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OptimizeRx Corporation (OPRX)
NASDAQ:OPRX
US Market

OptimizeRx (OPRX) AI Stock Analysis

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OptimizeRx

(NASDAQ:OPRX)

Rating:67Neutral
Price Target:
$14.50
▲(7.97%Upside)
OptimizeRx shows strong growth potential with positive momentum and strategic improvements. Financial stability is supported by a robust balance sheet, but profitability challenges and valuation concerns remain areas to watch. Leadership changes suggest a commitment to strategic progress.
Positive Factors
Financial Performance
OptimizeRx reported solid first-quarter results, with financial metrics that came in ahead of expectations across the board.
Market Position
The stock has been a year-to-date winner, with shares up around 90%, and the company could be a compelling takeout target for a strategic partner.
Negative Factors
Acquisition Challenges
The anticipated growth from the recently acquired Medicx platform has not met expectations, pressuring the direct-to-consumer growth.
Leadership and Management
The departure of the former CEO has left a vacancy, providing a significant opportunity to evaluate strategic options.

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 makes money primarily through its technology platform that connects pharmaceutical companies with healthcare providers and patients. Key revenue streams include fees charged to pharmaceutical companies for integrating their messaging and patient support programs into healthcare provider workflows via EHR systems. Additionally, OptimizeRx generates revenue from digital health messaging services that deliver important information related to patient care, such as medication adherence and clinical support, directly to patients and providers. The company also benefits from partnerships with EHR vendors and other healthcare technology firms, which enhance its platform's reach and efficacy, thereby contributing to its earnings.

OptimizeRx Earnings Call Summary

Earnings Call Date:May 12, 2025
(Q1-2025)
|
% Change Since: 45.98%|
Next Earnings Date:Aug 06, 2025
Earnings Call Sentiment Positive
The earnings call presented a generally positive outlook with strong revenue growth, improved EBITDA, increased guidance, and progress in transitioning to a subscription-based model. Despite some challenges, such as a slight decrease in gross margin and a decrease in net revenue retention rate, the company demonstrated significant improvement in financial metrics and operational execution, positioning it well for future growth.
Q1-2025 Updates
Positive Updates
Revenue Increase and Improved EBITDA
First quarter 2025 revenues increased 11% year-over-year to $21.9 million, with adjusted EBITDA coming in at $1.5 million, an improvement of nearly $2 million year-over-year.
Strong Contracted Revenue Growth
Contracted revenue increased more than 20% year-over-year, positioning the company favorably for the rest of the year.
Increased Guidance for 2025
The company increased its guidance for the year, expecting revenue between $101 million and $106 million, with adjusted EBITDA between $13 million and $15 million.
Progress in Subscription-Based Model
Over 5% of projected annual revenue for 2025 has been converted to subscription contracts, indicating early momentum in transitioning to a subscription-based model.
Significant Improvement in Net Loss
Net loss for the first quarter of 2025 was $2.2 million, a substantial improvement from a net loss of $6.9 million in the same period of 2024.
Strong Operating Cash Flow
Operating cash flow came in at $3.9 million for the first quarter, with a cash balance of $16.6 million at the end of the quarter.
Decrease in Operating Expenses
Operating expenses for the quarter ended March 31, 2025, decreased by $1.8 million year-over-year.
Negative Updates
Decrease in Gross Margin
Gross margin for the quarter decreased from 62% in Q1 2024 to 60.9% in Q1 2025, primarily due to product and channel partner mix.
Net Revenue Retention Rate Decline
Net revenue retention rate decreased slightly, with expectations to reach around 100% by the end of the year.
Debt Balance
The company has a debt balance of $33.8 million, though it paid off $6.2 million of principal through the first quarter of 2025.
Company Guidance
In the OptimizeRx First Quarter Fiscal 2025 earnings call, CEO Steve Silvestro reported strong financial performance, with Q1 revenues rising 11% year-over-year to $21.9 million and adjusted EBITDA improving to $1.5 million from a $0.3 million loss in the previous year. The company increased its full-year guidance, projecting revenues between $101 million and $106 million and adjusted EBITDA between $13 million and $15 million. The contracted revenue as of the end of Q1 exceeded $70 million, indicating over 80% visibility for the full year. The company's focus on transitioning to a subscription-based model showed early success, with over 5% of projected annual revenue converted to subscription contracts. Gross margins for the quarter were at 60.9%, slightly down from the previous year's 62%, influenced by an increase in DTC-related managed service revenue. OptimizeRx also reported a net revenue retention rate of 114% and average revenue per top 20 pharmaceutical manufacturer at approximately $3 million. The call highlighted the company's strategic initiatives, including leveraging a large point-of-care network and advancing a data-driven omnichannel technology platform to enhance customer engagement and improve patient outcomes.

OptimizeRx Financial Statement Overview

Summary
OptimizeRx shows steady revenue growth and strong cash flow improvements. However, ongoing negative net profit margins and ROE present profitability challenges despite a robust equity position and low leverage.
Income Statement
65
Positive
OptimizeRx has demonstrated steady revenue growth, with a 29.5% increase from 2023 to 2024 and a 2.4% increase into the TTM. However, profitability remains a concern as the company continues to report negative EBIT and net income margins. The TTM shows a gross profit margin of 64.1%, which is strong, yet the net profit margin is -16.3%, indicating ongoing operational challenges.
Balance Sheet
70
Positive
The balance sheet showcases stability with a solid equity base, as reflected by an equity ratio of 69.3% in the TTM. The debt-to-equity ratio is low at 0.03, indicating minimal leverage and low financial risk. However, the consistent losses have impacted return on equity, which remains negative.
Cash Flow
68
Positive
Cash flow analysis shows positive free cash flow in the TTM, with a growth rate of 32.1% from the previous year. The operating cash flow to net income ratio is positive at -0.43, which is an improvement, reflecting enhanced cash generation relative to net losses. Despite this, the company needs to sustain and further improve its cash generation capabilities.
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-9.42M2.33M-131.24K
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 Price13.43
Price Trends
50DMA
11.93
Positive
100DMA
9.50
Positive
200DMA
7.64
Positive
Market Momentum
MACD
0.31
Positive
RSI
54.11
Neutral
STOCH
63.44
Neutral
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 13.43 is below the 20-day moving average (MA) of 13.78, above the 50-day MA of 11.93, and above the 200-day MA of 7.64, indicating a neutral trend. The MACD of 0.31 indicates Positive momentum. The RSI at 54.11 is Neutral, neither overbought nor oversold. The STOCH value of 63.44 is Neutral, 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 (52)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
67
Neutral
$248.39M-12.90%20.66%17.97%
61
Neutral
$282.58M-19.80%4.88%37.87%
DHDH
57
Neutral
$589.74M-86.36%-3.04%-152.59%
54
Neutral
$203.17M-60.75%4.66%11.33%
52
Neutral
$135.80M-44.04%2.79%58.22%
52
Neutral
$7.50B0.31-61.87%2.27%17.10%1.59%
$125.59M
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
OPRX
OptimizeRx
13.43
3.46
34.70%
HCAT
Health Catalyst
4.06
-2.13
-34.41%
AMWL
American Well
8.51
2.28
36.60%
SOPH
SOPHiA GENETICS
2.99
-1.61
-35.00%
DH
Definitive Healthcare Corp
4.03
-1.31
-24.53%
EUDA
EUDA Health Holdings
3.38
-0.38
-10.11%

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.

Executive/Board ChangesBusiness Operations and Strategy
OptimizeRx Announces Plan to Appoint New Director
Positive
Apr 18, 2025

On April 18, 2025, OptimizeRx Corporation announced its plan to appoint a new independent director to its board in the second half of 2025, as part of its ongoing efforts to refresh and expand its board of directors. This decision follows constructive engagement with Whetstone Capital Advisors, which withdrew its notice to nominate director candidates for the company’s 2025 Annual Meeting. The addition of a new director aims to enhance the board’s expertise and support the company’s strategy to build market share and drive revenue growth under the leadership of new CEO Steve Silvestro.

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: Jul 05, 2025