OPRX Stock Snapshot Price, market cap, P/E, EPS, ROE, debt/equity, 52-week range

03
Price $8.57
Market Cap (MRQ) $161M
P/E (TTM) 35.7
EPS (TTM) $0.24
Revenue (TTM) $99M
ROE (TTM) 3.7%
Debt/Equity (MRQ) 0.1
52W Range $5–$22

OPRX Stock Price Chart Daily OHLCV with technical indicators — pan, zoom, and customize your view

04
range
bars

Bar granularity adapts to the selected period — hover the chart to see open/high/low/close for a bar.

Stock splits 1
Ex-date Split Type
May 14, 2018 1-for-3 Reverse

10-Year Performance Revenue, net income, margins and EPS trends

06
Revenue$109M
2013-12-31 → 2025-12-31
EPS$0.27
2017-12-31 → 2025-12-31
Free Cash Flow$19M
2013-12-31 → 2025-12-31
Net margin4.7%
2013-12-31 → 2025-12-31
Valuation & Ratios 07–12

Valuation P/E, P/S, P/B, EV/EBITDA ratios — is the stock expensive or cheap?

Metric 5Y trend OPRX 5Y avg Peer Median Verdict
P/E (TTM) 35.75Y avg ≈621.3 ≈621.3 23.8 Fair value
P/S (TTM) 1.6 · 0.9 Overvalued
P/B (MRQ) 1.2 · 2.5 Undervalued
EV / EBITDA 15.2 · · ·
Price / FCF (TTM) 8.8 · · ·
Price / Cash Flow (TTM) 8.8 · 17.5 Undervalued
EV / Revenue 1.6 · · ·
EV / FCF 9.5 · · ·
Price / Tangible Book (MRQ) 1.75Y avg ≈9.2 ≈9.2 · ·

Peer median is calculated on a standardized basis per metric and may not always match the TTM/MRQ basis shown for this stock.

value · ≈ 5Y avg · industry median · verdict relative to median

Earnings History EPS actual vs estimate, surprise %, beat rate, next earnings date

14
Avg Surprise 409.5%
Next Report Nov 04, 2026
PeriodReportEPS ActualEPS EstSurprise
June 30, 2026 Aug 12, 2026 $0.16 $0.08 101.0%
March 31, 2026 May 11, 2026 $0.14 $-0.04 456.2%
Dec. 31, 2025 $0.51 $0.23 120.6%
Sept. 30, 2025 $0.20 $0.05 342.5%
June 30, 2025 $0.24 $0.02 1271.4%
March 31, 2025 $0.08 $-0.12 165.4%

Full Fundamentals All metrics by year — income statement, balance sheet, cash flow

15
Income Statement 18
Metric Trend 202520242023202220212020201920182017201620152014
Revenue $109M$92M$72M$62M$61M$43M$25M$21M$12M···
Cost of Revenue $36M$33M$29M$23M$26M$19M$9M$9M····
Gross Profit $74M$59M$43M$39M$36M$24M$15M$12M$6M···
R&D Expense $0$0···$0$2M$0····
SG&A Expense ···$33M$28M·······
Operating Expenses $62M$73M$69M$51M$35M$26M$19M$12M$8M···
Operating Income $12M$-14M$-26M$-12M$361.1K$-2M$-4M$180.1K$-2M···
Interest Expense ··$1M·········
Interest Income $353.0K$329.0K$2M$852.3K$17.0K$68.6K$288.0K$46.2K$25.9K···
Other Non-op $-5M$-6M$1M$852.3K$17.0K$-71.8K$-347.0K$46.2K$25.9K···
Pretax Income $7M$-19M$-25M$-11M$378.1K$-2M$-4M$226.3K$-2M···
Income Tax $2M$725.0K$-8M···$-898.0K·····
Net Income $5M$-20M$-18M$-11M$378.1K$-2M$-3M$226.3K$-2M···
EPS (Basic) $0.28$-1.10$-1.03$-0.64$0.02$-0.15$-0.23$0.02$-0.21···
EPS (Diluted) $0.27$-1.10$-1.03$-0.64$0.02$-0.15$-0.23$0.02$-0.21···
Shares (Basic) 18,555,34318,292,93517,124,80117,783,99217,228,01914,827,92313,387,86310,832,2099,819,753···
Shares (Diluted) 18,998,46318,292,93517,124,80117,783,99217,690,48914,827,92313,387,86311,862,9919,819,753···
EBITDA $12M$-14M$-24M$-10M·$-2M$-4M$180.1K····
Balance Sheet 26
Metric Trend 202520242023202220212020201920182017201620152014
Cash & Equivalents $23M$13M$14M$18M$85M$11M$19M$9M$5M$7M··
Short-term Investments $0$0·$56M········
Receivables $38M$38M$36M$22M$25M$18M$7M$6M$3M···
Prepaid Expense $3M$2M$3M$2M$6M$4M$871.0K$360.1K$255.4K···
Current Assets $65M$54M$54M$99M$115M$33M$27M$16M$9M···
PP&E (Net) $106.0K$150.0K$149.0K$137.4K$143.8K$148.9K$176.0K$149.3K$167.3K···
PP&E (Gross) $457.0K$408.0K$300.0K$269.0K$468.2K$367.9K$324.9K$254.0K$241.6K···
Accum. Depreciation $351.0K$258.0K$151.0K$131.5K$324.3K$219.1K$148.9K$104.7K$74.3K···
Goodwill $71M$71M$78M$23M$15M$15M$15M$4M····
Intangibles $41M$46M$6M$13M$11M$12M$14M$3M$638.8K···
Total Assets $177M$171M$183M$135M$141M$60M$57M$25M$10M···
Accrued Liabilities $12M$8M$8M$3M$3M$2M$2M$1M$953.9K···
Current Liabilities $21M$19M$18M$8M$9M$10M$6M$4M$4M···
Capital Leases $234.0K$209.0K$371.0K$144.5K$236.7K$325.5K$448.8K·····
Deferred Tax $6M$4M$4M·········
Total Liabilities $49M$54M$57M$9M$10M$10M$12M$7M$4M···
Long-term Debt $26M$34M$38M·········
Total Debt $26M$33M$36M·········
Common Stock $20.0K$20.0K$20.0K$18.3K$17.9K$15.2K$14.6K$12.0K$9.8K···
Paid-in Capital $208M$201M$191M$173M$167M$86M$78M$49M$35M···
Retained Earnings $-79M$-84M$-64M$-47M$-35M$-36M$-33M$-30M$-30M···
Treasury Stock $2.0K$2.0K$2.0K$1.2K········
AOCI $0···········
Stockholders' Equity $128M$117M$127M$126M$131M$50M$45M$18M$6M$8M··
Liabilities + Equity $177M$171M$183M$135M$141M$60M$57M$25M$10M···
Shares Outstanding 18,759,58920,194,69719,899,67918,288,57117,860,97515,223,34014,609,57912,038,6189,772,694···
Cash Flow 17
Metric Trend 202520242023202220212020201920182017201620152014
D&A $4M$4M$2M$2M$2M$2M$1M$316.5K$324.6K···
Stock-based Comp $7M$11M$14M$16M$5M$3M$2M$3M$87.4K···
Deferred Tax $1M$153.0K$-8M·········
Amort. of Intangibles $4M$4M$2M·········
Other Non-cash ··$-7M$4M········
Operating Cash Flow $19M$5M$-7M$11M$726.0K$-6M$-2M$792.6K$-1M···
CapEx $58.0K$112.0K$87.0K$81.0K$100.3K$68.0K$87.7K$34.4K$42.2K···
Investing Cash Flow $68.0K$-450.0K$-25M$-58M$-486.0K$-124.7K$-11M$-6M$-42.2K···
Debt Issued ··$38M·········
Net Debt Issued $-8M$-4M$-2M·········
Stock Issued ····$71M·$21M$8M····
Stock Repurchased ··$8M$20M····$390.0K···
Net Stock Activity ··$-8M$-20M··$21M$8M····
Financing Cash Flow $-9M$-5M$28M$-19M$74M$-2M$22M$9M$-390.0K···
Net Change in Cash $10M$-472.0K$-4M$-66M$74M$-8M$10M$4M$-2M···
Taxes Paid $2M$161.0K····$898.0K·····
Free Cash Flow $19M$5M$-7M$11M·$-6M$-2M$758.2K····
Profitability 8
Metric Trend 202520242023202220212020201920182017201620152014
Gross Margin 67.2%64.5%60.0%62.4%·55.6%62.8%57.6%····
Operating Margin 10.7%-14.9%-36.9%-19.7%·-4.9%-15.0%0.85%····
Net Margin 4.7%-21.8%-24.6%-18.3%·-5.1%-12.8%1.1%····
Pretax Margin 6.3%-21.0%·-18.3%·-5.1%-16.4%1.1%····
EBITDA Margin 10.7%-14.9%-33.6%-16.4%·-4.9%-15.0%0.85%····
ROA 2.9%-11.3%-11.1%-8.3%·-3.8%-7.7%1.3%····
ROE 4.2%-17.4%-14.5%-8.9%·-4.6%-7.3%1.3%····
ROIC 5.6%-9.5%····-6.4%·····
Liquidity & Solvency 5
Metric Trend 202520242023202220212020201920182017201620152014
Current Ratio 3.02.93.011.7·3.34.43.8····
Quick Ratio 2.92.82.811.5·2.84.33.6····
Debt / Equity 0.20.30.3·········
LT Debt / Equity 0.20.30.3·········
Interest Coverage ··-18.2·········
Efficiency 2
Metric Trend 202520242023202220212020201920182017201620152014
Asset Turnover 0.60.50.40.5·0.70.61.2····
Receivables Turnover 2.92.52.42.7·3.43.54.3····
Per Share 5
Metric Trend 202520242023202220212020201920182017201620152014
Book Value / Share $6.84··$6.90·$3.28$3.07$1.53····
Revenue / Share $5.76$5.04$4.18$3.51·$2.92$1.84$1.79····
Cash Flow / Share $0.99$0.27$-0.42$0.60·$-0.43$-0.12$0.07····
Cash / Share $1.25··$1.00·$0.69$1.29$0.74····
EPS (TTM) $0.27$-1.10$-1.03$-0.64$0.02$-0.15$-0.23$0.02$-0.21···
Growth Rates 3
Metric Trend 202520242023202220212020201920182017201620152014
Revenue YoY 18.8%28.8%14.5%1.9%41.5%·······
Revenue CAGR 3Y 20.6%14.5%18.2%·········
Revenue CAGR 5Y 20.4%···········
Valuation (TTM) 14
Metric Trend 202520242023202220212020201920182017201620152014
Revenue TTM $109M$92M$72M$62M$61M$43M$25M$21M$12M$5M$5M$5M
Net Income TTM $5M$-20M$-18M$-11M$378.1K$-2M$-3M$226.3K$-2M···
Market Cap $230M··$307M·$474M$150M$132M····
Enterprise Value $232M···········
P/E 45.4-4.4-13.9-26.23105.5-207.7-44.7548.5-22.4···
P/S 2.1··4.9·11.06.16.2····
P/B 1.8··2.4·9.53.37.2····
P / Tangible Book 13.8··3.410.520.5······
P / Cash Flow 12.3··28.8·-75.2-90.3166.6····
P / FCF 12.3··29.1·-74.4-85.8174.2····
EV / EBITDA 19.9···········
EV / FCF 12.5···········
EV / Revenue 2.1···········
Earnings Yield 2.2%-22.6%-7.2%-3.8%0.03%-0.48%-2.2%0.18%-4.5%···

Most recent period on the left · null values shown as ·

Financial Statements Income statement, balance sheet, cash flow — annual, last 5 years

16
Metric 2025-12-312024-12-312023-12-312022-12-312021-12-31
Revenue $109M $92M $72M $62M $61M
Gross Margin % 67.2% 64.5% 60.0% 62.4% ·
Operating Margin % 10.7% -14.9% -36.9% -19.7% ·
Net Income $5M $-20M $-18M $-11M $378.1K
Diluted EPS $0.27 $-1.10 $-1.03 $-0.64 $0.02

Institutional owners (13F) 118 filers · $75.8M total · As of Sept. 30, 2026

17

Institutions that report holding this stock in their quarterly SEC Form 13F. Long positions only; a single filer may appear twice for separate option legs. Large offsetting put/call legs typically reflect market-making or hedged inventory, not directional conviction.

Holders 118
Value held $75.8M
New positions 24
Exited positions 36
Institutional activity — Q2 2026 vs prior quarter
New positions Exited positions Increased Decreased Net shares change
24 (-5 vs prior Q) 36 (+9 vs prior Q) 33 (-15 vs prior Q) 42 (+13 vs prior Q) -2.4M

Compared to Q1 2026. SEC Form 13F filings are due within 45 days of quarter-end plus a short buffer for late filers — quarters still inside that window are skipped in favor of the most recent fully-reported pair.

Institution Value Shares % of tracked 13F Type
VANGUARD GROUP INC $13,938,798 1,136,933 18.38% Shares
Whetstone Capital Advisors, LLC $8,627,493 1,508,303 11.38% Shares
ROYCE & ASSOCIATES LP $6,231,357 1,089,398 8.22% Shares
VANGUARD CAPITAL MANAGEMENT LLC $4,001,735 699,604 5.28% Shares
KENNEDY CAPITAL MANAGEMENT LLC $3,684,538 644,150 4.86% Shares
RICE HALL JAMES & ASSOCIATES, LLC $3,625,576 633,842 4.78% Shares
BLAIR WILLIAM & CO/IL $3,477,331 607,925 4.59% Shares
AQR CAPITAL MANAGEMENT LLC $3,340,229 583,956 4.40% Shares
DIMENSIONAL FUND ADVISORS LP $2,731,808 477,687 3.60% Shares
BlackRock, Inc. $2,547,585 445,382 3.36% Shares
Parkman Healthcare Partners LLC $2,003,985 350,347 2.64% Shares
AWM Investment Company, Inc. $1,375,208 240,421 1.81% Shares
GEODE CAPITAL MANAGEMENT, LLC $1,186,517 207,345 1.56% Shares
VANGUARD PORTFOLIO MANAGEMENT LLC $969,757 169,538 1.28% Shares
RENAISSANCE TECHNOLOGIES LLC $959,244 167,700 1.26% Shares
MARSHALL WACE, LLP $927,704 162,186 1.22% Shares
CITADEL ADVISORS LLC $903,715 157,992 1.19% Shares
MORGAN STANLEY $894,116 156,314 1.18% Shares
Mink Brook Asset Management LLC $807,864 141,235 1.07% Shares
D. E. Shaw & Co., Inc. $789,840 138,084 1.04% Shares
JANE STREET GROUP, LLC $698,332 122,086 0.92% Shares
GOLDMAN SACHS GROUP INC $600,812 105,037 0.79% Shares
Quantinno Capital Management LP $566,989 99,124 0.75% Shares
VANGUARD FIDUCIARY TRUST CO $560,554 97,999 0.74% Shares
Trexquant Investment LP $512,890 89,666 0.68% Shares
CREDIT AGRICOLE S A $510,224 89,200 0.67% Shares
STATE STREET CORP $461,043 80,602 0.61% Shares
MILLENNIUM MANAGEMENT LLC $450,685 78,791 0.59% Shares
AVENIR CORP $422,479 73,860 0.56% Shares
Man Group plc $413,825 72,347 0.55% Shares
WOLVERINE TRADING, LLC $406,098 19,800 0.54% Call option
PRINCIPAL FINANCIAL GROUP INC $389,755 68,139 0.51% Shares
Qube Research & Technologies Ltd $384,773 67,268 0.51% Shares
Bank of New York Mellon Corp $370,124 64,707 0.49% Shares
HSBC HOLDINGS PLC $326,577 58,949 0.43% Shares
Point72 Asset Management, L.P. $318,141 55,619 0.42% Shares
UBS Group AG $317,597 55,524 0.42% Shares
Jain Global LLC $295,621 51,682 0.39% Shares
Campbell & CO Investment Adviser LLC $292,464 51,130 0.39% Shares
XTX Topco Ltd $265,963 46,497 0.35% Shares
Squarepoint Ops LLC $257,766 45,064 0.34% Shares
SEI INVESTMENTS CO $236,945 41,424 0.31% Shares
SUSQUEHANNA INTERNATIONAL GROUP, LLP $223,097 39,003 0.29% Shares
SUSQUEHANNA INTERNATIONAL GROUP, LLP $218,504 38,200 0.29% Put option
JANE STREET GROUP, LLC $216,788 37,900 0.29% Call option
NORTHERN TRUST CORP $211,640 37,000 0.28% Shares
CITADEL ADVISORS LLC $184,184 32,200 0.24% Put option
Samjo Management, LLC $183,040 32,000 0.24% Shares
BANK OF AMERICA CORP /DE/ $151,866 26,550 0.20% Shares
Quadrature Capital Ltd $146,678 25,643 0.19% Shares

Show all 118 institutional owners →

Activists & 5%+ owners 8 positions

18

Investors who filed SEC Schedule 13D — beneficial ownership above 5% with an intent to influence the issuer (activist stakes, board campaigns, M&A). Each row shows the most recent known state of that filer's position.

Filer Filed Stake Status Purpose Filing
Whetstone Capital Advisors, LLC, David Atterbury ×3 filings April 21, 2025 8.20% Amendment Board campaign SEC
Individual Retirement Accounts for the benefit of Ronald L. Chez, the Chez Family Foundation and Ronald L. Chez Individually ×6 filings April 14, 2021 · Initial filing · SEC
WOLVERINE ASSET MANAGEMENT, LLC, WOLVERINE HOLDINGS, L.P., WOLVERINE TRADING PARTNERS, INC., CHRISTOPHER L. GUST, ROBERT R. BELLICK ×4 filings June 7, 2019 · Initial filing · SEC
WPP L UXEMBOURG G AMMA T HREE S.À R.L., WPP PLC Dec. 20, 2018 · Initial filing · SEC
WPP L UXEMBOURG G AMMA T HREE S . À R . L ., WPP PLC Oct. 2, 2015 · Initial filing Passive investment SEC
Vicis Capital, LLC, SLS Holdings I, LLC ×5 filings March 21, 2014 · Initial filing Board campaign SEC
Richard Kraniak Oct. 17, 2011 · Initial filing · SEC
David Harrell Sept. 15, 2010 · Initial filing · SEC

Purpose is an automated classification of the filer's own stated purpose (SEC Item 4) — not investment advice. "—" means no clear purpose was stated or the text could not be classified.

Company insiders 29 insiders · 14 officers · 10 directors

19
Insider Role Last activity Shares owned Buys 12m Sells 12m Net 12m
Stephen L Silvestro Chief Executive Officer Aug. 21, 2026 F 183,551 0 1 $-30,375
William J Febbo CEO Feb. 14, 2025 F 600,852 0 0 $0
Douglas P Baker CHIEF FINANCIAL OFFICER Oct. 5, 2021 M 34,796 0 0 $0
Brendan W. Merrell CHIEF OPERATING OFFICER Aug. 21, 2026 F 25,187 0 0 $0
Andrew J. D'Silva Chief Business Officer Oct. 1, 2026 F 99,246 0 0 $0
Edward Stelmakh Chief Finance & Strat Officer Aug. 21, 2026 F 121,791 0 1 $-18,752
Marion Odence-Ford Chief Legal & Admin Officer Aug. 21, 2026 F 90,407 0 0 $0
Theresa Greco Chief Commercial Officer May 15, 2026 F 71,075 0 0 $0
Doug Besch Chief Product & Tech Officer Dec. 23, 2025 F 66,876 0 0 $0
Brian Clark Mccarthy Chief Revenue Officer Aug. 2, 2024 A · 0 0 $0
Todd Inman Chief Technology Officer March 1, 2023 M 538 0 0 $0
Terrence Hamilton SVP OF SALES March 27, 2019 C 141,471 0 0 $0
Brian J Dillon SR. VP OF PRODUCT & STRATEGY July 28, 2016 A · 0 0 $0
James M Brooks SVP of Business Development June 8, 2016 P 10,000 0 0 $0
Mariyamma Varghese Presti Director June 9, 2026 A 30,318 0 0 $0
James Paul Lang Director June 9, 2026 A 433,837 0 0 $0
Ellen O'Connor Vos Director June 9, 2026 A 107,159 0 0 $0
Patrick D Spangler Director June 9, 2026 A 78,732 0 0 $0
Gregory D Wasson Director June 9, 2026 A 91,700 0 0 $0
Cathy Klema Director June 9, 2026 A 56,137 0 0 $0
Gus D Halas Director June 5, 2024 M 80,926 0 0 $0
Jack T Pinney Director Jan. 10, 2018 A 812,329 0 0 $0
David Harrell Director June 1, 2017 D 2,090,750 0 0 $0
AWM Investment Company, Inc. 10% owner May 14, 2019 S 1,221,528 0 0 $0
Miriam J Paramore · Dec. 2, 2021 M 74,607 0 0 $0
Radoff Bradley Louis · July 24, 2014 S 2,289,200 0 0 $0
David Lester · May 1, 2014 A 423,348 0 0 $0
Shadron L. Stastney · Sept. 20, 2013 A 250,000 0 0 $0
Richard Kraniak · Aug. 5, 2011 J 1,362,250 0 0 $0

Insiders from SEC Form 3/4/5 filings; net = open-market P/S only

ETF ownership Held by 7 ETFs

20

Weight reflects direct equity holdings (N-PORT) only; leveraged or derivative-based funds may hold additional swap exposure not shown.

Fund Weight Units As of Source
VFMF · VANGUARD WELLINGTON FUND 0.05% 57,243 SH Aug. 19, 2026 Daily
IWC · iShares Trust 0.03% 54,546 SH Sept. 11, 2026 Daily
DFSV · Dimensional ETF Trust 0.01% 80,772 NS July 31, 2026 N-PORT
ITOT · iShares Trust 0.00% 46,085 SH Sept. 11, 2026 Daily
DFAS · Dimensional ETF Trust 0.00% 7,915 NS July 31, 2026 N-PORT
VXF · VANGUARD INDEX FUNDS 0.00% 187,686 SH Aug. 19, 2026 Daily
VTI · VANGUARD INDEX FUNDS 0.00% 494,252 SH Aug. 19, 2026 Daily

OPRX Analyst Consensus Bullish and bearish analyst opinions, 12-month price target, upside

21
rating · 12 analysts BUY
Median target $11.00 +28.4%
4 33.3% Strong Buy
7 58.3% Buy
1 8.3% Hold
0 0.0% Sell
0 0.0% Strong Sell

12-Month Price Target

5 analysts · 2026-09-28

Mean target $12.40 +44.7%

← Below all targets Current price $8.57
Low$10.00 Mean$12.40 High$18.00

Peer comparison (GICS sub-industry) Key metrics vs sector peers

22

FY basis, prices as of each company's last fiscal year-end close.

Ticker Market Cap P/E Rev YoY Net Margin ROE Gross Margin
OPRX $230M 45.4 18.8% 4.7% 4.2% 67.2%
EVH · -0.8 -26.6% -28.5% -81.5% ·
CTEV $708M -2.5 3.7% -29.4% 265.9% ·
SLP $285M -4.4 13.1% -81.7% -41.2% 58.4%
AMWL $81M -0.8 -2.0% -38.4% -35.4% ·
DH · -2.2 -4.2% -57.5% -28.2% 75.9%
LFMD $159M 13.6 25.3% 7.4% 204.0% 85.7%
HCAT · -0.9 1.5% · · ·
CCLD · · · · · ·
VEEV $33.40B 37.5 16.3% 28.4% 13.1% 75.5%

My Metrics Your personal watchlist — selected rows from Full Fundamentals

26

Pick the metrics that matter to you — click the + next to any row in Full Fundamentals above.

Your selection is saved and follows you across all tickers.

Source: SEC 10-Q filed Aug 13, 2026