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OptimizeRx (OPRX) Q4 2025 earnings results (fourth quarter 2025)

10-K filed Mar 12, 2026

OptimizeRx (OPRX) reported revenue of $32.2M for the fourth quarter 2025 (Q4 2025), -0.2% from a year earlier and +24% from the quarter before. Operating margin was 26.6%, net earnings $5.0M (15.6% of revenue).

Revenue$32.2M
Year over year-0.2%
Quarter over quarter+24%
Operating margin26.6%
Net earnings$5.0M

OptimizeRx, Q4 2025: revenue $32.2M (-0.2% year over year), operating margin 26.6%, net earnings $5.0M, operating cash flow $7.1M. The chart follows the revenue to costs, profit and cash.

Q4 2025AmountQ/QY/Y
Revenue$32.2M+24%-0.2%
Gross profit$24.1M+38%+9%
Operating profit$8.6M+318%+136%
Net earnings$5.0M+544%—
Operating cash flow$7.1M+121%36×
Free cash flow$7.1M+122%39×

What changed

Revenue was $32.2M in Q4 2025, roughly flat year over year and up 24% from the previous quarter.

Gross margin was 74.8%, up 6.6 points from Q4 2024. Operating profit was $8.6M, a 26.6% margin (up 15.3 points year over year). Operating expenses fell 16% while revenue was flat. Net earnings were $5.0M. The effective tax rate was 32.8%.

Operating cash flow was $7.1M (up 3480% year over year), 141% of net earnings. Non-cash charges added back $1.1M of depreciation and amortization and $2.0M of share-based compensation. Working capital and other items used $1.0M. Capital expenditures of $11K left free cash flow of $7.1M.

Questions

What was OptimizeRx's revenue in the fourth quarter 2025?

OptimizeRx (OPRX) reported revenue of $32.2M for the fourth quarter 2025 (Q4 2025), -0.2% from a year earlier and +24% from the quarter before.

Was OptimizeRx profitable in the fourth quarter 2025?

Operating profit was $8.6M (26.6% of revenue) and net earnings $5.0M.

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Source: OptimizeRx 10-K on SEC EDGAR.