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OptimizeRx Reports Strong Fourth Quarter and Full Year 2024 Financial Results

  • Q4 revenue of $32.3 million, increasing 14% year-over-year
  • Q4 gross profit increased 23% year-over-year to $22.0 million with gross margin of 68%
  • Company generated revenue from 48 DAAP deals in 2024, up from 24 in 2023

WALTHAM, Mass., March 12, 2025 (GLOBE NEWSWIRE) — OptimizeRx Corp. (the “Company”) OPRX, a leading provider of healthcare technology solutions helping life sciences companies reach and engage healthcare professionals (HCPs) and patients, today announced results for the fourth quarter and full year ended December 31, 2024.

  For the Year Ended
December 31,
Key Performance Indicators (KPIs)*   2024       2023  
  (in thousands, except percentages)
Average revenue per top 20 pharmaceutical manufacturer $ 2,933     $ 2,399  
Percent of top 20 pharmaceutical manufacturers that are customers   100 %     100 %
Percent of total revenue attributable to top 20 pharmaceutical manufacturers   64 %     67 %
Net revenue retention   121 %     105 %
Revenue per average full-time employee $ 701     $ 586  

Stephen L. Silvestro, OptimizeRx CEO commented, “I’m incredibly proud of our strong fourth quarter and full year 2024 results and the momentum that we’ve achieved since we reported third quarter results last November, including, among our other successes, that we surpassed our expectations as well as consensus estimates. With the strong tailwinds we saw at the end of 2024 and into the start of 2025, we believe we are uniquely positioned to grow shareholder value by leveraging our industry leadership position in addressing pharma’s most critical commercial challenges: improving brand visibility in an increasingly digital healthcare environment, reducing script abandonment rates, enhancing interoperability at the point of care, and supporting the shift toward complex specialty medications.”

“As the success of our ongoing transformation becomes more reflected in our financial results, now more than ever, we will be laser-focused on operational excellence and disciplined execution while ensuring we delight our customers and forge stronger relationships with valued business partners. Over the past few months, we have completed an extensive strategic review of the Company’s business processes, operations, revenue model, and growth plans and believe we are on the right path forward for shareholder value creation. As we move through fiscal 2025 and leverage the strong momentum we had in 2024, we plan to continue the Company’s growth and transformation, focusing very closely on customer-centricity and delight, continuing to expand our unique value proposition with pharma, positioning OptimizeRx to become a “Rule of 40 company,” and unlocking new opportunities for profitable revenue growth and shareholder value creation. A key component of our strategy includes transitioning our DAAP customers to a more predictable subscription-based model for data services, which we expect will improve margins, increase visibility, reduce the cyclical nature of our business, and facilitate our ability to more effectively scale.”

Financial Highlights

  • Revenue in the fourth quarter of 2024 increased 14% to $32.3 million, from $28.4 million in the same period of 2023, with the full year revenue coming in at $92.1 million, a 29% increase when compared to the same year-ago period.
  • Gross profit in the fourth quarter of 2024 increased 23% year-over-year to $22.0 million. Gross profit for the full year came in at $59.4 million.
  • GAAP net (loss) in the fourth quarter totaled $(0.1) million or $0.00 per basic and diluted share and GAAP net (loss) for the full year totaled $(20.1) million or $(1.10) per basic and diluted share.
  • Non-GAAP net income in the fourth quarter totaled $5.5 million or $0.30 per diluted share and came in at $6.2 million or $0.34 per diluted share for the full year (see *Non-GAAP Measures below).
  • Adjusted EBITDA for the fourth quarter came in at $8.8 million a 53% increase from the $5.8 million we recognized during the same year-ago period. Adjusted EBITDA for the full year came in at $11.7 million (see *Non-GAAP Measures below).
  • Cash and cash equivalents was $13.4 million as of December 31, 2024.
  • Net cash provided by operating activities was $4.9 million for the year ended December 31, 2024.

Financial Outlook

The Company is providing full year 2025 guidance and expects revenue to be at least $100 million with an Adjusted EBITDA of at least $12 million.

Conference Call, Webcast, and Webcast Replay Information

Date: Wednesday, March 12, 2025
Time: 8:30 a.m. Eastern Time
Toll Free: 1-844-825-9789
International: 1-412-317-5180
Conference ID: 10197021
Call Me: https://callme.viavid.com/?$Y2FsbG1lPXRydWUmcGFzc2NvZGU9JmluZm89Y29tcGFueSZyPXRydWUmYj0xNg==
Webcast: https://viavid.webcasts.com/starthere.jsp?ei=1708545&tp_key=86684771bf
Call Me Passcode: 2202248
Webcast Replay: The archived webcast will be on the investor relations section of the OptimizeRx website

Individual Meeting Invitation

In an effort to increase relations with institutional investors, OptimizeRx management has dedicated time to hosting individual meetings with portfolio managers and analysts. If you are interested in scheduling a meeting with OptimizeRx management, please contact: adsilva@optimizerx.com or svonderweid@lifesciadvisors.com.

*Non-GAAP Measures

In addition to the financial measures prepared in accordance with generally accepted accounting principles (GAAP), this earnings release also contains non-GAAP financial measures. The reasons why we believe these measures provide useful information to investors and, for historical periods, a reconciliation of these measures to the most directly comparable GAAP measures are included in the supplemental tables that follow.

Although the Company provides guidance for Adjusted EBITDA, a non-GAAP financial measure, it is not able to provide guidance to the most directly comparable GAAP measure. Reconciliations for forward-looking figures would require unreasonable effort at this time because of the uncertainty and variability of the nature and amount of certain components of various necessary GAAP components, including, for example, those related to compensation, acquisition expenses, amortization or others that may arise during the year, and the Company’s management believes such reconciliations would imply a degree of precision that would be confusing or misleading to investors. For the same reasons, the Company is unable to address the probable significance of the unavailable information.

**Definition of Key Performance Indicators

Top 20 pharmaceutical manufacturers: We have updated the definition of “top 20 pharmaceutical manufacturers” in our key performance indicators to be based upon Fierce Pharma’s most updated list of “The top 20 pharma companies by 2023 revenue”. We previously used “The top 20 pharma companies by 2022 revenue”. As a result of this change, prior periods have been restated for comparative purposes.

Net revenue retention: Net revenue retention is a comparison of revenue generated from all clients in the previous period to total revenue generated from the same clients in the following year (i.e., excludes new client relationships for the most recent year).

Revenue per average full-time employee: We define revenue per average full-time employee (FTE) as total revenue over the last 12 months (LTM) divided by the average number of employees over the LTM, which is calculated by taking our total number of FTEs at the end of the prior year period by our total FTE headcount at the end of the most recent period.

About OptimizeRx

OptimizeRx is a leading healthcare technology company that’s redefining how life science brands connect with patients and healthcare providers. Our platform combines innovative AI-driven tools like the Dynamic Audience Activation Platform (DAAP) and Micro-Neighborhood Targeting (MNT) to deliver timely, relevant, and hyper-local engagement. By bridging the gap between HCP and DTC strategies, we empower brands to create synchronized marketing solutions that drive faster treatment decisions and improved patient outcomes.

Our commitment to privacy-safe, patient-centric technology ensures that every interaction is designed to make a meaningful impact, delivering life-changing therapies to the right patients at the right time. Headquartered in Waltham, Massachusetts, OptimizeRx partners with some of the world’s leading pharmaceutical and life sciences companies to transform the healthcare landscape and create a healthier future for all.

For more information, follow the Company on TwitterLinkedIn or visit www.optimizerx.com

Important Cautions Regarding Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Words such as “anticipates”, “believes”, “estimates”, “expects”, “forecasts”, “intends”, “plans”, “projects”, “targets”, “designed”, “could”, “may”, “should”, “will” or other similar words and expressions are intended to identify these forward-looking statements. All statements that reflect the Company’s expectations, assumptions, projections, beliefs or opinions about the future, other than statements of historical fact, are forward-looking statements, including, without limitation, statements relating to the Company’s growth, business plans, future performance, expected revenues, expected Adjusted EBITDA, plans to grow shareholder value creation, plans to continue the Company’s growth and transformation, plans for unlocking new opportunities for profitable revenue growth, plans for expanding the Company’s value proposition with pharma, plans to position the Company to become a “Rule of 40” company, plans for forging stronger relationships with valued business partners, other business plans and operating and financial performance objectives, and other statements relating to future performance, plans, and expectations. These forward-looking statements are based on the Company’s current expectations and involve assumptions regarding the Company’s business, the economy, and other future conditions that may never materialize or may prove to be incorrect. Forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted, or quantified. ,Actual results and the timing of events could differ materially from those anticipated in such forward-looking statements as a result of various risks and uncertainties including, but not limited to, the effect of government regulation, seasonal trends, dependence on a concentrated group of customers, cybersecurity incidents that could disrupt operations, the ability to keep pace with growing and evolving technology, the ability to maintain contracts with electronic prescription platforms and electronic health records networks, competition, and other factors discussed in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2023, its subsequent Quarterly Reports on Form 10-Q, and in other filings the Company has made and may make with the Securities and Exchange Commission in the future. One should not place undue reliance on these forward-looking statements, which speak only as of the date on which they were made. The Company undertakes no obligation to update such statements to reflect events that occur or circumstances that exist after the date on which they were made, except as may be required by law.

OptimizeRx Contact
Andy D’Silva, SVP Corporate Finance
adsilva@optimizerx.com

Investor Relations Contact
Sandya von der Weid
LifeSci Advisors, LLC
svonderweid@lifesciadvisors.com

OPTIMIZERX CORPORATION
CONSOLIDATED BALANCE SHEETS
(in thousands except share and per share data)
   
  December 31,
    2024       2023  
ASSETS      
Current Assets      
Cash and cash equivalents $ 13,380     $ 13,852  
Accounts receivable, net of allowance for credit losses of $335 and $239 at December 31, 2024 and 2023, respectively   38,212       36,253  
Taxes receivable         1,036  
Prepaid expenses and other   2,379       3,190  
Total Current Assets   53,971       54,331  
Property and equipment, net   150       149  
Other Assets      
Goodwill   70,869       78,357  
Patent rights, net   5,517       6,185  
Technology assets, net   8,180       9,013  
Tradename and customer relationships, net   31,819       34,198  
Operating lease right-of-use assets   366       573  
Security deposits and other assets   296       568  
Total Other Assets   117,047       128,894  
TOTAL ASSETS $ 171,168     $ 183,374  
       
LIABILITIES AND STOCKHOLDERS’ EQUITY      
Current Liabilities      
Current portion of long-term debt $ 2,000     $ 2,000  
Accounts payable – trade   2,156       2,227  
Accrued expenses   8,486       7,706  
Revenue share payable   5,053       5,506  
Taxes payable   318       49  
Current portion of lease liabilities   168       222  
Deferred revenue   473       172  
Total Current Liabilities   18,654       17,882  
Non-Current Liabilities      
Long-term debt, net   30,816       34,231  
Lease liabilities, net of current portion   209       371  
Deferred tax liabilities, net   4,491       4,337  
Total Liabilities   54,170       56,821  
Commitments and contingencies      
Stockholders’ Equity      
Preferred stock, $0.001 par value, 10,000,000 shares authorized, none issued and outstanding at December 31, 2024 and 2023, respectively          
Common stock, $0.001 par value, 166,666,667 shares authorized, 20,194,697 and 19,899,679 shares issued at December 31, 2024 and 2023, respectively   20       20  
Treasury stock, $0.001 par value,1,741,397 shares purchased at December 31, 2024 and 2023   (2 )     (2 )
Additional paid-in-capital   201,348       190,793  
Accumulated deficit   (84,368 )     (64,258 )
Total Stockholders’ Equity $ 116,998     $ 126,553  
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY $ 171,168     $ 183,374  
OPTIMIZERX CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands except share and per share data)
       
  For the Three Months Ended December 31,   For the Year Ended December 31,
    2024       2023       2024       2023  
               
Net revenue $ 32,317     $ 28,369     $ 92,127     $ 71,522  
Cost of revenues, exclusive of depreciation and amortization presented separately below   10,293       10,528       32,749       28,622  
Gross profit   22,024       17,841       59,378       42,900  
               
Operating Expenses              
Stock-based compensation   2,937       2,627       11,467       13,717  
Loss on disposal of a business         2,142             2,142  
Depreciation and amortization   1,094       1,006       4,329       2,402  
Impairment charges         6,738       7,489       6,738  
Other sales, general and administrative expenses   14,358       16,231       49,799       44,303  
Total operating expenses   18,389       28,744       73,084       69,302  
Loss from operations   3,635       (10,903 )     (13,706 )     (26,402 )
Other income (expense)              
Interest expense   (1,563 )     (1,454 )     (6,160 )     (1,454 )
Other income   41       500       153       500  
Interest income   96       118       328       2,192  
Total other income (expense), net   (1,426 )     (836 )     (5,679 )     1,238  
Income (loss) before provision for income taxes   2,209       (11,739 )     (19,385 )     (25,164 )
Income tax (expense) benefit   (2,286 )     7,598       (725 )     7,598  
Net loss $ (77 )   $ (4,141 )   $ (20,110 )   $ (17,566 )
Weighted average number of shares outstanding – basic   18,418,519       17,769,670       18,292,935       17,124,801  
Weighted average number of shares outstanding – diluted   18,418,519       17,769,670       18,292,935       17,124,801  
Loss per share – basic $     $ (0.23 )   $ (1.10 )   $ (1.03 )
Loss per share – diluted $     $ (0.23 )   $ (1.10 )   $ (1.03 )
OPTIMIZERX CORPORATION
CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)
   
  For the Year Ended December 31,
    2024       2023  
CASH FLOWS FROM OPERATING ACTIVITIES:      
Net loss $ (20,110 )   $ (17,566 )
Adjustments to reconcile net loss to net cash provided by / (used in) operating activities:      
Depreciation and amortization   4,329       2,402  
Impairment charges   7,489       6,738  
Loss on disposal of business         2,142  
Bad debt expense   209       666  
Stock-based compensation   11,466       13,717  
Amortization of debt issuance costs   835       211  
Change in:      
Accounts receivable   (2,168 )     (8,713 )
Prepaid expenses and other assets   811       (573 )
Accounts payable   (72 )     (1,320 )
Revenue share payable   (453 )     1,515  
Accrued expenses and other liabilities   1,053       1,303  
Deferred tax liabilities   1,449       (7,695 )
Deferred loan fees   (250 )    
Deferred revenue   301       (67 )
NET CASH PROVIDED BY / (USED IN) OPERATING ACTIVITIES   4,889       (7,240 )
       
CASH FLOWS USED IN INVESTING ACTIVITIES:      
Purchases of property and equipment   (112 )     (87 )
Proceeds from sale of property and equipment         10  
Cash paid for acquisitions, net of cash acquired         (82,947 )
Proceeds from sale of business         2,540  
Purchase of short-term investments         (162,778 )
Redemptions of short-term investments         218,709  
Capitalized software development costs and other   (338 )     (784 )
NET CASH USED IN INVESTING ACTIVITIES   (450 )     (25,337 )
       
CASH FLOWS (USED IN) / PROVIDED BY FINANCING ACTIVITIES:      
Proceeds from long-term debt, net of issuance costs         37,730  
Repayment of long-term debt   (4,000 )     (1,710 )
Repurchase of common stock         (7,522 )
Cash paid for employee withholding taxes related to the vesting of restricted stock units   (911 )      
Proceeds from exercise of stock options, net of cash paid for withholding taxes         (278 )
NET CASH (USED IN) / PROVIDED BY FINANCING ACTIVITIES   (4,911 )     28,220  
NET DECREASE IN CASH AND CASH EQUIVALENTS   (472 )     (4,357 )
CASH AND CASH EQUIVALENTS – BEGINNING OF PERIOD   13,852       18,209  
CASH AND CASH EQUIVALENTS – END OF PERIOD $ 13,380     $ 13,852  
       
SUPPLEMENTAL CASH FLOW INFORMATION:      
Cash paid for interest $ 6,203     $ 1,213  
ROU assets obtained in exchange for lease obligations $     $ 460  
Shares issued in connection with acquisition $     $ 12,091  
Cash paid for income taxes $ 161     $ 48  


OPTIMIZERX CORPORATION

RECONCILIATION of NON-GAAP to GAAP FINANCIAL MEASURES
(in thousands, except share and per share data)

This earnings release includes certain financial measures not derived in accordance with generally accepted accounting principles (GAAP). These non-GAAP financial measures are measures of performance not defined by accounting principles generally accepted in the United States and should be considered in addition to, not in lieu of, GAAP reported measures. Additionally, these non-GAAP measures may not be comparable to similarly titled measures reported by other companies. However, management believes that presenting certain non-GAAP financial measures provides additional information to facilitate comparison of the Company’s historical operating results and trends in its underlying operating results and provides transparency on how the Company evaluates its business. Management uses these non-GAAP financial measures in making financial, operating and planning decisions and in evaluating the Company’s performance. Management believes that financial information excluding certain items that are not considered to reflect the Company’s ongoing operating results, such as those listed below, improves the comparability of year-to-year results. Consequently, management believes that investors may be able to better understand the Company’s operating results excluding these items. Non-GAAP financial measures may reflect adjustments for items such as asset impairment charges, amortization, stock-based compensation, acquisition expenses, severance, deferred income taxes, as well as other items that management believes are not related to the Company’s ongoing performance.

  For the Three Months Ended
December 31,
  For the Twelve Months Ended
December 31,
    2024       2023       2024       2023  
Net loss $ (77 )   $ (4,141 )   $ (20,110 )   $ (17,566 )
Deferred income taxes   153       (7,695 )     153       (7,695 )
Depreciation and amortization   1,094       1,006       4,329       2,402  
Stock-based compensation   2,937       2,627       11,467       13,717  
Asset impairment charges         6,738       7,489       6,738  
Loss on disposal of business         2,142             2,142  
Severance charges   1,183       288       1,908       495  
Other income   (40 )     (500 )     (152 )     (500 )
Amortization of debt issuance costs   288       211       835       211  
Acquisition expense         3,902       243       4,482  
Non-GAAP net income   5,538       4,578       6,162       4,425  
               
Non-GAAP net income per share              
Diluted $ 0.30     $ 0.26     $ 0.33     $ 0.26  
Weighted average shares outstanding:              
Diluted   18,464,605       17,789,235       18,583,936       17,191,300  
  For the Three Months Ended
December 31,
  For the Twelve Months Ended
December 31,
    2024       2023       2024       2023  
Net loss $ (77 )   $ (4,141 )   $ (20,110 )   $ (17,566 )
Depreciation and amortization   1,094       1,006       4,329       2,402  
Stock-based compensation   2,937       2,627       11,467       13,717  
Asset impairment charges         6,738       7,489       6,738  
Loss on disposal of business         2,142             2,142  
Severance charges   1,183       288       1,908       495  
Acquisition expense         3,902       243       4,482  
Other income   (40 )     (500 )     (152 )     (500 )
Interest expense (income), net   1,466       1,336       5,831       (738 )
Income tax expense (benefit)   2,286       (7,598 )     725       (7,598 )
Adjusted EBITDA   8,849       5,800       11,730       3,574  


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