Free cash flow margin ranged from -2.5% to 41.8% across recent quarters, with the Q2 2026 peak coinciding with a $6.7M working capital swing, suggesting cash generation may not be repeatable under normal collection patterns.
OptimizeRx Corp. (OPRX) cash flow statement — 19-year operating, investing & financing cash flows
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 |
|---|
| Cash from Operations | 18.43M | 18.71M | 4.89M | -7.24M | 10.65M | 726.04K | -6.31M | -1.66M | 792.55K | -1.48M | -465.96K | 515.11K | -56.35K | 1.13M | -624.03K | -521.51K | -1.31M | -1.77M | -919.4K | -303.63K |
| Operating CF Margin % | - | 17.1% | 5.31% | -10.12% | 17.06% | 1.18% | -14.57% | -6.75% | 3.74% | -12.2% | -6.01% | 7.13% | -0.87% | 22.85% | -30.46% | -46.92% | -1845.37% | -6621.87% | -1098.63% | -302.67% |
| Operating CF Growth % | 3535.29% | 282.8% | 167.53% | -167.96% | 1367.43% | 111.51% | -279.96% | -309.55% | 153.56% | -217.58% | -190.46% | 1014.13% | -104.98% | 281.5% | -19.66% | 60.23% | 25.89% | -92.47% | -202.8% | - |
| Net Income | 4.6M | 5.13M | -20.11M | -17.57M | -11.44M | 378.08K | -2.21M | -3.14M | 226.34K | -2.1M | -1.54M | -595.14K | -1.03M | 215.85K | -363.98K | -2.12M | -2.01M | -4.56M | -4.25M | -361.47K |
| Depreciation & Amortization | 4.29M | 4.33M | 4.33M | 2.4M | 2.02M | 1.97M | 2.08M | 1.28M | 316.5K | 324.55K | 235.28K | 333.95K | 264.34K | 193.79K | 187.1K | 145.31K | 59.93K | 32.52K | 32.15K | 2.82K |
| Stock-Based Compensation | 7.95M | 6.96M | 11.47M | 13.72M | 15.75M | 5.49M | 3.17M | 2.26M | 1.86M | 87.38K | 175.18K | 327.75K | 899.44K | 399.09K | 180.64K | 189.49K | 473.77K | 2.95M | 333K | 0 |
| Deferred Taxes | 1.08M | 1.21M | 1.45M | 0 | 0 | 0 | 200K | -897.96K | 2.4K | 65.74K | 0 | 31.73K | 3.29K | 0 | 6.92K | 916.67K | 142.42K | 0 | 0 | 0 |
| Other Non-Cash Items | 12.93M | 264K | 6.83M | 9.76M | 363.51K | 80K | 140.39K | 635K | 656.93K | 815.01K | 384.13K | 253.36K | 272.8K | 19.55K | 89.63K | 184.15K | 7.99K | 0 | 2.82M | 0 |
| Working Capital Changes | -12.42M | 816K | 921K | -15.55M | 3.96M | -7.19M | -9.69M | -1.8M | -2.27M | -668.48K | 278.65K | 163.46K | -470.83K | 304.35K | -724.35K | 163.64K | 13.51K | -193.89K | 149.02K | 55.01K |
| Change in Receivables | 8.72M | 460K | -2.17M | -8.71M | 2.28M | -6.99M | -10.67M | -548.83K | -2.79M | -370.49K | -212.95K | -747.07K | -588.67K | -950.17K | -151.85K | -245.87K | -211.53K | 1.35K | 0 | 0 |
| Change in Inventory | 0 | 0 | 0 | 0 | 0 | 0 | -2.21M | -882.48K | -93.22K | 491.07K | 271.09K | -61.01K | -2.86K | 62.39K | -9.13K | 6.32K | -4.43K | -697.71K | 0 | 0 |
| Change in Payables | -3.05M | -520K | -72K | 195K | 555.39K | -603.09K | 3.48M | -336.43K | 647.49K | -909.64K | 60.93K | 864.67K | 226.84K | 1.24M | -282.02K | 298.3K | 3.75K | -138.64K | 128.65K | 43.22K |
| Cash from Investing | 140K | 68K | -450K | -25.34M | -58.18M | -486K | -124.72K | -10.58M | -5.69M | -42.24K | -349.54K | -100.96K | -409.95K | -298.65K | -50.87K | -239.92K | -225.64K | -107.7K | -10.62K | -125.58K |
| Capital Expenditures | -77K | -58K | -112K | -87K | -81K | -100.32K | -68.04K | -1.59M | -91.01K | -42.24K | -349.54K | -100.96K | -409.95K | -298.65K | -50.87K | -234.87K | -225.64K | -107.7K | -10.62K | -125.58K |
| CapEx % of Revenue | 0.08% | 0.05% | 0.12% | 0.12% | 0.13% | 0.16% | 0.16% | 6.45% | 0.43% | 0.35% | 4.51% | 1.4% | 6.3% | 6.02% | 2.48% | 21.13% | 317.51% | 403.02% | 12.69% | 125.18% |
| Acquisitions | 0 | 0 | 0 | -80.41M | -2M | 0 | 0 | -8.99M | -5.6M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Investments | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Other Investing | 217K | 126K | -338K | -774K | -163.56K | -385.68K | -56.68K | 0 | -56.65K | 0 | -171.1K | -98.92K | -402.97K | -298.65K | -48.64K | -5.05K | 0 | -1.08M | 0 | 0 |
| Cash from Financing | -11.07M | -8.8M | -4.91M | 28.22M | -18.95M | 73.92M | -1.9M | 22.18M | 8.69M | -390K | -357.42K | 4.35M | 2.8M | 233.94K | 0 | 442.5K | 2.16M | 31K | 3.3M | 550K |
| Debt Issued (Net) | -10.3M | -8M | -4M | 36.02M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -1M | 1M | -4K | -323.75K | 70K |
| Equity Issued (Net) | -99K | 352K | -911K | -7.52M | -20.02M | 70.67M | 2.49M | 21.3M | 8.16M | -390K | -357.42K | 4.35M | 2.8M | 0 | 0 | 855.46K | 1.16M | 35K | 3.62M | 300K |
| Dividends Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Share Repurchases | -113K | 0 | -911K | -7.52M | -20.02M | 0 | 0 | 0 | 0 | -390K | -806.91K | 0 | -6M | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Financing | -670K | -1.15M | 0 | -278K | 1.07M | 3.25M | -4.39M | 877.7K | 521.26K | 0 | 0 | 0 | 0 | -233.94K | 0 | 1.09M | 0 | 0 | 0 | 180K |
| Net Change in Cash | 7.51M | 9.98M | -472K | -4.36M | -66.47M | 74.16M | -8.34M | 9.94M | 3.79M | -1.91M | -1.17M | 4.76M | 2.33M | 833.98K | -674.9K | -318.93K | 621.7K | -1.85M | 2.37M | 120.79K |
| Free Cash Flow | 18.36M | 18.66M | 4.78M | -8.11M | 10.41M | 240.04K | -6.44M | -3.25M | 701.54K | -1.52M | -815.5K | 414.15K | -466.3K | 833.98K | -674.9K | -756.38K | -1.54M | -1.88M | -930.02K | -429.21K |
| FCF Margin % | 18.61% | 17.05% | 5.19% | -11.34% | 16.67% | 0.39% | -14.86% | -13.21% | 3.31% | -12.55% | -10.52% | 5.74% | -7.17% | 16.82% | -32.94% | -68.05% | -2162.88% | -7024.89% | -1111.32% | -427.85% |
| FCF Growth % | 80.59% | 290.56% | 158.9% | -177.92% | 4236.57% | 103.73% | -98.09% | -563.05% | 146.09% | -86.64% | -296.91% | 188.81% | -155.91% | 223.57% | 10.77% | 50.79% | 18.12% | -101.85% | -116.68% | - |
| FCF per Share | 0.98 | 0.98 | 0.26 | -0.47 | 0.59 | 0.01 | -0.43 | -0.24 | 0.06 | -0.16 | -0.08 | 0.05 | -0.06 | 0.12 | -0.14 | -0.16 | -0.35 | -0.45 | -0.23 | -0.12 |
| FCF Conversion (FCF/Net Income) | 3.99x | 3.65x | -0.24x | 0.41x | -0.93x | 1.92x | 2.86x | 0.53x | 3.50x | 0.70x | 0.30x | -0.87x | 0.05x | 5.25x | 1.71x | 0.25x | 0.65x | 0.39x | 0.22x | 0.84x |
| Interest Paid | 182K | 0 | 6.2M | 1.21M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Taxes Paid | -12K | 0 | 161K | 48K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Quick answers to the most common questions about buying OPRX stock.
OptimizeRx Corp. (OPRX) generated $18.7M in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.
OptimizeRx Corp. (OPRX) generated $18.7M in free cash flow in 2025. Free cash flow is the cash left over after capital expenditures, which can be used to pay dividends, repurchase shares, or pay down debt.
OptimizeRx Corp. (OPRX) spent $0.1M on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.
Key Metrics
Top Statement Risk
Volatile operating cash conversion
Metrics are mathematically derived from official filings.
Cash Conversion Volatile Across Quarters
According to the reported cash flow data, OPRX's operating cash flow to net income ratio swung from -12.25 to 4.11 over the last ten quarters, indicating that the relationship between reported earnings and cash generation is unstable rather than systematically reliable.
The conversion ratio is distorted by near-zero or negative net income in several periods, so the sign-flipping values reflect denominator instability more than operating strength. Operating cash flow was positive in most quarters while net income was negative in six of ten, which suggests non-cash charges and working capital timing are driving much of the gap. Investors should monitor whether cash generation persists once net income turns consistently positive, as the current pattern warrants further investigation rather than confirming earnings quality.
Free Cash Flow Lumpy and Working-Capital Driven
Based on the reported figures, OPRX's free cash flow margin ranged from -2.5% to 41.8% across recent quarters, with the peak in Q2 2026 coinciding with a $6.7M working capital swing rather than a clear step-change in profitability.
Capital expenditure is negligible, with CapEx below 0.5% of revenue in every period, so free cash flow essentially equals operating cash flow and is highly sensitive to working capital movements. The Q2 2026 spike to $8.6M of free cash flow appears more consistent with timing benefits than with sustainable earnings power, given the preceding quarter was negative. A trailing view across the full ten quarters is the more reliable reading for analysts assessing run-rate cash generation.
Working Capital Swings Dominate Cash Results
As reported in the cash flow statements, quarterly working capital changes ranged from a $6.7M outflow to a $5.5M inflow, making these movements larger in magnitude than many of the period's net income figures.
Because working capital changes are of comparable or greater size than operating cash flow itself, the reported cash generation is heavily influenced by receivable collection and payable timing. The pattern of large outflows followed by inflows suggests the company's cash figures may be sensitive to period-end timing effects. Investors should monitor whether these swings reverse over time, as a persistent drag would indicate weaker underlying conversion than the headline numbers imply.
Cumulative Cash Generation Versus Earnings Gap
Based on the ten-quarter data, cumulative operating cash flow appears to exceed cumulative net income, though the gap is driven substantially by stock-based compensation of roughly $1.5M to $3.0M per quarter that is added back in cash flow.
Stock-based compensation accounts for a material share of the difference between reported earnings and operating cash flow, meaning part of the apparent cash strength reflects non-cash equity expense rather than economic cash surplus. Net income was negative across most of the period, so the cumulative comparison is directionally favorable to cash but flattered by add-backs. Analysts should weigh this against the dilution cost of equity compensation when judging true cash returns to shareholders.
Cash Figures May Overstate Repeatable Strength
Based on OptimizeRx's reported figures, the strongest cash quarter in the set coincided with a sharp working capital reversal, suggesting the headline cash peak may not be repeatable under normal collection patterns.
The Q2 2026 free cash flow of $8.6M followed a negative quarter and relied on a large working capital inflow relative to operating cash flow, which may indicate a timing effect rather than structural improvement. Peer Doximity reports a far higher free cash flow margin of 45.7%, but OPRX's inconsistent quarterly pattern does not yet demonstrate comparable durability. This warrants further investigation into receivable and payable trends before extrapolating recent cash strength.