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Stock Comparison

OPRX vs MCK vs CAH vs HCAT

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
OPRX
OptimizeRx Corporation

Medical - Healthcare Information Services

HealthcareNASDAQ • US
Market Cap$124M
5Y Perf.-41.6%
MCK
McKesson Corporation

Medical - Distribution

HealthcareNYSE • US
Market Cap$92.15B
5Y Perf.+374.1%
CAH
Cardinal Health, Inc.

Medical - Distribution

HealthcareNYSE • US
Market Cap$43.59B
5Y Perf.+238.7%
HCAT
Health Catalyst, Inc.

Medical - Healthcare Information Services

HealthcareNASDAQ • US
Market Cap$113M
5Y Perf.-94.1%

OPRX vs MCK vs CAH vs HCAT — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
OPRX logoOPRX
MCK logoMCK
CAH logoCAH
HCAT logoHCAT
IndustryMedical - Healthcare Information ServicesMedical - DistributionMedical - DistributionMedical - Healthcare Information Services
Market Cap$124M$92.15B$43.59B$113M
Revenue (TTM)$109M$403.43B$250.55B$311M
Net Income (TTM)$5M$4.76B$1.56B$-178M
Gross Margin67.3%3.6%3.7%48.7%
Operating Margin10.7%1.5%0.9%-51.7%
Forward P/E7.0x19.3x17.9x14.1x
Total Debt$5M$7.39B$9.35B$20M
Cash & Equiv.$23M$5.69B$3.87B$51M

OPRX vs MCK vs CAH vs HCATLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

OPRX
MCK
CAH
HCAT
StockMay 20May 26Return
OptimizeRx Corporat… (OPRX)10058.4-41.6%
McKesson Corporation (MCK)100474.1+374.1%
Cardinal Health, In… (CAH)100338.7+238.7%
Health Catalyst, In… (HCAT)1005.9-94.1%

Price return only. Dividends and distributions are not included.

Quick Verdict: OPRX vs MCK vs CAH vs HCAT

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: OPRX and CAH are tied at the top with 3 categories each — the right choice depends on your priorities. Cardinal Health, Inc. is the stronger pick specifically for capital preservation and lower volatility and dividend income and shareholder returns. MCK also leads in specific categories worth noting. As sector peers, any of these can serve as alternatives in the same allocation.
OPRX
OptimizeRx Corporation
The Growth Play

OPRX carries the broadest edge in this set and is the clearest fit for growth exposure and sleep-well-at-night.

  • Rev growth 18.8%, EPS growth 124.5%, 3Y rev CAGR 20.6%
  • Lower volatility, beta 2.28, Low D/E 3.6%, current ratio 3.04x
  • 18.8% revenue growth vs CAH's -1.9%
  • Lower P/E (7.0x vs 14.1x)
Best for: growth exposure and sleep-well-at-night
MCK
McKesson Corporation
The Long-Run Compounder

MCK is the clearest fit if your priority is long-term compounding.

  • 348.1% 10Y total return vs CAH's 160.8%
  • 5.7% ROA vs HCAT's -27.4%, ROIC 5.4% vs -32.9%
Best for: long-term compounding
CAH
Cardinal Health, Inc.
The Income Pick

CAH is the #2 pick in this set and the best alternative if income & stability and defensive is your priority.

  • Dividend streak 20 yrs, beta 0.03, yield 1.1%
  • Beta 0.03, yield 1.1%, current ratio 0.94x
  • Beta 0.03 vs OPRX's 2.28
  • 1.1% yield, 20-year raise streak, vs MCK's 0.4%, (2 stocks pay no dividend)
Best for: income & stability and defensive
HCAT
Health Catalyst, Inc.
The Value Angle

HCAT lags the leaders in this set but could rank higher in a more targeted comparison.

Best for: healthcare exposure
See the full category breakdown
CategoryWinnerWhy
GrowthOPRX logoOPRX18.8% revenue growth vs CAH's -1.9%
ValueOPRX logoOPRXLower P/E (7.0x vs 14.1x)
Quality / MarginsOPRX logoOPRX4.7% margin vs HCAT's -57.2%
Stability / SafetyCAH logoCAHBeta 0.03 vs OPRX's 2.28
DividendsCAH logoCAH1.1% yield, 20-year raise streak, vs MCK's 0.4%, (2 stocks pay no dividend)
Momentum (1Y)CAH logoCAH+22.0% vs HCAT's -59.9%
Efficiency (ROA)MCK logoMCK5.7% ROA vs HCAT's -27.4%, ROIC 5.4% vs -32.9%

OPRX vs MCK vs CAH vs HCAT — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

OPRXOptimizeRx Corporation

Segment breakdown not available.

MCKMcKesson Corporation
FY 2025
U.S. Pharmaceutical Segment
91.3%$327.7B
International Segment
4.1%$14.7B
Medical-Surgical Solutions Segment
3.2%$11.4B
Prescription Technology Solutions
1.5%$5.2B
CAHCardinal Health, Inc.
FY 2025
Pharmaceutical Member
91.9%$204.6B
GMPD
5.7%$12.6B
Other Operating Segment
2.4%$5.4B
HCATHealth Catalyst, Inc.
FY 2025
Recurring Technology
100.0%$208M

OPRX vs MCK vs CAH vs HCAT — Financial Metrics

Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLOPRXLAGGINGHCAT

Income & Cash Flow (Last 12 Months)

OPRX leads this category, winning 4 of 6 comparable metrics.

MCK is the larger business by revenue, generating $403.4B annually — 3686.7x OPRX's $109M. OPRX is the more profitable business, keeping 4.7% of every revenue dollar as net income compared to HCAT's -57.2%. On growth, CAH holds the edge at +11.0% YoY revenue growth, suggesting stronger near-term business momentum.

MetricOPRX logoOPRXOptimizeRx Corpor…MCK logoMCKMcKesson Corporat…CAH logoCAHCardinal Health, …HCAT logoHCATHealth Catalyst, …
RevenueTrailing 12 months$109M$403.4B$250.5B$311M
EBITDAEarnings before interest/tax$16M$6.8B$3.2B-$110M
Net IncomeAfter-tax profit$5M$4.8B$1.6B-$178M
Free Cash FlowCash after capex$12M$6.0B$4.4B-$5M
Gross MarginGross profit ÷ Revenue+67.3%+3.6%+3.7%+48.7%
Operating MarginEBIT ÷ Revenue+10.7%+1.5%+0.9%-51.7%
Net MarginNet income ÷ Revenue+4.7%+1.2%+0.6%-57.2%
FCF MarginFCF ÷ Revenue+10.6%+1.5%+1.8%-1.5%
Rev. Growth (YoY)Latest quarter vs prior year-0.2%+6.0%+11.0%-6.2%
EPS Growth (YoY)Latest quarter vs prior year+37.0%-19.5%-2.9%
OPRX leads this category, winning 4 of 6 comparable metrics.

Valuation Metrics

OPRX leads this category, winning 3 of 6 comparable metrics.

At 24.6x trailing earnings, OPRX trades at a 16% valuation discount to MCK's 29.2x P/E. On an enterprise value basis, OPRX's 6.5x EV/EBITDA is more attractive than MCK's 18.7x.

MetricOPRX logoOPRXOptimizeRx Corpor…MCK logoMCKMcKesson Corporat…CAH logoCAHCardinal Health, …HCAT logoHCATHealth Catalyst, …
Market CapShares × price$124M$92.1B$43.6B$113M
Enterprise ValueMkt cap + debt − cash$105M$93.8B$49.1B$82M
Trailing P/EPrice ÷ TTM EPS24.56x29.25x28.72x-0.62x
Forward P/EPrice ÷ next-FY EPS est.7.04x19.28x17.94x14.15x
PEG RatioP/E ÷ EPS growth rate0.75x
EV / EBITDAEnterprise value multiple6.55x18.74x16.01x
Price / SalesMarket cap ÷ Revenue1.13x0.26x0.20x0.36x
Price / BookPrice ÷ Book value/share0.98x0.45x
Price / FCFMarket cap ÷ FCF6.62x17.63x23.56x
OPRX leads this category, winning 3 of 6 comparable metrics.

Profitability & Efficiency

MCK leads this category, winning 4 of 9 comparable metrics.

MCK delivers a 3.0% return on equity — every $100 of shareholder capital generates $3 in annual profit, vs $-55 for HCAT. OPRX carries lower financial leverage with a 0.04x debt-to-equity ratio, signaling a more conservative balance sheet compared to HCAT's 0.08x. On the Piotroski fundamental quality scale (0–9), OPRX scores 8/9 vs HCAT's 6/9, reflecting strong financial health.

MetricOPRX logoOPRXOptimizeRx Corpor…MCK logoMCKMcKesson Corporat…CAH logoCAHCardinal Health, …HCAT logoHCATHealth Catalyst, …
ROE (TTM)Return on equity+4.2%+3.0%-54.7%
ROA (TTM)Return on assets+3.0%+5.7%+2.8%-27.4%
ROICReturn on invested capital+7.1%+5.4%+33.8%-32.9%
ROCEReturn on capital employed+7.6%+30.5%+19.2%-34.0%
Piotroski ScoreFundamental quality 0–98666
Debt / EquityFinancial leverage0.04x0.08x
Net DebtTotal debt minus cash-$19M$1.7B$5.5B-$31M
Cash & Equiv.Liquid assets$23M$5.7B$3.9B$51M
Total DebtShort + long-term debt$5M$7.4B$9.3B$20M
Interest CoverageEBIT ÷ Interest expense1.26x33.79x6.38x-4.79x
MCK leads this category, winning 4 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

Evenly matched — MCK and CAH each lead in 3 of 6 comparable metrics.

A $10,000 investment in MCK five years ago would be worth $38,689 today (with dividends reinvested), compared to $299 for HCAT. Over the past 12 months, CAH leads with a +22.0% total return vs HCAT's -59.9%. The 3-year compound annual growth rate (CAGR) favors CAH at 31.5% vs HCAT's -49.2% — a key indicator of consistent wealth creation.

MetricOPRX logoOPRXOptimizeRx Corpor…MCK logoMCKMcKesson Corporat…CAH logoCAHCardinal Health, …HCAT logoHCATHealth Catalyst, …
YTD ReturnYear-to-date-46.6%-8.5%-9.5%-30.3%
1-Year ReturnPast 12 months-30.1%+4.6%+22.0%-59.9%
3-Year ReturnCumulative with dividends-54.4%+106.4%+127.3%-86.9%
5-Year ReturnCumulative with dividends-87.3%+286.9%+235.7%-97.0%
10-Year ReturnCumulative with dividends+110.5%+348.1%+160.8%-95.9%
CAGR (3Y)Annualised 3-year return-23.0%+27.3%+31.5%-49.2%
Evenly matched — MCK and CAH each lead in 3 of 6 comparable metrics.

Risk & Volatility

CAH leads this category, winning 2 of 2 comparable metrics.

CAH is the less volatile stock with a 0.03 beta — it tends to amplify market swings less than OPRX's 2.28 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. CAH currently trades 79.3% from its 52-week high vs OPRX's 29.8% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricOPRX logoOPRXOptimizeRx Corpor…MCK logoMCKMcKesson Corporat…CAH logoCAHCardinal Health, …HCAT logoHCATHealth Catalyst, …
Beta (5Y)Sensitivity to S&P 5002.28x0.04x0.03x2.05x
52-Week HighHighest price in past year$22.25$999.00$233.60$5.06
52-Week LowLowest price in past year$5.54$637.00$137.75$0.96
% of 52W HighCurrent price vs 52-week peak+29.8%+75.3%+79.3%+31.4%
RSI (14)Momentum oscillator 0–10046.916.233.263.9
Avg Volume (50D)Average daily shares traded476K757K1.7M720K
CAH leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

CAH leads this category, winning 2 of 2 comparable metrics.

Analyst consensus: OPRX as "Buy", MCK as "Buy", CAH as "Buy", HCAT as "Buy". Consensus price targets imply 156.4% upside for OPRX (target: $17) vs 33.8% for MCK (target: $1007). For income investors, CAH offers the higher dividend yield at 1.10% vs MCK's 0.36%.

MetricOPRX logoOPRXOptimizeRx Corpor…MCK logoMCKMcKesson Corporat…CAH logoCAHCardinal Health, …HCAT logoHCATHealth Catalyst, …
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuy
Price TargetConsensus 12-month target$17.00$1006.50$249.67$2.50
# AnalystsCovering analysts15313322
Dividend YieldAnnual dividend ÷ price+0.4%+1.1%
Dividend StreakConsecutive years of raises11720
Dividend / ShareAnnual DPS$2.69$2.04
Buyback YieldShare repurchases ÷ mkt cap0.0%+3.4%+1.8%+4.4%
CAH leads this category, winning 2 of 2 comparable metrics.
Key Takeaway

OPRX leads in 2 of 6 categories (Income & Cash Flow, Valuation Metrics). CAH leads in 2 (Risk & Volatility, Analyst Outlook). 1 tied.

Best OverallOptimizeRx Corporation (OPRX)Leads 2 of 6 categories
Loading custom metrics...

OPRX vs MCK vs CAH vs HCAT: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is OPRX or MCK or CAH or HCAT a better buy right now?

For growth investors, OptimizeRx Corporation (OPRX) is the stronger pick with 18.

8% revenue growth year-over-year, versus -1. 9% for Cardinal Health, Inc. (CAH). OptimizeRx Corporation (OPRX) offers the better valuation at 24. 6x trailing P/E (7. 0x forward), making it the more compelling value choice. Analysts rate OptimizeRx Corporation (OPRX) a "Buy" — based on 15 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.

02

Which has the better valuation — OPRX or MCK or CAH or HCAT?

On trailing P/E, OptimizeRx Corporation (OPRX) is the cheapest at 24.

6x versus McKesson Corporation at 29. 2x. On forward P/E, OptimizeRx Corporation is actually cheaper at 7. 0x.

03

Which is the better long-term investment — OPRX or MCK or CAH or HCAT?

Over the past 5 years, McKesson Corporation (MCK) delivered a total return of +286.

9%, compared to -97. 0% for Health Catalyst, Inc. (HCAT). Over 10 years, the gap is even starker: MCK returned +348. 1% versus HCAT's -95. 9%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

04

Which is safer — OPRX or MCK or CAH or HCAT?

By beta (market sensitivity over 5 years), Cardinal Health, Inc.

(CAH) is the lower-risk stock at 0. 03β versus OptimizeRx Corporation's 2. 28β — meaning OPRX is approximately 6619% more volatile than CAH relative to the S&P 500. On balance sheet safety, OptimizeRx Corporation (OPRX) carries a lower debt/equity ratio of 4% versus 8% for Health Catalyst, Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — OPRX or MCK or CAH or HCAT?

By revenue growth (latest reported year), OptimizeRx Corporation (OPRX) is pulling ahead at 18.

8% versus -1. 9% for Cardinal Health, Inc. (CAH). On earnings-per-share growth, the picture is similar: OptimizeRx Corporation grew EPS 124. 5% year-over-year, compared to -121. 7% for Health Catalyst, Inc.. Over a 3-year CAGR, OPRX leads at 20. 6% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.

06

Which has better profit margins — OPRX or MCK or CAH or HCAT?

OptimizeRx Corporation (OPRX) is the more profitable company, earning 4.

7% net margin versus -57. 2% for Health Catalyst, Inc. — meaning it keeps 4. 7% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: OPRX leads at 10. 7% versus -51. 7% for HCAT. At the gross margin level — before operating expenses — OPRX leads at 67. 3%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.

07

Is OPRX or MCK or CAH or HCAT more undervalued right now?

On forward earnings alone, OptimizeRx Corporation (OPRX) trades at 7.

0x forward P/E versus 19. 3x for McKesson Corporation — 12. 2x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for OPRX: 156. 4% to $17. 00.

08

Which pays a better dividend — OPRX or MCK or CAH or HCAT?

In this comparison, CAH (1.

1% yield), MCK (0. 4% yield) pay a dividend. OPRX, HCAT do not pay a meaningful dividend and should not be held primarily for income.

09

Is OPRX or MCK or CAH or HCAT better for a retirement portfolio?

For long-horizon retirement investors, Cardinal Health, Inc.

(CAH) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 03), 1. 1% yield, +160. 8% 10Y return). Health Catalyst, Inc. (HCAT) carries a higher beta of 2. 05 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (CAH: +160. 8%, HCAT: -95. 9%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.

10

What are the main differences between OPRX and MCK and CAH and HCAT?

Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.

In terms of investment character: OPRX is a small-cap high-growth stock; MCK is a mid-cap high-growth stock; CAH is a mid-cap quality compounder stock; HCAT is a small-cap quality compounder stock. CAH pays a dividend while OPRX, MCK, HCAT do not, making them suitable for different income and tax situations. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.

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OPRX

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  • Sector: Healthcare
  • Market Cap > $100B
  • Gross Margin > 40%
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MCK

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  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 5%
  • Dividend Yield > 0.5%
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CAH

Stable Dividend Mega-Cap

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 5%
  • Dividend Yield > 0.5%
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HCAT

Quality Business

  • Sector: Healthcare
  • Market Cap > $100B
  • Gross Margin > 29%
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Beat Both

Find stocks that outperform OPRX and MCK and CAH and HCAT on the metrics below

Revenue Growth>
%
(OPRX: -0.2% · MCK: 6.0%)
P/E Ratio<
x
(OPRX: 24.6x · MCK: 29.2x)

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