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Optimizerx Corporation (OPRX)
:OPRX
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OptimizeRx (OPRX) AI Stock Analysis

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OPRX

OptimizeRx

(NASDAQ:OPRX)

Rating:66Neutral
Price Target:
$18.50
▲(5.17% Upside)
OptimizeRx's overall stock score is driven by strong technical momentum and positive earnings call sentiment, despite valuation concerns and profitability challenges. The company's strategic initiatives and leadership changes are expected to support future growth.
Positive Factors
Financial Performance
OptimizeRx reported solid second-quarter results, with financial metrics that came in ahead of expectations across the board.
Revenue Growth
Revenue grew 55%, to $29.2 million, easily topping the $22.3 million consensus.
Negative Factors
Medicx Acquisition
From investors' perspective, the decision to exit the managed services part of the Medicx acquisition was an unforeseen top-line surprise.
Revenue Guidance
Guidance implies a significant sequential decline in third-quarter revenue, which is not the typical seasonal pattern.

OptimizeRx (OPRX) vs. SPDR S&P 500 ETF (SPY)

OptimizeRx Business Overview & Revenue Model

Company DescriptionOptimizeRx Corporation, a digital health technology company, provides various solutions to life sciences organizations, healthcare providers, and patients. The company's products and applications include financial messaging, a virtual patient support center that allows doctors and staff to access sample vouchers, co-pay coupons, and other patient support through their EMR and/or e-prescribe systems; and brand awareness and therapeutic support messaging services, such as brand awareness messages, reminder ads, and therapeutic support and unbranded messages. It also offers brand support services, which focuses on educating and working with pharmaceutical manufacturers on identifying, formulating, and implementing eRx media strategies, including drug file integration, sales force training, and strategy development services for promoting their products. In addition, the company operates cloud based Mobile Health Messenger platform that provides interactive health messaging for enhanced medication adherence and care coordination; and HIPAA-compliant automated mobile messaging platform, which allows pharmaceutical manufactures and related entities to directly engage with patients to enhance regimen compliance. Further, it offers patient programs with treatment and affordability information, lifestyle and condition trackers, internet device connectivity, forms, and surveys. Additionally, the company provides evidence-based physician engagement solution applied to real-world data to assist healthcare providers in identifying patients who may be qualified for specific therapies, raise awareness of patient access pathways, and identify early indicators of non-adherence among patient populations. It also offers therapy initiation workflow focused on accelerating patient access to treatments where time-consuming medical documentation is required of HCPs prior to pharmacies dispensing prescribed drugs. The company was found in 2006 and is headquartered in Rochester, Michigan.
How the Company Makes MoneyOptimizeRx generates revenue primarily through its digital health platform, which offers services to pharmaceutical companies, healthcare providers, and payers. The company earns money by charging pharmaceutical manufacturers for access to its platform, where they can promote their patient support programs and discounts directly to healthcare providers. Additionally, OptimizeRx monetizes its EHR integrations by providing value-added services that enhance the functionality of electronic health records, driving user engagement and adoption. Partnerships with leading EHR vendors and collaborations with various healthcare stakeholders further contribute to its revenue streams by expanding its market reach and enhancing its service offerings.

OptimizeRx Earnings Call Summary

Earnings Call Date:Aug 07, 2025
(Q2-2025)
|
% Change Since: 36.99%|
Next Earnings Date:Nov 11, 2025
Earnings Call Sentiment Positive
The earnings call highlights significant revenue growth, improved EBITDA, increased financial guidance, and strong customer metrics, indicating a positive outlook. However, there are concerns regarding the sustainability of revenue growth due to dependence on managed services and uncertainties in future revenue predictions. Overall, the positive aspects significantly outweigh the concerns.
Q2-2025 Updates
Positive Updates
Significant Revenue Growth
Q2 revenues increased 55% year-over-year to $29.2 million, exceeding consensus estimates and internal expectations.
Improved EBITDA and Financial Health
Adjusted EBITDA improved to $5.8 million, an increase of over $5 million year-over-year. Net income for Q2 2025 was $1.5 million, compared to a net loss of $4 million in the same period in 2024.
Increased Guidance for 2025
Revenue guidance for 2025 increased to between $104 million and $108 million, with adjusted EBITDA projected between $14.5 million and $17.5 million.
Debt Reduction
Paid down $4.5 million of principal in Q2, which was $4 million above the debt payment schedule, indicating strong free cash flow.
Strong Customer Metrics
Average revenue over the last 12 months for the largest 5 customers now stands at over $11 million on average.
High Net Revenue Retention
Net revenue retention rate remained strong at 121%, reflecting strong customer loyalty and upselling.
Negative Updates
Dependence on Managed Service Revenue
The growth in Q2 was partly due to an unexpected increase in managed service revenue, which is not expected to continue into the second half.
Challenges in Predicting Future Revenue
While contracted revenue is up 30% year-over-year, there is still uncertainty in predicting revenue due to the episodic nature of managed services.
Company Guidance
During OptimizeRx's earnings call for the second quarter of fiscal year 2025, CEO Steve Silvestro highlighted impressive financial performance and an optimistic outlook for the company. The quarter saw a 55% year-over-year increase in revenue, reaching $29.2 million, and adjusted EBITDA improved to $5.8 million, up by over $5 million from the previous year. The company increased its annual guidance, projecting revenues between $104 million and $108 million and adjusted EBITDA between $14.5 million and $17.5 million. Silvestro emphasized the company's strategic positioning, operational excellence, and ability to drive meaningful value creation in the digital pharma marketing space. The company reported a significant increase in average revenue from its top five customers, now standing at over $11 million each, and maintained a strong net revenue retention rate of 121%. With a focus on disciplined cost management and cross-selling strategies, OptimizeRx continues to capitalize on its robust point-of-care network and innovative technology platform, positioning itself as a unique player capable of engaging providers and patients at scale.

OptimizeRx Financial Statement Overview

Summary
OptimizeRx shows positive revenue growth and strong cash flow trends, but faces profitability challenges with negative net income margins. The company's solid equity position and low leverage provide a stable foundation, yet operational inefficiencies need addressing.
Income Statement
55
Neutral
OptimizeRx shows a positive revenue growth trend, with a TTM revenue increase of 2.43% compared to the previous year. However, the company is facing profitability challenges, as indicated by negative EBIT and net income margins. The gross profit margin remains strong at 62.97%, but the net profit margin is negative at -16.33%, reflecting ongoing operational inefficiencies.
Balance Sheet
60
Neutral
The balance sheet reflects a solid equity position with a debt-to-equity ratio of 0.28, indicating low leverage. The equity ratio is robust at 69.28%, showing a strong capital structure. However, the company has experienced a decline in total assets, which may impact future growth potential.
Cash Flow
65
Positive
OptimizeRx demonstrates a positive trend in cash flow, with a significant increase in free cash flow by 32.12% in the TTM period. The operating cash flow to net income ratio is favorable, indicating efficient cash generation relative to net losses. However, the company needs to maintain this momentum to ensure long-term financial stability.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue94.36M92.13M71.52M62.45M61.29M43.31M
Gross Profit59.42M59.38M42.90M38.97M35.64M24.11M
EBITDA-6.27M-8.90M-21.31M-9.42M2.33M646.89K
Net Income-15.41M-20.11M-17.57M-11.44M378.08K-2.21M
Balance Sheet
Total Assets167.77M171.17M183.37M134.65M140.99M60.33M
Cash, Cash Equivalents and Short-Term Investments16.57M13.38M13.85M74.14M84.68M10.52M
Total Debt32.80M33.19M36.82M234.43K327.71K448.75K
Total Liabilities51.50M54.17M56.82M8.54M9.61M10.35M
Stockholders Equity116.27M117.00M126.55M126.11M131.38M49.97M
Cash Flow
Free Cash Flow6.31M4.78M-8.11M10.41M240.04K-6.44M
Operating Cash Flow6.63M4.89M-7.24M10.65M726.04K-6.31M
Investing Cash Flow-381.00K-450.00K-25.34M-58.18M-486.00K-124.72K
Financing Cash Flow-4.86M-4.91M28.22M-18.95M73.92M-1.90M

OptimizeRx Technical Analysis

Technical Analysis Sentiment
Positive
Last Price17.59
Price Trends
50DMA
13.81
Positive
100DMA
11.73
Positive
200DMA
8.62
Positive
Market Momentum
MACD
0.93
Negative
RSI
69.89
Neutral
STOCH
82.06
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For OPRX, the sentiment is Positive. The current price of 17.59 is above the 20-day moving average (MA) of 14.06, above the 50-day MA of 13.81, and above the 200-day MA of 8.62, indicating a bullish trend. The MACD of 0.93 indicates Negative momentum. The RSI at 69.89 is Neutral, neither overbought nor oversold. The STOCH value of 82.06 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for OPRX.

OptimizeRx Risk Analysis

OptimizeRx disclosed 33 risk factors in its most recent earnings report. OptimizeRx reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

OptimizeRx Peers Comparison

Overall Rating
UnderperformOutperform
Sector (60)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
66
Neutral
$326.56M-8.21%25.90%46.13%
60
Neutral
HK$18.14B5.28-4.00%3.33%10.16%-17.39%
51
Neutral
$209.85M-74.09%7.31%-7.49%
50
Neutral
$117.43M-38.52%5.83%67.49%
50
Neutral
$512.22M-64.27%-5.24%23.59%
44
Neutral
$205.84M-28.42%5.55%-0.99%
$96.61M
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
OPRX
OptimizeRx
17.59
9.25
110.91%
HCAT
Health Catalyst
2.92
-3.84
-56.80%
AMWL
American Well
7.27
-1.39
-16.05%
SOPH
SOPHiA GENETICS
3.28
0.02
0.61%
DH
Definitive Healthcare Corp
3.80
-0.22
-5.47%
EUDA
EUDA Health Holdings
2.60
-2.01
-43.60%

OptimizeRx Corporate Events

Executive/Board ChangesBusiness Operations and Strategy
OptimizeRx CEO Steve Silvestro Joins Board of Directors
Positive
Jun 24, 2025

On June 24, 2025, OptimizeRx announced the appointment of its CEO, Steve Silvestro, to the Board of Directors, effective June 20, 2025. Silvestro, who became CEO in March 2025, is expected to enhance leadership and contribute to the company’s strategic initiatives aimed at value creation and strengthening its market position. The Board expressed confidence in Silvestro’s leadership, noting significant progress since he assumed the CEO role, and anticipates that his appointment will support the company’s growth and strategic direction.

The most recent analyst rating on (OPRX) stock is a Buy with a $8.00 price target. To see the full list of analyst forecasts on OptimizeRx stock, see the OPRX Stock Forecast page.

Executive/Board ChangesShareholder Meetings
OptimizeRx Stockholders Approve Key Governance Proposals
Neutral
Jun 16, 2025

OptimizeRx held its 2025 Annual Meeting of Stockholders on June 11, 2025, where stockholders voted on three key proposals. The proposals included the election of five directors, approval of executive compensation, and ratification of UHY LLP as the independent accounting firm. All proposals were approved, impacting the company’s governance and financial oversight for the 2025 fiscal year.

The most recent analyst rating on (OPRX) stock is a Buy with a $20.00 price target. To see the full list of analyst forecasts on OptimizeRx stock, see the OPRX Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Aug 12, 2025