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OptimizeRx (OPRX) Q1 2026 earnings results (first quarter 2026)

10-Q filed May 13, 2026

OptimizeRx (OPRX) reported revenue of $19.8M for the first quarter 2026 (Q1 2026), -10% from a year earlier and -38% from the quarter before. Operating margin was 2.0%, net loss $495K (2.5% of revenue).

Revenue$19.8M
Year over year-10%
Quarter over quarter-38%
Operating margin2.0%
Net earnings−$495K

OptimizeRx, Q1 2026: revenue $19.8M (-10% year over year), operating margin 2.0%, net loss $495K, operating cash flow −$467K. The chart follows the revenue to costs, profit and cash.

Q1 2026AmountQ/QY/Y
Revenue$19.8M-38%-10%
Operating profit$396K-95%—
Net earnings−$495K-110%—
Operating cash flow−$467K-107%-112%

What changed

Revenue was $19.8M in Q1 2026, down 10% year over year and down 38% from the previous quarter.

Operating profit was $396K, a 2.0% margin (up 11.6 points year over year). The quarter ended with a net loss of $495K, after a profit of $5.0M the previous quarter. Net interest and other expense of $1.0M was the main reason.

Operating cash flow was −$467K. Non-cash charges added back $1.1M of depreciation and amortization and $1.8M of share-based compensation. Working capital and other items used $2.9M. Capital expenditures of $21K exceeded it, leaving free cash flow of −$488K.

Questions

What was OptimizeRx's revenue in the first quarter 2026?

OptimizeRx (OPRX) reported revenue of $19.8M for the first quarter 2026 (Q1 2026), -10% from a year earlier and -38% from the quarter before.

Was OptimizeRx profitable in the first quarter 2026?

Operating profit was $396K (2.0% of revenue) and net loss $495K.

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Source: OptimizeRx 10-Q on SEC EDGAR.