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OptimizeRx

OPRX
54
Medical - Healthcare Information Services · Healthcare
Price
$7.71
-0.25 (-3.14%)
Market Cap
$144.7M
Exchange
NASDAQ
Winston Score
54
Winston is curious
Mixed quality — meaningful strengths and weaknesses.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Mixed
Growth
Mixed
Cash Flow
Exceptional
Stability
Strong
Valuation
Good

Share count rising — dilution

+7.4% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 17.7M (2021) → 19.0M (2025)

Winston Score History

The full picture

OptimizeRx is a digital health company that helps pharmaceutical and biotech companies communicate with doctors. It runs a platform that delivers messages, clinical information, and patient support tools directly to physicians through the electronic health record (EHR) systems doctors already use every day. This puts OptimizeRx in a niche spot — it reaches doctors at the exact moment they are making prescribing decisions.

The company makes money by charging life sciences companies fees to run campaigns through its network, which connects to a large number of EHR platforms across the United States. It operates almost entirely in the US market and is a small-cap company with a market cap around $100 million. Its main competitive advantage is its embedded position inside clinical workflows, which is hard for rivals to replicate quickly. The key growth driver is expanding its AI-powered targeting tools to help pharma clients reach the right doctors more precisely, but the company faces real risk from customer concentration, since a small number of large pharma clients drive most of its revenue.

Score breakdown

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Quality

Profit per sale
Gross Margin
76.5%
Premium pricing power — 76.5% gross margin
Profit after running costs
Operating Margin
-0.4%
Losing money on operations — -0.4%
Return on the money invested
ROCE
7.5%
Weak — 7.5% return on capital

ROIC between 5% and 15%. They earn 5 to 15 cents back per year on every dollar invested.

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Growth

Sales growth
Sales YoY
-5.8%
Shrinking sales (-5.8% YoY)
Profit growth
EPS YoY
N/A
Data not available
How steady the profit is
EPS Consistency
6/8 quarters
Earnings grew in most of the last 8 quarters

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Cash Flow

Profit that turns into cash
Cash Conversion
401%
Turns 401% of profit into real cash
Spare cash per sale
FCF Margin
18.6%
Converts sales into free cash efficiently (18.6%)

FCF margin between 10% and 20%. Every $100 in sales becomes $10 to $20 in real cash.

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Stability

What it owes vs what it owns
Debt / Equity
0.15
Conservative — low debt load (0.15)
Covers its interest
Interest Cover
2.42x
Tight — interest eats into profit (2.4x)

Interest coverage between 1 and 3. Profits cover interest, but with little room to spare.

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Valuation

Price vs profit
P/E Ratio (TTM)
31.7x
Pricey — P/E 31.7

P/E above the market average. People are paying up for expected growth.

Cheaper or dearer next year
P/E vs Forward
+25.2
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (31.7 → 6.5)

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Dividends

Not applicable for this business.
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