OptimizeRx (OPRX) Q2 2026 earnings summary

Executive summary

• Q2 2026 revenue was $20.5 million, down 30% year-over-year, but both revenue and adjusted EBITDA of $4.9 million exceeded consensus expectations despite declines driven by a small number of large customers and transition away from lower margin managed services.

• Net revenue declined 21% year-over-year for the six months ended June 30, 2026, primarily due to the loss of a major customer and discontinuation of low-margin managed service programs.

• Margin expansion and disciplined operational execution drove profitability, with gross margins expected to normalize in the high 60% to low 70% range for the full year.

• Investments in AI-enabled platform capabilities, new product launches, and expanded programmatic initiatives are strengthening customer engagement and competitive positioning.

• Leadership transition announced: Andy D'Silva to become CFO in 2027, with Ed Stelmakh remaining as strategic advisor.

Financial highlights

• Q2 2026 revenue was $20.5 million, down from $29.2 million in Q2 2025; net revenue for H1 2026 was $40.3 million, down from $51.1 million in the prior year period.

• Net loss of $0.7 million ($0.04 per share) in Q2 2026 vs. net income of $1.5 million ($0.08 per share) in Q2 2025; non-GAAP net income was $3.1 million ($0.16 per share) vs. $3.7 million ($0.19 per share) last year.

• Adjusted EBITDA was $4.9 million in Q2 2026, down from $5.8 million in Q2 2025.

• Operating cash flow for H1 2026 was $8.1 million; cash and cash equivalents stood at $24.1 million as of June 30, 2026.

• Expenses decreased by $5.4 million year-over-year to $20.6 million, including $1.7 million in severance; cost of revenues as a percentage of revenue improved to 24% from 37% year-over-year.

Outlook and guidance

• Full-year 2026 revenue guidance reaffirmed at $95–$100 million; adjusted EBITDA guidance at $21–$25 million.

• Revenue expected to be weighted toward the second half, with Q4 likely representing 35–40% of full-year revenues.

• Management expects macroeconomic headwinds, including inflation, tariffs, and industry-specific challenges, to continue impacting customer spending and revenue visibility over the next twelve months.

• Profitability and margin improvements are expected to be sustainable, not episodic.

• Rule of 40 remains a long-term objective, with expectations to return to that threshold in 2027 as growth resumes.