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OptimizeRx (OPRX) earnings and revenue breakdown

Latest: Q2 2026 · 10-Q filed Aug 13, 2026 · OptimizeRx (OPRX) Q2 2026 earnings results →

Q2 2026 Revenue down 30% year over year to $20.5M · 3¢ of every $1 of revenue lost · operating margin -0.4%

OptimizeRx made $20.5M in Q2 2026 (-30% Y/Y). Operating margin -0.4%, net loss $703K. See where every dollar goes — costs, profit and cash — as a Sankey from the 10-Q filed Aug 13, 2026.

Revenue$20.5M
Year over year-30%
Operating margin-0.4%
Net earnings−$703K
Operating cash flow$8.6M

Drawing the Sankey…

Open the interactive Sankey → click any line for what the company wrote about it, compare Y/Y and Q/Q, export as PNG or PDF

What changed this quarter

Revenue was $20.5M in Q2 2026, down 30% year over year and up 3% from the previous quarter.

Operating costs exceeded revenue by $88K, an operating margin of -0.4%. The fastest-growing cost line was Other operating costs (+28%). The quarter ended with a net loss of $703K, wider than the previous quarter's $495K loss. Net interest and other expense of $1.0M was the main reason.

Operating cash flow was $8.6M (up 89% year over year). Non-cash charges added back $1.1M of depreciation and amortization and $2.2M of share-based compensation. Working capital and other items added $6.0M. Capital expenditures of $35K left free cash flow of $8.6M.

Quarterly history

OptimizeRx revenue by quarterOptimizeRx revenue by quarter$32.3MQ4 2024$21.9MQ1 2025$29.2MQ2 2025$26.1MQ3 2025$32.2MQ4 2025$19.8MQ1 2026$20.5MQ2 2026
OptimizeRx net earnings by quarterOptimizeRx net earnings by quarter−$78KQ4 2024−$2.2MQ1 2025$1.5MQ2 2025$779KQ3 2025$5.0MQ4 2025−$495KQ1 2026−$703KQ2 2026
QuarterFormFiledRevenueY/YOp. marginNet earningsOp. cash flow
Q2 202610-QAug 13, 2026$20.5M-30%-0.4%−$703K$8.6M
Q1 202610-QMay 13, 2026$19.8M-10%2.0%−$495K−$467K
Q4 202510-KMar 12, 2026$32.2M-0.2%26.6%$5.0M$7.1M
Q3 202510-QNov 7, 2025$26.1M+22%7.9%$779K$3.2M
Q2 202510-QAug 8, 2025$29.2M+55%11.0%$1.5M$4.6M
Q1 202510-QMay 13, 2025$21.9M+11%-9.6%−$2.2M$3.9M
Q4 202410-KMar 20, 2025$32.3M+14%11.2%−$78K$198K

Charts

OptimizeRx: revenue growth, year over year and quarter over quarterOptimizeRx: revenue growth, year over year and quarter over quarterY/YQ/Q+14%Q4 2024+11%-32%Q1 2025+55%+33%Q2 2025+22%-11%Q3 20250%+24%Q4 2025-10%-38%Q1 2026-30%+3%Q2 2026
Latest (Q2 2026): Y/Y -30%, Q/Q +3%.
OptimizeRx: where the cash came from (+) and went (−), TTM to Q2 2026OptimizeRx: where the cash came from (+) and went (−), TTM to Q2 2026Net borrowing (+) / repaid (−)−$34.6MOther financing$23.5MOperating cash flow$18.4MCash drawn (+) / kept (−)−$7.5MOther investing$217KCapital spending−$77KNot reconciled$11K
From the cash-flow statement as filed (SEC XBRL). Cash is fungible: the bars do not say which dollar paid for what.
OptimizeRx: profit against cash, quarter by quarterOptimizeRx: profit against cash, quarter by quarterNet incomeOperating cash flow−$9.1M$1.8MQ3 2024−$78K$198KQ4 2024−$2.2M$3.9MQ1 2025$1.5M$4.6MQ2 2025$779K$3.2MQ3 2025$5.0M$7.1MQ4 2025−$495K−$467KQ1 2026−$703K$8.6MQ2 2026
Latest (Q2 2026): Net income −$703K, Operating cash flow $8.6M.
OptimizeRx: diluted shares by fiscal yearOptimizeRx: diluted shares by fiscal year15MFY202018MFY202118MFY202217MFY202318MFY202419MFY2025
+28.1% since FY2020: more shares outstanding (issuance, stock pay).
OptimizeRx: long-term debt falling due (FY2024)OptimizeRx: long-term debt falling due (FY2024)$2.0M2025$2.0M2026$30.3M2027
Cash $13.4M, short-term investments $0, long-term debt $34.3M at 2024-12-31.
OptimizeRx in its industry: growth against margin (87 companies, SIC 7389)OptimizeRx in its industry: growth against margin (87 companies, SIC 7389)revenue growth, year over year →↑ operating marginmedian +8%median 7%ACNUBERVMELIMAPYPLFISVDASHAMTMFISGPNEBAYCNXCLYFTBRCPAYFOURRBAMMSTNETAKAMCARTWUCSGPADVMSCIWEXZGCBZETSYFICOTICEXLSCNDTRELYALITMBGLQNSTMAXPAYHQYPAYOPRTHCTEVXMTRFLYWGETYANDGNUTXACVAXBPSEZLIMXILQDTPHRRMNIRPAYRGPSCORJANLCASSAMWLSGRPDHXBAERPAYSNOTEHGBLPOWWRSSSDVLTPAYDQMCIINVUTGLASFHCJMBOLBXHLDFTFTDBMMCNFNSRCOGBUXWASTBCRDOPRX (-30%, 0%)
Services-Business Services, NEC; dot size is quarterly revenue; dashed lines are the industry's medians.

Interactive views

The same charts as the app — open one to draw it.

💵Where each $1 goesinteractive

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🌏Named in Asian annual reportsinteractive

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🔄Rotation against the market and its industry (RRG)interactive

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🔍Earnings qualityinteractive

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⚖️Fair value by methodinteractive

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🔭Outlook & guidanceinteractive

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📈Investments: gains and what it boughtinteractive

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🏭Its industry’s money flow (input-output)interactive

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About OptimizeRx

OptimizeRx is a leading digital healthcare technology company that is redefining how life sciences brands engage with, market their services and products to, and support patients and healthcare providers. We leverage our proprietary technology solutions and partnerships to help our clients develop and execute highly individualized and targeted marketing campaigns to drive physician and patient engagement and to enhance patient care. OptimizeRx is a Nevada corporation and was founded in 2006 in Rochester, Michigan, as a healthcare technology company delivering various types of messages to target audiences, including coupons and co-pays directly to physicians and pharmacists through electronic health record (“EHR”) systems and ePrescribing (“eRx”) platforms.

In its own words, from its 10-K, filed Mar 12, 2026.

OptimizeRx against its Services-Business Services, NEC peers

The largest companies of the same SEC industry, each at its latest quarter. Revenue growth: -30% against the peers' median +10%. Operating margin: -0.4% against the peers' median 9.8%.

CompanyQuarterRevenueY/YOp. margin
OPRX OptimizeRxQ2 2026$20.5M-30%-0.4%
ACN AccentureQ4 FY26$18.7B+6%15.3%
UBER Uber TechnologiesQ3 2026$14.8B+10%9.8%
V VisaQ4 FY26$12.1B+13%59.8%
MELI MercadoLibreQ3 2026$10.8B+45%6.3%
MA MastercardQ3 2026$9.8B+14%59.8%
PYPL PayPal HoldingsQ3 2026$8.6B+2%16.3%
FISV FiservQ3 2026$5.2B-1%-105.7%
DASH DoorDashQ3 2026$4.6B+34%9.6%

Source: OptimizeRx 10-Q on SEC EDGAR · CIK 1448431 · Services-Business Services, NEC

13F: who owns OPRX and who is buying

Largest holders of OPRX (13F)Largest holders of OPRX (13F)Vanguard Group$13.9MWhetstone Capital Advisors, LLC$8.6MRoyce & Associates LP$6.2MVanguard Capital Management LLC$4.0MKennedy Capital Management LLC$3.7MRice Hall James & Associates, LLC$3.6MBlair William$3.5MAQR Capital Management LLC$3.3MDimensional Fund Advisors LP$2.7MBlackRock$2.5M
Funds' net buying of OPRX by quarter (13F)Funds' net buying of OPRX by quarter (13F)−$5.6M2024-09−$7.5M2024-12$3.0M2025-03$12.0M2025-06$16.6M2025-09−$116K2025-12$493K2026-03−$13.4M2026-06
Value of shares 13F filers added minus the value they sold, each quarter (quarters with most filings in).

More on OPRX

History

Every quarter: Q2 2026 results · Q1 2026 results · Q4 2025 results · Q3 2025 results · Q2 2025 results · Q1 2025 results · Q4 2024 results

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