Drug Manufacturers - General
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SRXH vs TDOC vs AMWL vs OPRX
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Healthcare Information Services
Medical - Healthcare Information Services
Medical - Healthcare Information Services
SRXH vs TDOC vs AMWL vs OPRX — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||||
|---|---|---|---|---|
| Industry | Drug Manufacturers - General | Medical - Healthcare Information Services | Medical - Healthcare Information Services | Medical - Healthcare Information Services |
| Market Cap | $1M | $1.26B | $129M | $124M |
| Revenue (TTM) | $119M | $2.51B | $182M | $109M |
| Net Income (TTM) | $-11M | $-171M | $-88M | $5M |
| Gross Margin | 19.9% | 65.6% | 38.7% | 67.3% |
| Operating Margin | -4.9% | -7.6% | -50.6% | 10.7% |
| Forward P/E | — | — | — | 7.0x |
| Total Debt | $39M | $1.04B | $5M | $5M |
| Cash & Equiv. | $2M | $781M | $182M | $23M |
SRXH vs TDOC vs AMWL vs OPRX — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | Apr 25 | May 26 | Return |
|---|---|---|---|
| SRx Health Solution… (SRXH) | 100 | 5.8 | -94.2% |
| Teladoc Health, Inc. (TDOC) | 100 | 96.8 | -3.2% |
| American Well Corpo… (AMWL) | 100 | 105.7 | +5.7% |
| OptimizeRx Corporat… (OPRX) | 100 | 72.7 | -27.3% |
Price return only. Dividends and distributions are not included.
Quick Verdict: SRXH vs TDOC vs AMWL vs OPRX
Each card shows where this stock fits in a portfolio — not just who wins on paper.
SRXH has the current edge in this matchup, primarily because of its strength in growth and value.
- 28.4% revenue growth vs AMWL's -2.0%
- Better valuation composite
TDOC lags the leaders in this set but could rank higher in a more targeted comparison.
AMWL is the #2 pick in this set and the best alternative if income & stability and sleep-well-at-night is your priority.
- beta 1.47
- Lower volatility, beta 1.47, Low D/E 1.8%, current ratio 3.37x
- Beta 1.47, current ratio 3.37x
- Beta 1.47 vs OPRX's 2.28, lower leverage
OPRX is the clearest fit if your priority is growth exposure and long-term compounding.
- Rev growth 18.8%, EPS growth 124.5%, 3Y rev CAGR 20.6%
- 110.5% 10Y total return vs TDOC's -41.1%
- 4.7% margin vs AMWL's -48.2%
- 3.0% ROA vs AMWL's -25.1%, ROIC 7.1% vs -95.1%
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 28.4% revenue growth vs AMWL's -2.0% | |
| Value | Better valuation composite | |
| Quality / Margins | 4.7% margin vs AMWL's -48.2% | |
| Stability / Safety | Beta 1.47 vs OPRX's 2.28, lower leverage | |
| Dividends | Tie | None of these 4 stocks pay a meaningful dividend |
| Momentum (1Y) | +14.3% vs SRXH's -84.6% | |
| Efficiency (ROA) | 3.0% ROA vs AMWL's -25.1%, ROIC 7.1% vs -95.1% |
SRXH vs TDOC vs AMWL vs OPRX — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
Segment breakdown not available.
Segment breakdown not available.
SRXH vs TDOC vs AMWL vs OPRX — Financial Metrics
Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
OPRX leads in 3 of 6 categories
SRXH leads 1 • TDOC leads 0 • AMWL leads 0 • 1 tied
Explore the data ↓Income & Cash Flow (Last 12 Months)
OPRX leads this category, winning 5 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
TDOC is the larger business by revenue, generating $2.5B annually — 23.0x OPRX's $109M. OPRX is the more profitable business, keeping 4.7% of every revenue dollar as net income compared to AMWL's -48.2%. On growth, OPRX holds the edge at -0.2% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||||
|---|---|---|---|---|
| RevenueTrailing 12 months | $119M | $2.5B | $182M | $109M |
| EBITDAEarnings before interest/tax | — | $42M | -$59M | $16M |
| Net IncomeAfter-tax profit | — | -$171M | -$88M | $5M |
| Free Cash FlowCash after capex | — | $251M | -$42M | $12M |
| Gross MarginGross profit ÷ Revenue | +19.9% | +65.6% | +38.7% | +67.3% |
| Operating MarginEBIT ÷ Revenue | -4.9% | -7.6% | -50.6% | +10.7% |
| Net MarginNet income ÷ Revenue | -9.4% | -6.8% | -48.2% | +4.7% |
| FCF MarginFCF ÷ Revenue | +1.3% | +10.0% | -22.9% | +10.6% |
| Rev. Growth (YoY)Latest quarter vs prior year | — | -2.5% | -100.0% | -0.2% |
| EPS Growth (YoY)Latest quarter vs prior year | — | +32.1% | +44.5% | — |
Valuation Metrics
SRXH leads this category, winning 2 of 5 comparable metrics.
Valuation Metrics
On an enterprise value basis, OPRX's 6.5x EV/EBITDA is more attractive than TDOC's 15.1x.
| Metric | ||||
|---|---|---|---|---|
| Market CapShares × price | $1M | $1.3B | $129M | $124M |
| Enterprise ValueMkt cap + debt − cash | $29M | $1.5B | -$48M | $105M |
| Trailing P/EPrice ÷ TTM EPS | -0.17x | -6.11x | -1.30x | 24.56x |
| Forward P/EPrice ÷ next-FY EPS est. | — | — | — | 7.04x |
| PEG RatioP/E ÷ EPS growth rate | — | — | — | — |
| EV / EBITDAEnterprise value multiple | — | 15.13x | — | 6.55x |
| Price / SalesMarket cap ÷ Revenue | 0.02x | 0.50x | 0.52x | 1.13x |
| Price / BookPrice ÷ Book value/share | — | 0.89x | 0.50x | 0.98x |
| Price / FCFMarket cap ÷ FCF | 1.20x | 4.40x | — | 6.62x |
Profitability & Efficiency
OPRX leads this category, winning 6 of 9 comparable metrics.
Profitability & Efficiency
OPRX delivers a 4.2% return on equity — every $100 of shareholder capital generates $4 in annual profit, vs $-33 for AMWL. AMWL carries lower financial leverage with a 0.02x debt-to-equity ratio, signaling a more conservative balance sheet compared to TDOC's 0.75x. On the Piotroski fundamental quality scale (0–9), OPRX scores 8/9 vs SRXH's 3/9, reflecting strong financial health.
| Metric | ||||
|---|---|---|---|---|
| ROE (TTM)Return on equity | — | -12.4% | -33.5% | +4.2% |
| ROA (TTM)Return on assets | -22.4% | -5.9% | -25.1% | +3.0% |
| ROICReturn on invested capital | -18.1% | -11.5% | -95.1% | +7.1% |
| ROCEReturn on capital employed | -98.8% | -10.0% | -36.6% | +7.6% |
| Piotroski ScoreFundamental quality 0–9 | 3 | 6 | 6 | 8 |
| Debt / EquityFinancial leverage | — | 0.75x | 0.02x | 0.04x |
| Net DebtTotal debt minus cash | $37M | $259M | -$178M | -$19M |
| Cash & Equiv.Liquid assets | $2M | $781M | $182M | $23M |
| Total DebtShort + long-term debt | $39M | $1.0B | $5M | $5M |
| Interest CoverageEBIT ÷ Interest expense | -2.83x | -8.76x | -239.18x | 1.26x |
Total Returns (Dividends Reinvested)
OPRX leads this category, winning 4 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in OPRX five years ago would be worth $1,266 today (with dividends reinvested), compared to $278 for AMWL. Over the past 12 months, AMWL leads with a +14.3% total return vs SRXH's -84.6%. The 3-year compound annual growth rate (CAGR) favors OPRX at -23.0% vs SRXH's -62.3% — a key indicator of consistent wealth creation.
| Metric | ||||
|---|---|---|---|---|
| YTD ReturnYear-to-date | -52.9% | -1.3% | +59.8% | -46.6% |
| 1-Year ReturnPast 12 months | -84.6% | +1.5% | +14.3% | -30.1% |
| 3-Year ReturnCumulative with dividends | -94.6% | -73.3% | -80.7% | -54.4% |
| 5-Year ReturnCumulative with dividends | -94.6% | -95.4% | -97.2% | -87.3% |
| 10-Year ReturnCumulative with dividends | -94.6% | -41.1% | -98.3% | +110.5% |
| CAGR (3Y)Annualised 3-year return | -62.3% | -35.6% | -42.2% | -23.0% |
Risk & Volatility
Evenly matched — SRXH and AMWL each lead in 1 of 2 comparable metrics.
Risk & Volatility
SRXH is the less volatile stock with a -0.32 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. AMWL currently trades 84.7% from its 52-week high vs SRXH's 9.0% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||||
|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | -0.32x | 1.91x | 1.47x | 2.28x |
| 52-Week HighHighest price in past year | $1.25 | $9.77 | $9.15 | $22.25 |
| 52-Week LowLowest price in past year | $0.08 | $4.40 | $3.71 | $5.54 |
| % of 52W HighCurrent price vs 52-week peak | +9.0% | +71.2% | +84.7% | +29.8% |
| RSI (14)Momentum oscillator 0–100 | 41.4 | 74.1 | 67.1 | 46.9 |
| Avg Volume (50D)Average daily shares traded | 22.0M | 5.5M | 59K | 476K |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
Analyst consensus: TDOC as "Hold", OPRX as "Buy". Consensus price targets imply 156.4% upside for OPRX (target: $17) vs 8.9% for TDOC (target: $8).
| Metric | ||||
|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | — | Hold | — | Buy |
| Price TargetConsensus 12-month target | — | $7.58 | — | $17.00 |
| # AnalystsCovering analysts | — | 42 | — | 15 |
| Dividend YieldAnnual dividend ÷ price | — | — | — | — |
| Dividend StreakConsecutive years of raises | — | — | — | 1 |
| Dividend / ShareAnnual DPS | — | — | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | 0.0% | +0.0% | 0.0% |
OPRX leads in 3 of 6 categories (Income & Cash Flow, Profitability & Efficiency). SRXH leads in 1 (Valuation Metrics). 1 tied.
SRXH vs TDOC vs AMWL vs OPRX: Key Questions Answered
9 questions · data-driven answers · updated daily
01Is SRXH or TDOC or AMWL or OPRX a better buy right now?
For growth investors, SRx Health Solutions Inc.
(SRXH) is the stronger pick with 28. 4% revenue growth year-over-year, versus -2. 0% for American Well Corporation (AMWL). 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.
02Which is the better long-term investment — SRXH or TDOC or AMWL or OPRX?
Over the past 5 years, OptimizeRx Corporation (OPRX) delivered a total return of -87.
3%, compared to -97. 2% for American Well Corporation (AMWL). Over 10 years, the gap is even starker: OPRX returned +110. 5% versus AMWL's -98. 3%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
03Which is safer — SRXH or TDOC or AMWL or OPRX?
By beta (market sensitivity over 5 years), SRx Health Solutions Inc.
(SRXH) is the lower-risk stock at -0. 32β versus OptimizeRx Corporation's 2. 28β — meaning OPRX is approximately -805% more volatile than SRXH relative to the S&P 500. On balance sheet safety, American Well Corporation (AMWL) carries a lower debt/equity ratio of 2% versus 75% for Teladoc Health, Inc. — giving it more financial flexibility in a downturn.
04Which is growing faster — SRXH or TDOC or AMWL or OPRX?
By revenue growth (latest reported year), SRx Health Solutions Inc.
(SRXH) is pulling ahead at 28. 4% versus -2. 0% for American Well Corporation (AMWL). On earnings-per-share growth, the picture is similar: OptimizeRx Corporation grew EPS 124. 5% year-over-year, compared to 57. 1% for American Well Corporation. 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.
05Which has better profit margins — SRXH or TDOC or AMWL or OPRX?
OptimizeRx Corporation (OPRX) is the more profitable company, earning 4.
7% net margin versus -38. 4% for American Well Corporation — 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 -42. 2% for AMWL. At the gross margin level — before operating expenses — TDOC leads at 69. 5%, 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.
06Is SRXH or TDOC or AMWL or OPRX more undervalued right now?
Analyst consensus price targets imply the most upside for OPRX: 156.
4% to $17. 00.
07Which pays a better dividend — SRXH or TDOC or AMWL or OPRX?
None of the stocks in this comparison currently pay a material dividend.
All are effectively zero-yield and should be held for capital appreciation rather than income.
08Is SRXH or TDOC or AMWL or OPRX better for a retirement portfolio?
For long-horizon retirement investors, SRx Health Solutions Inc.
(SRXH) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β -0. 32)). Teladoc Health, Inc. (TDOC) carries a higher beta of 1. 91 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (SRXH: -94. 6%, TDOC: -41. 1%), 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.
09What are the main differences between SRXH and TDOC and AMWL and OPRX?
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: SRXH is a small-cap high-growth stock; TDOC is a small-cap quality compounder stock; AMWL is a small-cap quality compounder stock; OPRX is a small-cap high-growth stock. 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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