924,000 -15,381,000 -9,200,000 -4,709,000 -103,000 221,000 181,000 -3,764,000 -557,000 1,478,000 928,000 -1,094,000 -558,000 947,000 2,497,000 10,000 -2,691,000 804,000 -449,000 -1,476,000 -598,000 
          inventory
        191,000 1,173,000 624,000 -478,000 -5,437,000 -2,235,000 4,720,000 -542,000 2,274,000 11,115,000 1,333,000 1,443,000 1,306,000 2,348,000 8,450,000 12,327,000 -9,463,000 16,430,000 18,071,000 24,095,000 -27,912,000 -17,077,000 -38,660,000 -13,074,000 -8,831,000 -2,590,000 -3,318,000 -3,750,000 -2,475,000 533,000 3,163,000 690,000 204,000 -5,268,000 2,172,000 -393,000 -50,000 -3,881,000 -963,000 -1,611,000 -152,000 528,000 -3,150,000 -647,000 -2,610,000 -653,000 314,000 263,000 -1,676,000 940,000 -261,000 2,652,000 -1,439,000 -1,364,000 -1,122,000 1,112,000 -4,433,000 -1,910,000 863,000 1,826,000 1,391,000 
          other current assets and prepaid expenses
        6,969,000 -4,137,000 1,035,000 -5,053,000 2,735,000 4,416,000 -578,000 -7,265,000 -552,000 -3,056,000 8,941,000 60,181,000 -58,902,000 561,000 2,525,000 -9,114,000 2,612,000 15,216,000 166,000 -15,319,000 1,415,000 7,393,000 15,730,000 -1,890,000 -729,000 -8,930,000 -5,032,000 2,522,000 -46,000 6,580,000 -574,000 -9,175,000 5,445,000 13,028,000 -6,549,000 -1,000,000 4,692,000 41,572,000 -10,001,000                       
          other assets
        -126,000 121,000 412,000 457,000 -967,000 -327,000 680,000 -123,000 7,000 2,378,000 -751,000 -2,687,000 772,000 1,724,000 471,000 -771,000 511,000 -755,000 -373,000 133,000 1,255,000 -177,000 -209,000 -121,000 60,000 169,000 104,000 379,000 -243,000 4,564,000 -4,487,000 -15,000 -131,000 -1,923,000 -195,000 -19,000 -235,000 -1,497,000 -1,134,000 -715,000 1,447,000 -1,567,000 1,774,000 -3,000 -509,000 -7,843,000 554,000 2,482,000 1,429,000 -1,069,000 428,000 26,000 71,000 -438,000 66,000 4,000 7,000 -37,000 35,000 -62,000 80,000 
          accounts payable
        3,496,000 -17,060,000 -5,244,000 -3,388,000 11,475,000 -14,135,000 -20,215,000 10,899,000 2,789,000 2,637,000 -20,019,000 7,451,000 12,759,000 15,612,000 -5,492,000 -35,651,000 16,143,000 -6,101,000 6,905,000 -73,882,000 62,231,000 33,898,000 20,014,000 -11,888,000 -4,865,000 -14,961,000 17,710,000 9,174,000 3,713,000 -16,754,000 -1,237,000 2,114,000 -10,206,000 8,158,000 2,574,000 -10,100,000 19,539,000 -3,678,000 -2,936,000 -12,856,000 -349,000 17,382,000 -42,605,000 4,994,000 2,107,000 -2,000 -542,000 -4,787,000 1,479,000 -474,000 1,970,000 436,000 -103,000 1,578,000 465,000 -525,000 -271,000 1,868,000 596,000 -1,761,000 -2,487,000 
          foreign currency measurement
        126,000 4,843,000 -2,676,000 -1,348,000 -641,000 7,474,000 -6,213,000 1,413,000 1,225,000 -1,060,000 1,342,000 1,037,000 -2,355,000 -8,172,000 6,246,000 2,098,000 2,197,000 -37,000 4,914,000 -3,478,000 946,000 -2,403,000 1,295,000 -2,133,000 56,000 -218,000 16,000 154,000 -23,000 237,000 134,000 -66,000 -11,000 -863,000 378,000 299,000 -69,000 57,000 -28,000 -152,000 -253,000 203,000 476,000 -173,000 473,000 -63,000 1,832,000 152,000 -976,000 -977,000 -1,859,000 790,000 -340,000 290,000 -95,000 349,000 -458,000     
          accrued expenses and other liabilities
        -8,162,000 -3,776,000 -420,000 -24,246,000 -19,397,000 3,731,000 41,513,000 4,486,000 -1,047,000 -3,974,000 -6,445,000 -4,474,000 9,547,000 -8,150,000 -12,653,000 -33,801,000 -36,177,000 31,964,000 -16,527,000 -22,034,000 -27,126,000 -7,160,000 41,403,000 43,737,000 3,848,000 1,002,000 -2,333,000 -10,155,000 12,250,000 6,274,000 11,261,000 -6,991,000 -8,829,000 42,333,000 -8,055,000 12,187,000 -16,024,000 32,021,000 2,563,000 20,326,000 13,126,000 -27,286,000 34,047,000 -1,672,000 4,413,000                 
          net cash from operating activities
        -19,310,000 -25,921,000 -34,647,000 -83,420,000 -34,554,000 -44,409,000 -77,079,000 -26,435,000 -35,566,000 -38,294,000 33,109,000 -365,000 -22,647,000 -31,620,000 -32,236,000 -11,477,000 -19,856,000 -5,643,000 33,396,000 -15,453,000 26,037,000 34,258,000 63,011,000 -14,423,000 -43,370,000 -46,037,000 -23,866,000 -53,631,000 -48,988,000 -34,659,000 -21,883,000 -17,079,000 -35,520,000 2,110,000 -37,607,000 -22,664,000 -33,919,000 30,306,000 -31,896,000 42,842,000 -9,206,000 -9,351,000 -31,363,000 -34,055,000 238,793,000 -24,761,000 -21,077,000 -15,495,000 -29,046,000 -26,050,000 -11,472,000 -5,925,000 -14,745,000 -5,728,000 -1,927,000 -6,261,000 -11,499,000 -6,588,000 -3,346,000 -3,881,000 -4,685,000 
          cash flows from investing activities:
                                                                     
          investments in investees
         335,000 -8,000,000     -5,000,000             -1,200,000 -1,000,000 -5,000,000 -1,625,000   -5,253,000 -3,250,000 -5,671,000 -250,000 -1,375,000 -655,000   -89,000 -500,000 -4,100,000 -10,841,000 -2,500,000 -696,000 -2,700,000     
          proceeds from sale of equity securities
          51,655,000                         230,000 1,286,000             34,000 1,297,000 18,928,000            
          proceeds from the sale of property, plant and equipment
        33,000 93,000 13,000 114,000 67,000 73,000 66,000 55,000 48,000 1,604,000 267,000 522,000 320,000 450,000 631,000 522,000 348,000 51,000 65,810,000 105,000 60,000 53,000 127,000 58,000 7,000 119,000 243,000   153,000 230,000 299,000 541,000 3,292,000 581,000 303,000 3,095,000 319,000 374,000           5,000            
          capital expenditures
        -1,833,000 -2,666,000 -3,135,000 -3,283,000 -3,194,000 -5,413,000 -7,937,000 -7,217,000 -4,443,000 -3,022,000 -4,203,000 -6,013,000 -3,037,000 -6,336,000 -7,612,000 -5,379,000 -5,251,000 -6,730,000 -7,234,000 -8,947,000 -9,245,000 -6,797,000 -9,736,000 -11,523,000 -5,626,000 -3,875,000 -2,434,000 -3,500,000 -2,932,000 -3,035,000 -12,031,000 -6,819,000 -5,973,000 -14,463,000 -15,256,000 -7,268,000 -9,537,000 -1,532,000 -4,149,000 -3,054,000 -9,812,000 -6,424,000 -2,983,000 -1,076,000 -363,000 -799,000 -1,468,000 -1,606,000 -861,000 -971,000 -937,000 -1,299,000 -755,000 -408,000 -656,000 -233,000 -175,000 -704,000 -707,000 -434,000 -108,000 
          free cash flows
        -21,143,000 -28,587,000 -37,782,000 -86,703,000 -37,748,000 -49,822,000 -85,016,000 -33,652,000 -40,009,000 -41,316,000 28,906,000 -6,378,000 -25,684,000 -37,956,000 -39,848,000 -16,856,000 -25,107,000 -12,373,000 26,162,000 -24,400,000 16,792,000 27,461,000 53,275,000 -25,946,000 -48,996,000 -49,912,000 -26,300,000 -57,131,000 -51,920,000 -37,694,000 -33,914,000 -23,898,000 -41,493,000 -12,353,000 -52,863,000 -29,932,000 -43,456,000 28,774,000 -36,045,000 39,788,000 -19,018,000 -15,775,000 -34,346,000 -35,131,000 238,430,000 -25,560,000 -22,545,000 -17,101,000 -29,907,000 -27,021,000 -12,409,000 -7,224,000 -15,500,000 -6,136,000 -2,583,000 -6,494,000 -11,674,000 -7,292,000 -4,053,000 -4,315,000 -4,793,000 
          net cash from investing activities
        -1,800,000 -2,046,000 194,648,000 -2,834,000 40,528,000 115,987,000 247,784,000 -7,162,000 -4,395,000 -1,418,000 -3,572,000 -5,491,000 -7,717,000 -7,872,000 -4,682,000   -8,679,000 54,576,000 -8,842,000 -1,106,000 -6,744,000 5,501,000 -11,465,000 -5,619,000 -3,756,000 -2,191,000 -3,191,000 -4,132,000 -2,882,000 -11,571,000 -6,520,000 -5,146,000 -13,954,000 -16,301,000 -9,970,000 -6,442,000 -6,479,000 19,486,000 -23,647,000 -10,062,000 -7,937,000 7,174,000 -98,095,000 -363,000 -799,000 -1,545,000 -3,067,000 -264,000  45,292,000 -53,199,000 -649,000 8,430,000 -10,801,000 -4,526,000 -17,872,000 39,143,000 12,100,000   
          cash flows from financing activities:
                                                                     
          share repurchase
        -4,767,000 -13,507,000 -15,278,000   -16,464,000 -23,759,000 -50,000,000                                                     
          proceeds from the exercise of common stock options
          -211,000 88,000     28,000    -463,000                                               
          borrowings on lines of credit
        8,486,000 8,528,000 7,869,000 11,026,000 5,610,000 10,973,000 130,648,000 154,108,000 163,703,000 156,360,000 173,468,000 176,562,000 165,288,000 165,971,000 209,081,000 -964,699,000 1,649,166,000 358,072,000 343,844,000 510,584,000 472,213,000 408,787,000 305,428,000 207,253,000 186,398,000 195,427,000 59,658,000 4,235,000 35,460,000 4,449,000 3,651,000 12,206,000 6,611,000 16,877,000 30,020,000 37,699,000 7,825,000 6,591,000 6,320,000 4,248,000 5,248,000 149,980,000 100,321,000 5,880,000 5,158,000 7,117,000 5,068,000 10,008,000 4,250,000 9,964,000 9,259,000 6,926,000 8,428,000         
          repayments of lines of credit
        -8,876,000 -13,227,000 -8,797,000 -9,841,000 -9,546,000 -9,760,000 -141,045,000 -156,015,000 -168,241,000 -160,112,000 -171,391,000 -172,799,000 -175,407,000 -155,741,000 -200,173,000 977,333,000 -1,657,193,000 -357,441,000 -348,325,000 -510,477,000 -479,713,000 -400,766,000 -360,558,000 -194,365,000 -188,009,000 -200,845,000 -79,653,000 -43,511,000 -35,313,000 -6,246,000 -7,511,000 -8,504,000 -12,420,000 -12,867,000 -7,118,000 -6,008,000 -7,517,000 -7,277,000 -9,560,000 -41,992,000 -7,349,000 -150,811,000 -93,522,000 -5,173,000 -4,849,000 -6,546,000 -7,252,000 -8,586,000 -5,985,000 -11,291,000            
          settlement of convertible notes
         62,208,000                                                           
          net cash from financing activities
        -5,157,000   -79,489,000 -4,022,000 -40,472,000 206,140,000 -2,115,000 20,613,000 -3,751,000 2,105,000 3,462,000 -13,119,000 10,144,000 8,444,000 12,274,000 -7,891,000 832,000 -4,256,000 265,000 -7,192,000 8,108,000 -54,461,000 12,888,000 -1,611,000 70,644,000 -19,995,000 -39,276,000 163,875,000 90,703,000 -3,005,000 4,020,000 49,191,000 4,226,000 22,902,000 31,741,000 2,174,000 1,778,000 960,000 -37,986,000 53,000 -171,000 14,694,000 4,670,000 13,812,000 4,129,000 7,135,000 -3,905,000 -96,000 17,037,000 2,813,000 -3,317,000 169,641,000 1,048,000 -1,774,000 1,879,000 4,878,000 -8,356,000 -146,000 -9,744,000 105,163,000 
          effect of exchange rate changes on cash, cash equivalents and restricted cash
        -908,000 174,000 -316,000 1,461,000 2,110,000 -5,556,000                                                        
          net increase in cash, cash equivalents and restricted cash
        -27,175,000    4,062,000                                                         
          cash, cash equivalents and restricted cash at beginning of period
        382,742,000 445,615,000                                                        
          cash, cash equivalents and restricted cash at end of period
        355,567,000 -46,132,000 143,479,000 -164,282,000 449,677,000 25,550,000                                                        
          supplemental information:
                                                                     
          interest paid
        9,603,000 7,730,000 10,139,000 6,305,000 13,762,000 7,901,000 9,465,000 392,000 3,125,000 -2,613,000 6,544,000 374,000 3,830,000 401,000 3,465,000 134,000 3,420,000 129,000 3,503,000 194,000 4,689,000 251,000 5,079,000 566,000 5,012,000 789,000 5,673,000 4,900,000 511,000 445,000 846,000 144,000 641,000 -96,000 661,000 198,000 550,000 371,000 1,619,000 277,000 623,000 1,655,000 1,193,000 156,000 1,568,000 1,054,000 2,451,000 351,000 2,420,000  2,808,000 76,000 242,000  272,000 164,000 177,000  289,000 254,000 65,000 
          income taxes paid (refunded)
        -2,573,000                                                377,000             
          impairment of intangible assets
                                                                    
          realized loss on disposal of fixed assets and sales of equity securities
             -53,908,000 -9,420,000 -22,000 -47,000 -123,000 -631,000 230,000 1,845,000 359,000 -337,000 -538,000 61,000 1,562,000 -32,338,000 -107,000 -3,039,000  -10,328,000 54,000 102,000                                     
          loss on conversion convertible senior notes
             -7,353,000 -32,000 757,000                                                     
          inducement expense and loss on debt conversion
                                                                   
          change in fair value of contingent consideration
                 -13,000 -1,125,000 -34,000 136,000 -627,000 -754,000 175,000 -106,000 -147,000 -497,000 -102,000 -957,000 -5,323,000 1,083,000 1,111,000 -860,000 -14,776,000 -1,109,000 -3,775,000 4,806,000 -4,410,000 1,193,000 -15,358,000 1,759,000 1,052,000 -11,213,000 4,367,000 2,371,000 1,350,000 3,093,000 10,758,000 1,753,000 -1,421,000 1,635,000 -339,000 5,175,000 368,000 19,592,000 1,876,000 2,610,000 2,774,000 252,000 2,577,000 1,344,000 -2,339,000        
          gain on sale of assets
                                                                   
          changes in assets and liabilities, net of the effects of acquisitions:
                                                                     
          proceeds from sale of investments
                         8,079,000                                        
          proceeds from labcorp sale
                                                                    
          issuance of 3.00% convertible senior notes
             230,000,000                                            170,184,000         
          issuance of 2044 notes
                                                                    
          debt issuance costs
             -4,823,000 -8,562,000                -7,762,000                                 
          net activity from the exercise of common stock options and warrants
                                                                     
          repurchase of 2029 convertible notes
            -25,221,000                                                        
          income taxes paid, net of refunds
         3,839,000 763,000 17,802,000 2,059,000 6,207,000 2,225,000 513,000 1,063,000 4,535,000 -1,508,000 208,000 477,000 3,566,000 -176,000 3,584,000 1,063,000 460,000 1,819,000 2,220,000 1,470,000 -1,051,000 356,000 -1,007,000 799,000 -436,000 971,000 1,110,000 1,022,000 -5,293,000 -1,368,000 2,959,000 2,292,000                             
          operating lease right-of-use assets obtained in exchange for lease obligations
                 23,397,000                                                    
          assets acquired by finance leases
                 -510,000 532,000 -779,000 960,000                                                 
          non-cash financing:
                                                                     
          shares issued upon the conversion of:
                                                                     
          common stock options and warrants, surrendered in net exercise
                     86,000 527,000           20,000   850,000 696,000 25,000 290,000 35,000 128,000 2,000 1,000 14,238,000                
          fair value of shares included in consideration from genedx holdings
                                                                     
          purchase of marketable securities
                                          -1,000   -13,000 -1,000             3,117,000 -11,806,000 -2,120,000 -14,997,000 -30,180,000 -9,998,000 -59,983,000 
          proceeds from labcorp sales including escrow released
                                                                     
          net cash (provided by) used in financing activities
                                                                     
          net decrease in cash, cash equivalents and restricted cash
          143,479,000   25,550,000                                                        
          common stock options, warrants, and restricted stock units surrendered in net exercise
                                                                   
          deferred income tax benefit
           -15,713,000 -7,424,000      5,554,000 1,651,000 102,000  -39,941,000 13,414,000 -22,356,000            -352,000  -12,515,000 683,000 -2,709,000  -23,327,000 -13,803,000 -9,236,000  -21,983,000            405,000 -700,000 98,000         
          redemption of 2025 notes and 2033 senior notes
            -174,000 -146,287,000                                                     
          acquisition of businesses, net of cash acquired
                                                                     
          issuance of common stock for acquisition of modex
                     2,288,000                                               
          operating lease right-of-use assets in exchange for lease obligations
                                                                     
          fair value of shares received related to milestone achieved from genedx holdings
                                                                     
          contract liabilities
                 -129,000 -4,000 2,000 -256,000 -56,000 -13,000 -4,000 -2,895,000 -5,591,000 -6,635,000 -790,000 -672,000 -691,000 5,425,000 -9,451,000 -12,442,000 -19,845,000 -18,942,000 -18,073,000 -10,733,000 -19,719,000 -15,454,000 -15,358,000                             
          effect of exchange rate changes on cash and cash equivalents
               649,000 -894,000 723,000 -1,129,000 -328,000 1,122,000 1,701,000 -1,146,000 -1,115,000 221,000 -399,000 -874,000 284,000 -447,000 295,000 631,000 82,000 -322,000 -66,000 -396,000 -37,000 22,000 -407,000 -204,000 17,000 -81,000 -1,245,000 838,000 371,000 506,000 -1,518,000 81,000                -241,000 -39,000 95,000  -222,000 45,000 14,000 
          net decrease in cash and cash equivalents
               -35,063,000 -20,242,000    -42,361,000                110,777,000  -36,663,000    -30,168,000 -522,000 -37,681,000                         
          cash and cash equivalents at beginning of period
               95,881,000 153,191,000 134,710,000 72,211,000 85,452,000 96,473,000 91,499,000 168,733,000 193,598,000 96,907,000 185,798,000 27,361,000   71,516,000  18,016,000 
          cash and cash equivalents at end of period
               -35,063,000 75,639,000 -42,740,000 30,513,000 -2,722,000 110,830,000 -27,647,000 -29,620,000 108,177,000 102,281,000 -13,889,000 82,842,000 -23,746,000 89,503,000 35,917,000 14,682,000 -12,918,000 34,530,000 20,785,000 -46,448,000 -96,135,000 207,250,000 52,755,000 -36,663,000 -19,562,000 99,943,000 -8,863,000 -30,168,000 -522,000 131,052,000 24,087,000 -11,369,000 -18,958,000 174,973,000 -18,546,000 -9,073,000 -126,975,000 348,192,000 -21,351,000 -15,752,000 -22,386,000 156,396,000 29,964,000 36,773,000 -62,535,000 181,596,000  -14,743,000 -8,947,000 47,118,000  8,386,000 -9,030,000 47,879,000 
          adjustments to reconcile net income to net cash from operating activities:
                                                                     
          non-cash revenue from the transfer of intellectual property
                                                                    
          loss on conversion of the 2025 notes
                                                                   
          gain on sale of genedx
                     -3,194,000                                               
          redemption of 2033 senior notes
                 -3,000,000             -28,800,000                                 
          net increase in cash and cash equivalents
                 -42,740,000 30,513,000   -27,647,000 -29,620,000 108,177,000 -32,429,000 -13,889,000   17,292,000   -12,918,000 -50,922,000 20,785,000 -46,448,000      8,444,000     24,087,000 -11,369,000 -18,958,000 -18,625,000 -18,546,000 -9,073,000 -126,975,000 251,285,000 -21,351,000 -15,752,000 -22,386,000 -29,402,000 29,964,000 36,773,000 -62,535,000 154,235,000 3,933,000 -14,743,000 -8,947,000 -24,398,000  8,386,000 -9,030,000 29,863,000 
          2025 convertible notes
                                                                    
          proceeds from sale of genedx
                                                                    
          acquisition of businesses, net of cash
                      2,299,000                            15,812,000   12,000 -1,495,000 -200,000  20,450,000 78,000 -8,580,000 -8,339,000   -17,648,000 -10,538,000 
          fair value of shares received included in consideration from genedx holdings
                                                                     
          issuance of common stock
                                                                     
          net income
                     -85,231,000 -86,091,000 -101,650,000 -55,433,000 -73,774,000 28,739,000 -16,186,000 31,078,000                                       -5,746,000 -5,704,000 
          fair value of shares included in consideration from sema4
                                                                    
          net cash from used in investing activities
                        -4,903,000                                             
          proceeds from the exercise of common stock options and warrants
                        136,000 201,000 413,000 158,000 308,000 87,000    -3,000 855,000   216,000 50,000 1,866,000 2,464,000 4,200,000 -242,000 2,154,000 741,000 7,814,000 4,654,000 12,712,000 862,000 9,319,000 1,108,000 1,639,000 18,364,000 3,542,000 524,000 995,000 577,000        
          asset impairment charges
                                                                     
          issuance of 2023 convertible notes, including to related parties
                                                                     
          operating lease right-of-use assets due to adoption of asu no. 2016-02
                                 3,554,000 6,186,000 -3,637,000 33,277,000                                 
          operating lease liabilities due to adoption of asu no. 2016-02
                                 3,464,000 6,190,000 -3,695,000 33,744,000                                 
          realized loss on disposal of fixed assets and sales of equity securities and other
                                                                     
          change in fair value of equity securities and derivative instruments and other
                                                                     
          impairment of assets
                                  655,000                                 
          issuance of convertible notes, including to related parties
                                  200,293,000                                 
          issuance of capital stock to acquire or contingent consideration settlement:
                                                                     
          opko health europe
                                           313,000                   
          loss on disposal of fixed assets
                                   -64,000 284,000    -261,000                             
          loss on conversion of 3.00% convertible senior notes
                                                  -1,234,000 -30,000 321,000                
          acquisition of intangible assets
                                                                   
          maturities of short-term marketable securities
                                                        25,011,000    14,997,000     45,000,000   
          2033 senior notes
                                                 28,127,000 12,284,000 79,888,000               
          transition therapeutics, inc.
                                                                    
          opko renal
                                                                  
          issuance of stock for investment in xenetic
                                                                    
          gain on disposal of fixed assets
                                      529,000                               
          issuance of 2033 senior notes, including to related parties
                                                                    
          issuance of capital stock for contingent consideration settlement:
                                                                     
          issuance of 2033 senior notes, net, including related parties
                                        55,000,000                             
          revenue from receipt of equity
                                                 -20,000 -60,000 -60,000 -60,000 -60,000 -60,000 -60,000 -60,000 -60,000 -80,000 -12,540,000   -51,000 -51,000     
          realized loss on equity securities and disposal of fixed assets
                                         -5,980,000 -210,000 524,000 -2,997,000 1,378,000                        
          change in fair value of derivative instruments
                                         1,917,000 7,550,000 -5,482,000 -4,037,000 -8,667,000 5,701,000 -1,235,000 1,423,000 4,983,000 -32,244,000 16,556,000 49,788,000 14,390,000                
          gain on deconsolidation of scivac
                                                 1,400,000                    
          deferred revenue
                                         -18,514,000 -8,124,000 -16,661,000 -17,357,000 -17,913,000 -20,318,000 -18,129,000 -17,809,000 -18,591,000 -17,664,000 -18,312,000 282,238,000                 
          cash from non-controlling interest
                                                 -691,000 791,000                 
          bioreference laboratories, inc.
                                                                     
          eirgen pharma limited
                                                                   
          income taxes paid
                                          1,578,000 3,473,000 848,000 -35,167,000 873,000 5,667,000 1,505,000 3,496,000 626,000 530,000 227,000 388,000 -230,000            8,000   
          in-process research and development
                                                     2,000,000               
          contingent consideration payments
                                                                   
          pharmsynthez common stock received
                                                     6,264,000             
          bio-reference laboratories, inc.
                                                 138,000                    
          opko uruguay ltda.
                                                                     
          inspiro
                                                                   
          realized gain on equity securities
                                                                     
          realized gain on sale of equity securities
                                                  -216,000 1,440,000 1,000 -1,000 -1,273,000 -18,928,000            
          prepaid expenses and other current assets
                                                -6,883,000 -166,000 -5,367,000 198,000 944,000 -305,000 163,000 2,179,000 1,145,000 950,000 491,000 -2,000 -2,570,000 -1,565,000 6,000 -837,000 -481,000 -167,000 317,000 286,000 -379,000 
          effect of exchange rate on cash and cash equivalents
                                                590,000 -1,087,000 422,000 505,000 -957,000 80,000 -265,000 81,000 4,000 104,000 140,000 -94,000 -12,000         
          non-cash interest on 2033 senior notes
                                                 436,000 495,000 625,000 1,056,000 1,066,000 1,039,000 1,780,000 1,777,000             
          provision for bad debts
                                                                     
          provision for inventory obsolescence
                                                 243,000 -27,000 490,000 220,000 309,000 190,000 246,000 337,000 486,000 256,000 334,000 939,000         
          gain on conversion of 3.00% convertible senior notes
                                                                   
          loss on sale of property, plant and equipment
                                                         4,000            
          payment of series d dividends, including related parties
                                                         -3,015,000         
          rxi common stock received
                                                          12,500,000         
          assets acquired under capital leases
                                                                     
          series d preferred stock
                                                          24,386,000         
          opko biologics
                                                                     
          opko brazil
                                                                    
          (recovery of) provision for bad debts
                                                  7,682,000 452,000 174,000 666,000 48,000               
          deferred income tax expense
                                                                     
          issuance of capital stock to acquire:
                                                                     
          accrued expenses
                                                     6,600,000 1,997,000 4,344,000 -8,007,000 -6,149,000 2,337,000 5,031,000 -440,000 1,902,000 546,000 -1,340,000 1,253,000 -1,264,000 1,755,000 -649,000 -254,000 
          opko lab
                                                                     
          issuance of common stock to acquire:
                                                                     
          arama uruguay
                                                      159,000             
          change in fair value of derivatives instruments
                                                       -10,967,000 10,515,000 -2,202,000 27,793,000 -12,651,000 23,549,000         
          common stock options and warrants, net exercised
                                                       2,836,000 657,000             
          provision for (recovery of) bad debts
                                                        -74,000   -52,000 381,000         
          income from discontinued operations, net of tax
                                                                     
          non-cash interest on convertible senior notes
                                                         1,730,000 1,130,000 1,817,000 1,303,000         
          changes in assets and liabilities of continuing operations, net of the effects of acquisitions:
                                                                     
          cash from operating activities of continuing operations
                                                         -26,050,000 -11,472,000 -5,925,000 -14,745,000  -2,023,000 -6,104,000 -11,574,000     
          cash from operating activities of discontinued operations
                                                              96,000 -157,000 75,000     
          cash provided (or used) by investing activities from continuing operations
                                                                     
          cash from investing activities from discontinued operations
                                                                     
          net cash provided (or used) in investing activities
                                                                     
          issuance of 3.00% convertible senior notes, net, including related parties
                                                                   
          issuance of common stock, net (including related parties) net
                                                                     
          purchase of common stock held in treasury
                                                                   
          redemption of series a preferred stock (including related parties
                                                                     
          changes in assets and liabilities of continuing operations, net of theeffects of acquisitions:
                                                                     
          3.00% convertible senior notes
                                                                     
          common stock warrants, net exercised
                                                          815,000         
          issuance of common stock, common stock options and warrants to acquire prolor
                                                                     
          cytochroma
                                                          146,902,000         
          farmadiet
                                                                     
          realized gain on investments available for sale
                                                           -8,474,000 -2,347,000         
          proceeds from sale of investments available for sale
                                                           8,968,000 2,528,000         
          repayments of lines of credit and capital lease obligations
                                                           -10,767,000 -6,951,000         
          supplemental information
                                                                     
          cash flows from operating activities
                                                                     
          cash provided in operating activities of discontinued operations
                                                                     
          income taxes refunded
                                                            -118,000   203,000 -6,000     
          silcon
                                                            436,000         
          accretion of debt discount related to notes payable
                                                                 2,000 
          equity based compensation – employees and non-employees
                                                                     
          provision for (recovery of) inventory obsolescence
                                                                     
          unrealized gains on derivative instruments
                                                             -31,000        
          cash from operating activities from continuing operations
                                                                 -6,307,000    
          cash from operating activities from discontinued operations
                                                                     
          cash from investing activities from continuing operations
                                                                 21,827,000    
          issuance of common stock, including related parties
                                                                 104,828,000 
          redemption of series a preferred stock including related parties
                                                                     
          payment of series d dividends, including to related parties
                                                                     
          repayments of line of credit with related party
                                                                     
          cash and cash equivalents at beginning of year
                                                                     
          cash and cash equivalents at end of year
                                                                     
          loss from discontinued operations, net of tax
                                                                     
          equity-based compensation - employees and non-employees
                                                              1,112,000       
          loss from investments in investees
                                                              468,000 473,000 523,000     
          provision for bad debt
                                                                     
          revenue from receipt of equity in neovasc
                                                                     
          redemption of series a preferred stock
                                                                    
          borrowings under lines of credit
                                                                  4,304,000   
          repayments under lines of credit
                                                              -9,820,000 -10,798,000 -5,490,000  -4,916,000 -3,018,000 -2,827,000 
          cash and cash equivalents at beginning period
                                                                     
          non-cash financing activities:
                                                                     
          issuance of common stock to acquire farmadiet
                                                                     
          (recovery of) provision for bad debt
                                                               60,000 -151,000     
          provision for inventory reserves
                                                               499,000 255,000     
          unrealized gain on investments, available for sale
                                                                     
          contingent consideration
                                                               965,000 1,144,000     
          borrowing under lines of credit
                                                               11,216,000 10,337,000    3,027,000 
          proceeds from the exercise of stock options and warrants
                                                               1,461,000 31,000 470,000 466,000 173,000 135,000 
          unrealized gain from warrants
                                                                -1,117,000     
          cash flows from investing activities
                                                                     
          write-off of acquired in-process research and development
                                                                     
          benefit from (recovery of) bad debts
                                                                     
          benefit from (recovery of) inventory obsolescence
                                                                     
          foreign currency remeasurement
                                                                     
          acquisition of rolapitant
                                                                     
          maturities of marketable securities
                                                                     
          issuance of series d preferred stock and warrants, including related parties
                                                                     
          proceeds from bridge loan with related party
                                                                     
          repayment of bridge loan with related party
                                                                     
          net change in cash and cash equivalents
                                                                     
          loss from continuing operations
                                                                     
          provision for (recovery of) bad debt
                                                                     
          changes in:
                                                                     
          cash from operating activities from discontinuing operations
                                                                     
          investment in neovasc
                                                                     
          repayment of line of credit with related party
                                                                     
          issuance of capital stock to acquire exakta-opko
                                                                     
          equity-based compensation — employees and non-employees
                                                                   1,744,000 1,754,000 
          income from investments in investees
                                                                   451,000 423,000 
          benefit from bad debt
                                                                     
          benefit from (reversal of) inventory reserves
                                                                   294,000 62,000 
          benefit from (recovery of) bad debt
                                                                    28,000 
          cash flows from investing activity
                                                                     
          net cash from investing activity
                                                                    -70,629,000 
          repayments of notes payable and capital lease obligations
                                                                     
          impairment of goodwill
                                                                     
          equity based compensation — employees and non-employees
                                                                     
          foreign exchange
                                                                     
          loss on disposal of assets
                                                                     
          license of product for equity
                                                                     
          issuance of common stock for cash to related party
                                                                     
          insurance financing and borrowings on lines of credit