Form 10-Q - Quarterly report [Sections 13 or 15(d)]

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

FORM 10-Q

☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

For the quarterly period ended September 30, 2024

☐ Transition Report pursuant to 13 or 15(d) of the Securities Exchange Act of 1934

For the transition period from __________ to __________

Commission File Number: 001-38543

OptimizeRx Corporation

(Exact name of registrant as specified in its charter)

Nevada

26-1265381

(State or other jurisdiction of

incorporation or organization)

(IRS Employer

Identification No.)

260 Charles Street, Suite 302

Waltham, MA 02453

(Address of principal executive offices)

248-651-6568

(Registrant’s telephone number, including area code)

(Former name, former address and former fiscal year, if changed since last report)

Securities registered under Section 12(b) of the Exchange Act:

Title of each class		Trading Symbol(s)		Name of each exchange on which registered
Common Stock, par value $0.001		OPRX		Nasdaq Capital Market

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

☐	Large accelerated filer	☐	Accelerated filer
☒	Non-accelerated filer	☒	Smaller reporting company
		☐	Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒

State the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date: 18,420,906 common shares as of November 8, 2024.

TABLE OF CONTENTS

		Page

	PART I – FINANCIAL INFORMATION

Item 1:	Financial Statements (unaudited)	1
Item 2:	Management’s Discussion and Analysis of Financial Condition and Results of Operations	18
Item 3:	Quantitative and Qualitative Disclosures About Market Risk	26
Item 4:	Controls and Procedures	26
	PART II — OTHER INFORMATION

Item 1:	Legal Proceedings	28
Item 1A:	Risk Factors	28
Item 2:	Unregistered Sales of Equity Securities and Use of Proceeds	28
Item 3:	Defaults Upon Senior Securities	28
Item 4:	Mine Safety Disclosure	28
Item 5:	Other Information	28
Item 6:	Exhibits	28

PART I - FINANCIAL INFORMATION

Item 1. Financial Statements

Our condensed consolidated financial statements included in this Form 10-Q are as follows:

2		Condensed Consolidated Balance Sheets as of September 30, 2024 (unaudited) and December 31, 2023 (unaudited);
3		Condensed Consolidated Statements of Operations for the three and nine months ended September 30, 2024 and 2023 (unaudited);
4		Condensed Consolidated Statements of Changes in Stockholders’ Equity for the three and nine months September 30, 2024 and 2023 (unaudited);
6		Condensed Consolidated Statements of Cash Flows for the nine months ended September 30, 2024 and 2023 (unaudited);
7		Notes to Condensed Consolidated Financial Statements (unaudited).

OPTIMIZERX CORPORATION

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except share and per share data, unaudited)

	September 30, 2024			December 31, 2023
ASSETS
Current assets
Cash and cash equivalents	$	16,126		$	13,852
Accounts receivable, net of allowance for credit losses of $339 and $239 at September 30, 2024 and December 31, 2023, respectively		26,327			36,253
Taxes receivable		64			1,036
Prepaid expenses and other		4,389			3,190
Total current assets		46,906			54,331
Property and equipment, net		161			149
Other assets
Goodwill		70,869			78,357
Technology assets, net		8,383			9,013
Patent rights, net		5,685			6,185
Tradename and customer relationships, net		32,411			34,198
Operating lease right of use assets, net		422			573
Security deposits and other assets		362			568
Total other assets		118,132			128,894
TOTAL ASSETS	$	165,199		$	183,374
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities
Current portion of long-term debt	$	2,000		$	2,000
Accounts payable – trade		2,754			2,227
Accrued expenses		5,557			7,755
Revenue share payable		3,210			5,506
Current portion of lease liabilities		195			222
Deferred revenue		786			172
Total current liabilities		14,502			17,882
Non-current liabilities
Long-term debt, net		33,278			34,231
Lease liabilities, net of current portion		242			371
Deferred tax liabilities, net		2,712			4,337
Total liabilities		50,734			56,821
Commitments and contingencies (See note 12)
Stockholders’ equity
Preferred stock, $0.001 par value, 10,000,000 shares authorized, none issued and outstanding at September 30, 2024 or December 31, 2023		—			—
Common stock, $0.001 par value, 166,666,667 shares authorized, 20,069,432 and 19,899,679 shares issued at September 30, 2024 and December 31, 2023, respectively		20			20
Treasury stock, $0.001 par value, 1,741,397 shares held at September 30, 2024 and December 31, 2023		(2	)		(2	)
Additional paid-in-capital		198,737			190,793
Accumulated deficit		(84,290	)		(64,258	)
Total stockholders’ equity		114,465			126,553
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY	$	165,199		$	183,374

The accompanying notes are an integral part of these condensed consolidated financial statements.

OPTIMIZERX CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except share and per share data, unaudited)

	For the Three Months Ended September 30,						For the Nine Months Ended September 30,
	2024			2023			2024			2023

Net revenue	$	21,309		$	16,331		$	59,811		$	43,153
Cost of revenues, exclusive of depreciation and amortization presented separately below		7,862			6,531			22,456			18,094
Gross profit		13,447			9,800			37,355			25,059

Operating expenses
General and administrative expenses		13,425			12,886			43,971			39,162
Goodwill impairment		7,489			—			7,489			—
Depreciation and amortization		1,095			467			3,235			1,395
Total operating expenses		22,009			13,353			54,695			40,557
Loss from operations		(8,562	)		(3,553	)		(17,340	)		(15,499	)
Other income (expense)
Interest expense		(1,524	)		—			(4,597	)		—
Other income		38			—			113			—
Interest income		107			688			231			2,074
Total other income (expense), net		(1,379	)		688			(4,253	)		2,074
Loss before provision for income taxes		(9,941	)		(2,865	)		(21,593	)		(13,424	)
Benefit from income taxes		817			—			1,561			—
Net loss	$	(9,124	)	$	(2,865	)	$	(20,032	)	$	(13,424	)
Weighted average number of shares outstanding – basic		18,323,542			16,637,606			18,250,775			16,907,482
Weighted average number of shares outstanding – diluted		18,323,542			16,637,606			18,250,775			16,907,482
Loss per share – basic	$	(0.50	)	$	(0.17	)	$	(1.10	)	$	(0.79	)
Loss per share – diluted	$	(0.50	)	$	(0.17	)	$	(1.10	)	$	(0.79	)

The accompanying notes are an integral part of these condensed consolidated financial statements.

OPTIMIZERX CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY

FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2024

(in thousands, except share data, unaudited)

	Common Stock				Treasury Stock						Additional Paid in			Accumulated
	Shares		Amount		Shares			Amount			Capital			Deficit			Total

Balance January 1, 2024		19,899,679	$	20		(1,741,397	)	$	(2	)	$	190,793		$	(64,258	)	$	126,553

Stock based compensation expense
Options		—		—		—			—			1,353			—			1,353
Restricted stock		—		—		—			—			1,671			—			1,671
Issuance of common stock
For restricted stock units vested		22,200		—		—			—			(140	)		—			(140	)
Net loss		—		—		—			—			—			(6,900	)		(6,900	)

Balance March 31, 2024		19,921,879	$	20		(1,741,397	)	$	(2	)	$	193,677		$	(71,158	)	$	122,537

Stock based compensation expense
Options		—		—		—			—			1,149			—			1,149
Restricted stock		—		—		—			—			1,753			—			1,753
Issuance of common stock
For restricted stock units vested		140,028		—		—			—			(415	)		—			(415	)
Net loss		—		—		—			—			—			(4,008	)		(4,008	)

Balance June 30, 2024		20,061,907	$	20		(1,741,397	)	$	(2	)	$	196,164		$	(75,166	)	$	121,016

Stock based compensation expense
Options		—		—		—			—			992			—			992
Restricted stock		—		—		—			—			1,612			—			1,612
Issuance of common stock
For restricted stock units vested		7,525		—		—			—			(31	)		—			(31	)
Repurchase of common stock		—		—		—			—			—			—			—
Net loss		—		—		—			—			—			(9,124	)		(9,124	)

Balance September 30, 2024		20,069,432	$	20		(1,741,397	)	$	(2	)	$	198,737		$	(84,290	)	$	114,465

OPTIMIZERX CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY

FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2023

(in thousands, except share data, unaudited)

	Common Stock				Treasury Stock						Additional Paid in			Accumulated
	Shares		Amount		Shares			Amount			Capital			Deficit			Total

Balance January 1, 2023		18,288,571	$	18		(1,214,398	)	$	(1	)	$	172,786		$	(46,692	)	$	126,111

Stock based compensation expense
Options		—		—		—			—			1,467			—			1,467
Restricted stock		—		—		—			—			2,914			—			2,914
Issuance of common stock
For options exercised		9,668		—		—			—			41			—			41
For restricted stock units vested		33,272		—		—			—			(170	)		—			(170	)
Net loss		—		—		—			—			—			(6,398	)		(6,398	)

Balance March 31, 2023		18,331,511	$	18		(1,214,398	)	$	(1	)	$	177,036		$	(53,090	)	$	123,964

Stock based compensation expense
Options		—		—		—			—			1,655			—			1,655
Restricted stock		—		—		—			—			1,848			—			1,848
Issuance of common stock
For options exercised		10,000		—		—			—			105			—			105
For restricted stock units vested		35,260		—		—			—			(73	)		—			(73	)
Repurchase of common stock						(526,999	)		(1	)		(7,522	)					(7,522	)
Net loss		—		—		—			—			—			(4,161	)		(4,161	)

Balance June 30, 2023		18,376,771	$	18		(1,741,397	)	$	(2	)	$	173,050		$	(57,251	)	$	115,815

Stock based compensation expense
Options		—		—		—			—			1,598			—			1,598
Restricted stock		—		—		—			—			1,608			—			1,608
Issuance of common stock																		—
For options exercised		—		—		—			—			—			—			—
For restricted stock units vested		10,149		—		—			—			(49	)		—			(49	)
Repurchase of common stock						—			—			—						—
Net loss		—		—		—			—			—			(2,865	)		(2,865	)

Balance September 30, 2023		18,386,920	$	18		(1,741,397	)	$	(2	)	$	176,207		$	(60,117	)	$	116,107

The accompanying notes are an integral part of these condensed consolidated financial statements.

OPTIMIZERX CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands, unaudited)

	For the Nine Months Ended September 30,
	2024			2023
OPERATING ACTIVITIES:
Net loss	$	(20,032	)	$	(13,424	)
Adjustments to reconcile net loss to net cash provided by (used in) provided by operating activities:
Depreciation and amortization		3,235			1,395
Stock-based compensation		8,530			11,090
Goodwill impairment		7,489			—
Deferred income taxes		(1,625	)		—
Bad debt expense		131			478
Amortization of debt issuance costs		547			—
Changes in:
Accounts receivable		9,795			838
Prepaid expenses and other assets		(1,200	)		(728	)
Accounts payable		527			(859	)
Revenue share payable		(2,296	)		(305	)
Accrued expenses and other liabilities		(1,997	)		509
Tax receivable		972			—
Deferred revenue		615			24
NET CASH PROVIDED BY (USED IN) OPERATING ACTIVITIES		4,691			(982	)

INVESTING ACTIVITIES:
Purchase of property and equipment		(95	)		(82	)
Purchases of held-to-maturity investments		—			(162,778	)
Redemptions of held-to-maturity investments		—			165,089
Acquisition of intangible assets, including intellectual property rights		—			(4	)
Capitalized software development costs		(235	)		(1,561	)
NET CASH (USED IN) PROVIDED BY INVESTING ACTIVITIES		(330	)		664

FINANCING ACTIVITIES:
Cash paid for employee withholding taxes related to the vesting of restricted stock units		(587	)		(293	)
Proceeds from exercise of stock options		—			146
Repurchase of common stock		—			(7,522	)
Loan origination costs		—			(300	)
Repayment of long-term debt		(1,500	)		—
NET CASH USED IN FINANCING ACTIVITIES		(2,087	)		(7,969	)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS		2,274			(8,287	)
CASH AND CASH EQUIVALENTS - BEGINNING OF PERIOD		13,852			18,209
CASH AND CASH EQUIVALENTS - END OF PERIOD	$	16,126		$	9,923

SUPPLEMENTAL CASH FLOW INFORMATION:
Cash paid for interest	$	4,081		$	—
ROU assets obtained in exchange for lease obligations	$	—		$	158
Cash paid for income taxes	$	—		$	—

The accompanying notes are an integral part of these condensed consolidated financial statements.

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

NOTE 1 – NATURE OF BUSINESS AND BASIS OF PRESENTATION

The accompanying condensed consolidated financial statements include OptimizeRx Corporation and its wholly owned subsidiaries (collectively, the “Company”, “we”, “our”, or “us”).

We are a digital health technology company enabling care-focused engagement between life sciences organizations, healthcare providers, and patients at critical junctures throughout the patient care journey. Connecting over two million U.S. healthcare providers and millions of their patients through an intelligent technology platform embedded within a proprietary point-of-care network, as well as mass digital communications channels, OptimizeRx helps life sciences organizations engage and support their customers.

The condensed consolidated financial statements for the three and nine months ended September 30, 2024 and 2023 have been prepared by us without audit pursuant to the rules and regulations of the U.S. Securities and Exchange Commission (“SEC”). In the opinion of management, all adjustments necessary to present fairly our financial position at September 30, 2024, and our results of operations, changes in stockholders’ equity, and cash flows for the nine months ended September 30, 2024 and 2023, have been made. Those adjustments consist of normal and recurring adjustments. The condensed consolidated balance sheet as of December 31, 2023, has been derived from the audited consolidated condensed balance sheet as of that date. We operate a single reporting segment and, accordingly, use our consolidated net income as our measure of profit and loss and it is not presented separately here.

Certain information and note disclosures, including a detailed discussion about the Company’s significant accounting policies, normally included in our annual consolidated financial statements prepared in accordance with generally accepted accounting principles have been condensed or omitted. These condensed consolidated financial statements should be read in conjunction with a reading of the consolidated financial statements and notes thereto included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2023, as filed with the SEC on April 15, 2024 (“Form 10-K”).

The results of operations for the three and nine months ended September 30, 2024, are not necessarily indicative of the results to be expected for the full year.

On October 24, 2023, the Company acquired 100% of the issued and outstanding preferred and common stock of Healthy Offers, Inc., a Nevada corporation d/b/a Medicx Health (“Medicx Health”) - See Part II, Item 8. Financials Statements and Supplementary Data; Note 3 - Acquisitions in our Form 10-K for additional information regarding this transaction.

The following presents the pro forma consolidated statement of operations as if Medicx Health had been included in the consolidated results of the Company for the three and nine months ended September 30, 2023:

	Three Months Ended			Nine Months Ended
Pro-forma consolidated statement of operations	September 30,
Revenue	$	23,852		$	67,291
Net loss		(3,484	)		(18,141	)

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

These amounts have been calculated after applying the Company’s accounting policies, adjusting Medicx Health results to reflect the additional amortization that would have been charged assuming the fair value adjustments to intangible assets had been applied on January 1, 2023, interest expense associated with the term loan and elimination of interest income on short-term investments that were used to fund the acquisition,

During the year ended December 31, 2023, the Company disposed of its non-core Access business - See Part II, Item 8. Financials Statements and Supplementary Data; Note 7 - Goodwill and Intangible Assets in our Form 10-K for additional information regarding this transaction. A pro forma statement of operations for the three and nine months ended September 30, 2024 is not presented for this transaction as the pro forma impacts were not material to the Company’s consolidated results.

Revenue presented in the pro forma financial consolidated statement of operations data above includes $1,088 and $4,169, respectively related to the Access and other non-core solutions for which no revenue was recorded in the three and nine months ended September 30, 2024 (see also the discussion under Net Revenues in Results of Operations for the three and nine months ended September 30, 2024 in Part I, Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations).

Change in Accounting Estimate

In accordance with its policy, the Company periodically reviews the stand-alone selling prices of its performance obligations under Revenue from Contracts with Customers (“ASC Topic 606”) for use in allocating the contract prices. As a result, effective April 1, 2024, the Company updated the methodology for determining the value of program design and consulting services from the residual method to using an adjusted market assessment approach. The effect of this change in estimate was immaterial to the results for the three and nine months ended September 30, 2024, but may become material in future periods.

Fair Value of Financial Instruments

Fair value is defined as the price that would be received upon the sale of an asset or paid upon the transfer of a liability in an orderly transaction between market participants at the measurement date and in the principal or most advantageous market for that asset or liability. The fair value should be calculated based on assumptions that market participants would use in pricing the asset or liability, not on assumptions specific to the entity. In addition, the fair value of liabilities should include consideration of non-performance risk including our own credit risk.

In addition to defining fair value, the disclosure requirements around fair value establish a fair value hierarchy for valuation inputs, which is expanded. The hierarchy prioritizes the inputs into three levels based on the extent to which inputs used in measuring fair value are observable in the market. Each fair value measurement is reported in one of the three levels, which is determined by the lowest level input that is significant to the fair value measurement in its entirety. These levels are:

Level 1 – Inputs are based upon unadjusted quoted prices for identical instruments traded in active markets.

Level 2 – Inputs are based upon significant observable inputs other than quoted prices included in Level 1, such as quoted prices for identical or similar instruments in markets that are not active, and model-based valuation techniques for which all significant assumptions are observable in the market or can be corroborated by observable market data for substantially the full term of the assets or liabilities.

Level 3 – Inputs are generally unobservable and typically reflect management’s estimates of assumptions that market participants would use in pricing the asset or liability. The fair values are therefore determined using model-based techniques that include option pricing models, discounted cash flow models, and similar techniques. The Company’s stock options and warrants are valued using Level 3 inputs.

The Company’s carrying amounts of financial instruments, including cash and cash equivalents, accounts receivable, accounts payable, and other current liabilities, approximate their fair values due to their short maturities.

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

NOTE 2 – NEW ACCOUNTING PRONOUNCEMENTS

In November 2023, the FASB issued ASU No. 2023-07 (“ASU 2023-07”), Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures. ASU 2023-07 requires annual and interim disclosures that are expected to improve reportable segment disclosures, primarily through enhanced disclosures about significant segment expenses. The provisions of ASU 2023-07 are effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted. We are currently evaluating the impact of adopting ASU 2023-07.

In December 2023, the FASB issued ASU No. 2023-09 (“ASU 2023-09”), Income Taxes (Topic 740): Improvements to Income Tax Disclosures. ASU 2023-09 addresses investor requests for more transparency about income tax information through improvements to income tax disclosures primarily related to the rate reconciliation and income taxes paid information. This update also includes certain other amendments to improve the effectiveness of income tax disclosures. The provisions of ASU 2023-09 are effective for annual periods beginning after December 15, 2024, with early adoption permitted. We are currently evaluating the impact of adopting ASU 2023-09.

NOTE 3 – CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS

Cash equivalents include items almost as liquid as cash comprised of investments in AAA rated money market funds that invest in first-tier only securities, which primarily include domestic commercial paper and securities issued or guaranteed by the U.S. government or its agencies. We account for marketable equity securities in accordance with ASC 321-10, “Investments - Equity Securities”, as the shares have a readily determinable fair value quoted on the national stock exchange and are classified within Level 1 of the fair value hierarchy. At September 30, 2024 and December 31, 2023, we have recorded $8.2 million and none, respectively, of money market funds at approximate fair value.

NOTE 4 – CAPITALIZED SOFTWARE COSTS

The Company capitalizes certain development costs incurred in connection with software development for internal-use software platforms used in operations and for providing services to our customers. Costs incurred in the preliminary stages of development are expensed as incurred. Once software has reached the development stage, internal and external costs, if direct, are capitalized until the software is substantially complete and ready for its intended use. Capitalization ceases upon completion of all substantial testing. The Company also capitalizes costs related to specific upgrades and enhancements when it is probable the expenditures will result in additional functionality. Capitalized internal use software development costs are included in intangible assets and are amortized on a straight-line basis over the estimated useful life of the software platforms and are included in depreciation and amortization within operating expenses in the consolidated statements of operations. Amortization of capitalized internal use software expense for the three and nine months ended September 30, 2024 and 2023 was $91 and $233 and $48 and $143, respectively. The Company accumulates capitalizable costs related to current projects in a construction in process (“CIP”) software account, the balance of which was $217 and $696 at September 30, 2024 and December 31, 2023, respectively.

NOTE 5 – GOODWILL

The Company has a single reporting segment. The goodwill is related to the acquisitions of Medicx Health in 2023, EvinceMed in 2022, RMDY Health, Inc. in 2019 and CareSpeak Communications in 2018. Goodwill is not amortizable for financial statement purposes. Goodwill is tested for impairment at a reporting segment level at least annually, as of December 31, or on an interim basis if an event occurs or circumstances change (a “Triggering Event”).

During the third quarter of 2024, the Company experienced a Triggering Event due to a sustained decline in its stock price and overall market capitalization. Accordingly, the Company conducted a quantitative impairment test of its goodwill at September 30, 2024. The Company estimated the implied fair value of its goodwill using a combination of a market approach and income approach.

At September 30, 2024 and December 31, 2023, the carrying amounts of goodwill were $70.9 million and $78.4 million, respectively. A noncash charge of $7.5 million, representing the amount by which the Company’s book value exceeds its estimated fair value, was recorded as a goodwill impairment in the three months ended September 30, 2024.

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

NOTE 6 – LONG-TERM DEBT

On October 11, 2023, in connection with the acquisition of Medicx Health, we entered into a financing agreement that provided for a $40 million term loan (the “Term Loan”).

Long-term debt, net comprised the following at September 30, 2024 and December 31, 2023:

	September 30, 2024			December 31, 2023
Term Loan, due in 2027	$	36,790		$	38,290
Less: current portion		(2,000	)		(2,000	)
Less: unamortized issuance costs		(1,512	)		(2,059	)
Long-term debt, net	$	33,278		$	34,231

As of September 30, 2024, the Term Loan bears interest at 14.0%, with an effective rate of 16.1%, including the impact of the amortization of debt issuance costs of $182 and $547 for the three and nine months ended September 30, 2024, respectively.

On September 30, 2024, we entered into Amendment No. 2 to the financing agreement, which extended the test period for measurement of the leverage ratio and qualified cash measurements from September 30, 2024 to October 15, 2024.

As of September 30, 2024, the Company was in full compliance with the financial covenants associated with the Term Loan.

The Term Loan is repayable in quarterly installments, beginning December 31, 2023, equivalent to 1.25% or $0.5 million, of the original principal amount, with the outstanding unpaid principal and all accrued but unpaid interest due and payable on the earlier of (i) the fourth anniversary of the closing date of the Term Loan or (ii) the date on which the Term Loan is declared due and payable pursuant to the terms of the financing agreement.

In addition, the Company is required to make a mandatory prepayment on March 31, of each year, commencing with 2025, equivalent to Excess Cash Flow multiplied by a percentage factor of 25%, if the leverage ratio is 3.60 to 1.00 or less, 50% if the leverage ratio is greater than 3.60 to 1 or less than or equal; to 4.10 to 1.00 and 75%, if the leverage ratio is greater than 4.10 to 1.00. Excess Cash Flow is defined in the financing agreement as Consolidated EBITDA for the previous fiscal year less scheduled principal and interest payments, capital expenditure, cash taxes and any cash expenses/gains added back to net income in the calculation of Consolidated EBITDA, adjusted for any increase/decrease in working capital during the fiscal year.

Repayments of the Term Loan due under the terms of the financing agreement, including an estimate of the amount associated with the Excess Cash Flow calculation discussed above, for the remainder of the current and in each of the next three fiscal years are as follows:

As of September 30, 2024
2024 (remainder)	$	500
2025		2,000
2026		2,000
2027		32,290
	$	36,790

OPTIMIZERX CORPORATION
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(in thousands, excepts share and per share data, unaudited)

NOTE 7 – LEASES

We had operating leases with terms greater than 12 months for office space in four multi-tenant facilities, which are recorded as Operating lease right-of-use assets and Operating lease liabilities.

For the three and nine months ended September 30, 2024 and 2023, the Company’s lease costs consist of the following components, each of which is included in operating expenses within the Company’s condensed consolidated statements of operations:

	Three months ended September 30,				Nine Months Ended September 30,
	2024		2023		2024		2023
Operating lease cost	$	62	$	11	$	186	$	61
Short-term lease cost		1		19		2		27
Total lease cost	$	63	$	30	$	188	$	88

The table below presents the future minimum lease payments to be made under operating leases in each of the remainder of the current and next four fiscal years and thereafter:

As of September 30, 2024
2024 (remainder)	$	67
2025		188
2026		114
2027		67
2028		46
Thereafter		—
Total		482
Less: discount		45
Total lease liabilities	$	437

The weighted average remaining lease term at September 30, 2024 for the operating leases is 2.7 years, and the weighted average discount rate used in calculating the operating leases assets and liabilities is 6.96%. Cash paid for amounts included in the measurement of lease liabilities was $168 and $53 for the nine months ended September 30, 2024 and 2023, respectively. For the nine months ended September 30, 2024 and 2023, payments on lease obligations were $193 and $60, respectively, and amortization on the right of use assets was $175 and $61, respectively.

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

NOTE 8 – STOCKHOLDERS’ EQUITY

Preferred Stock

The Company had 10,000,000 shares of preferred stock, $0.001 par value per share, authorized as of September 30, 2024. No shares were issued or outstanding in either 2024 or 2023.

Common Stock

The Company had 166,666,667 shares of common stock, $0.001 par value per share, authorized as of September 30, 2024. There were 18,328,035 and 18,158,282 shares of common stock outstanding, net of shares held in treasury of 1,741,397 at September 30, 2024 and December 31, 2023, respectively.

During each of the quarters ended March 31, 2024, June 30, 2024 and September 30, 2024, no shares of our common stock were issued, and no proceeds were received in connection with the exercise of options under our 2013 Incentive Plan and our 2021 Equity Incentive Plan.

During the quarters ended March 31, 2024, June 30, 2024 and September 30, 2024, 22,200, 140,028 and 7,525 shares of common stock, respectively, were issued in connection with the vesting of restricted stock units under our 2013 Incentive Plan and our 2021 Equity Incentive Plan. Some of the participants utilized a net withhold settlement method, in which shares were surrendered to cover payroll withholding taxes. Of the shares issued to participants during the nine months ended September 30, 2024, a total of 52,092 shares, valued at $585,571, were surrendered and subsequently cancelled.

During the quarters ended March 31, 2023, June 30, 2023 and September 30, 2023, the Company issued 9,668, 10,000 and 0 shares of our common stock and received proceeds of $40, $105 and $0, respectively, in connection with the exercise of options under our 2013 Incentive Plan.

During the quarters ended March 31, 2023, June 30, 2023 and September 30, 2023, the Company issued 33,272, 35,260 and 10,149 shares of common stock in connection with the vesting of restricted stock units under our 2013 Incentive Plan and our 2021 Equity Incentive Plan. 28,157 shares valued at $121 were surrendered in connection with the net withhold settlement method, and were subsequently cancelled.

Treasury Stock

During the quarter ended March 31, 2023, the Board authorized a share repurchase program, under which the Company could repurchase up to $15.0 million of its outstanding common stock. This stock repurchase authorization expired on March 12, 2024. There were no shares repurchased in 2024 prior to the expiration.

During the three and nine months ended September 30, 2023, the Company repurchased none and 526,999 shares of common stock, respectively, under this program for a total of $7,522, including commissions paid on repurchases. These shares were recorded as treasury shares using the par value method.

NOTE 9 – STOCK BASED COMPENSATION

On June 5, 2024, at the 2024 Annual Meeting of Stockholders, the Company’s stockholders approved an amendment to the 2021 Equity Incentive Plan to increase the number of shares of common stock available for awards under the 2021 Equity Incentive Plan by 1,950,000 shares for a total of 4,450,000 shares.

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

Stock Options

The compensation expense related to options for the nine months ended September 30, 2024 and 2023 was $3,494 and $4,720, respectively. The fair value of these instruments was calculated using the Black-Scholes option pricing model. There is $4,115 of remaining expense related to unvested options to be recognized in the future over a weighted average period of 1.57 years. The total intrinsic value of outstanding options at September 30, 2024 was $8.

During 2022, the Company granted certain performance-based stock options, the expense for which will be recorded over time once the achievement of the performance is deemed probable. There was $8 and $16 in expense related to these options recorded during the three and nine months ended September 30, 2024.

Restricted Stock Units

The Company recorded $5,036 and $6,370 in compensation expense related to restricted stock units for the nine months ended September 30, 2024 and 2023, respectively. A total of $6,793 remains to be recognized at September 30, 2024 over a weighted average period of 1.6 years.

During 2022, the Company granted certain performance based restricted stock units, the expense for which will be recorded over time once the achievement of the performance is deemed probable. There was $8 and $16 in expense related to these restricted stock units recorded during the three and nine months ended September 30, 2024.

The director’s compensation program calls for the grant of restricted stock units with a one year vesting period. There was $591 and $541 included in the compensation expense discussed above related to director’s compensation for the periods ended September 30, 2024 and 2023, respectively.

NOTE 10 – REVENUES

Under ASC Topic 606, we record revenue when earned, rather than when billed. From time to time, we may record revenue based on our revenue recognition policies in advance of being able to invoice the customer, or we may invoice the customer prior to being able to recognize the revenue. Included in accounts receivable are unbilled amounts of $6,002 and $3,288 at September 30, 2024, and December 31, 2023, respectively. Amounts billed in advance of revenue recognition are presented as deferred revenue on the condensed consolidated balance sheets.

Revenues are primarily generated from content delivery activities in which the Company delivers financial, clinical, or brand messaging through a distribution network of ePrescribers and electronic health record technology providers (channel partners), directly to consumers, or from reselling services that complement the business. This content delivery for a customer is referred to as a program. Unless otherwise specified, revenue is recognized based on the selling price to customers. The Company’s contracts are generally less than one year and the primary performance obligation is delivery of messages, or content, but the contract may contain additional services. Additional services may include program design, which is the design of the content delivery program, set up, and reporting.

We consider set up and reporting services to be complimentary to the primary performance obligation and recognized through performance of the delivery of content. We consider program design and related consulting services to be performance obligations separate from the delivery of messages. Revenue is recognized at the point in time when the work product is delivered to the customer. The net contract balance for contracts in progress at September 30, 2024 and December 31, 2023, was $23,191 and $2,021, respectively. The outstanding performance obligations are expected to be satisfied during the year ended December 31, 2024.

In certain circumstances, the Company will offer sales rebates to customers based on spend volume. Rebates are contracted based on a quarterly or annual spend amount and on a volume threshold or tiered model. At the beginning of the year, the rebate percentage is estimated based on input from the sales team and analysis of prior year sales. Thereafter, the open contract balance for the customer is assessed quarterly to ensure the estimated rebate percentage being used for the rebate accrual remains reasonable. The estimated amount of variable consideration will be included in the transaction price only to the extent that it is probable that a significant reversal in the amount of cumulative revenue recognized will not occur when the uncertainty associated with the variable consideration is subsequently resolved. For the year ended 2023 and during the first nine months of 2024, there were two contracts with customers that included a rebate clause.

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

As the content is distributed through the platform and network of channel partners (a transaction), these transactions are recorded, and transaction revenue is recognized over time as the distributions occur. Revenue for transactions can be realized based on a price per message, a price per redemption, as a flat fee occurring over a period of time, or upon completion of the program, depending on the client contract. The Company recognizes setup fees that are required for integrating client offerings and campaigns into the rule-based content delivery system and network over the life of the initial program, based either on time, or units delivered, depending upon which is most appropriate in the specific situation. Should a program be cancelled before completion, the balance of set up revenue is recognized at the time of cancellation, as set up fees are nonrefundable. Additionally, the Company also recognizes revenue for providing program performance reporting and maintenance. This reporting revenue is recognized over time as the messages are delivered. Program design, which is the design of the content delivery program, and related consulting services are recognized as services are performed.

In some instances, we also resell messaging solutions that are available through channel partners that are complementary to the core business and client base. These partner specific solutions are frequently similar to our own solutions and revenue recognition for these programs is the same as described above. In instances where we sell solutions on a commission basis, net revenue is recognized based on the commission-based revenue split that we receive. In instances where we resell these messaging solutions and have all financial risk and significant operation input and risk, we record the revenue based on the gross amount sold and the amount paid to the channel partner as a cost of sales.

The Company has several signed contracts with customers for the distribution of messaging, or other services, which include payment in advance. The payments are not recorded as revenue until the revenue is earned under our revenue recognition policy. Deferred revenue was $786 and $172 as of September 30, 2024 and December 31, 2023, respectively. The contracts are all short term in nature and all revenue is expected to be recognized within 12 months, or less. The following is a summary of activity for the deferred revenue account for the nine months ended September 30:

	2024			2023
Balance January 1	$	172		$	164
Revenue recognized		(3,228	)		(2,444	)
Amount collected		3,961			3,015
Balance March 31	$	905		$	735
Revenue recognized		(1,853	)		(3,171	)
Amount collected		2,002			2,887
Balance June 30	$	1,054		$	451
Revenue recognized		(2,721	)		(3,043	)
Amount collected		2,453			2,780
Balance September 30	$	786		$	188

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

Disaggregation of Revenue

Consistent with ASC Topic 606, we have disaggregated our revenue by timing of revenue recognition. The majority of our revenue is recognized over time as solutions are provided. A small portion of our revenue related to program development, solution architect design, and other solutions is recognized at a point in time upon delivery to customers. A break down is set forth in the table below.

	Three Months Ended September 30,				Nine Months Ended September 30,
	2024		2023		2024		2023
Revenue recognized over time	$	20,441	$	14,815	$	54,189	$	40,421
Revenue recognized at a point in time		868		1,516		5,622		2,732
Total Revenue	$	21,309	$	16,331	$	59,811	$	43,153

Accounts receivable are reported at realizable value, net of allowances for credit losses, which is estimated and recorded in the period the related revenue is recorded. The Company does not seek collateral to secure its accounts receivable and amounts billed are generally due within a short period of time based on terms and conditions normal for our industry. The Company has a standardized approach to estimate and review the collectability of its receivables based on a number of factors, including the period they have been outstanding. Historical collection and payer reimbursement experience is an integral part of the estimation process related to allowances for credit losses. In addition, the Company regularly assesses the state of its billing operations in order to identify issues, which may impact the collectability of these receivables or reserve estimates. If current or expected future economic trends, events, or changes in circumstances indicate that specific receivable balances may be impaired, further consideration is given to the collectability of those balances and the allowance is adjusted accordingly. Past-due receivable balances are written off when the Company’s collection efforts have been exhausted.

The following is a summary of changes in the allowance for credit losses for the nine months ended September 30,:

	2024			2023
Balance at January 1,	$	239		$	352
Bad debt expense		132			128
Write-offs		—			—
Balance at March 31,	$	371		$	480
Bad debt expense		—			111
Write-offs		—			—
Balance at June 30,	$	371		$	591
Bad debt expense		(1	)		239
Write-offs		31			9
Balance at September 30,	$	339		$	821

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

Related Party Transactions

Related party transactions include transactions between the Company and its shareholders, management, or affiliates. The following transactions were in the normal course of operations and were measured and recorded at the exchange amount, which is the amount of consideration established and agreed to by the parties. During the three months ended September 30, 2024 we sold to Eversana and LifeMD resulting in $0.2 million recognized revenue where one or more of our executive officers or members of our Board of Directors were, during the periods presented, an executive officer or a board member. All of the related party transactions were made at current market rates.

NOTE 11 – LOSS PER SHARE

Basic earnings per share (“EPS”) is computed by dividing net income (loss) by the weighted average number of common shares outstanding during the period.

The number of shares related to options and restricted stock units included in diluted EPS is based on the “Treasury Stock Method” prescribed in ASC 260-10, Earnings per Share. This method assumes the theoretical repurchase of shares using proceeds of the respective stock options exercised, and for restricted stock units, the amount of compensation cost attributed to future services which have not yet been recognized, and the amount of current and deferred tax benefit, if any, that would be credited to additional paid in capital upon the vesting of the restricted stock units, at a price equal to the issuer’s average stock price during the related earnings period. Accordingly, the number of shares that could be included in the calculation of EPS in respect of the stock options and restricted stock units is dependent on this average stock price and will increase as the average stock price increases.

The following table sets forth the computation of basic and diluted net loss per share.

	Three Months Ended September 30,						Nine Months Ended September 30,
	2024			2023			2024			2023
Numerator
Net loss	$	(9,124	)	$	(2,865	)	$	(20,032	)	$	(13,424	)

Denominator
Weighted average shares outstanding used in computing net loss per share
Basic		18,323,542			16,637,606			18,250,775			16,907,482
Effect of dilutive stock options, warrants, and stock grants		—			—			—			—
Diluted		18,323,542			16,637,606			18,250,775			16,907,482

Net loss per share
Basic	$	(0.50	)	$	(0.17	)	$	(1.10	)	$	(0.79	)
Diluted	$	(0.50	)	$	(0.17	)	$	(1.10	)	$	(0.79	)

The number of common shares potentially issuable upon the exercise of certain options and the vesting of certain restricted stock units that were excluded from the diluted loss per common share calculation are reflected in the table below.

	Three Months Ended September 30,				Nine Months Ended September 30,
Weighted average number of shares for the periods ended	2024		2023		2024		2023
Options		2,645		7,433		8,850		17,736
Unvested restricted stock unit awards		73,938		3,739		138,074		23,341
Total		76,583		11,172		146,924		41,077

OPTIMIZERX CORPORATION

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(in thousands, excepts share and per share data, unaudited)

NOTE 12 – COMMITMENTS AND CONTINGENCIES

Litigation

From time to time, the Company may become involved in legal proceedings or be subject to claims arising in the ordinary course of our business. We are currently not a party to any material legal or administrative proceedings, and we are not aware of any pending or threatened material legal or administrative proceedings against us.

Commitments

From time to time, the Company enters into arrangements with partners to acquire minimum amounts of media, data or messaging capabilities. As of September 30, 2024, the Company had commitments for future minimum payments of $16.7 million that will be reflected in cost of revenues during the years from 2024 through 2028. Minimum payments are due in the remainder of 2024 and fiscal 2025, 2026, 2027 and 2028 in the amounts of $1.8 million, $8.8 million, $3.6 million, $2.4 million and $0.1 million, respectively.

NOTE 13 – INCOME TAXES

The Company reported a benefit from income taxes of $817 and $1,561 for the three and nine months ended September 30, 2024, representing an effective tax rate of 8.2% and 7.2%. The effective tax rate for the three and nine months ended September 30, 2024 reflects the impact of certain permanent items, projected increases in our valuation allowance during the year and discrete items for the quarter related to stock based compensation.

There was no provision for or benefit from taxes in the three and nine months ended September 30, 2023, as we carried a full valuation allowance against our net deferred tax assets due to our history of losses.

As discussed in our annual report on Form 10-K for the year ended December 31, 2023, we had net operating loss carry-forwards for federal income tax purposes of approximately $16.7 million as of December 31, 2023.

NOTE 14 – SUBSEQUENT EVENTS

Subsequent to September 30, 2024, we made a voluntary principal payment of $2 million on our Term Loan balance.

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Forward-Looking Statements

This Quarterly Report on Form 10-Q contains statements that relate to future events and expectations and, as such, constitute forward-looking statements, within the meaning of the Private Securities Litigation Reform Act of 1995. Certain statements, other than purely historical information, including estimates, projections, statements relating to our strategies, outlook, business and financial prospects, business plans, objectives, and expected operating results, and the assumptions upon which those statements are based, are “forward-looking statements.” These forward-looking statements generally are identified by the words “believes,” “project,” “expects,” “anticipates,” “estimates,” “intends,” “strategy,” “plan,” “may,” “will,” “would,” “will be,” “will continue,” “will likely result,” and similar expressions.

Forward-looking statements are based on current expectations and assumptions that are subject to risks and uncertainties which may cause actual results to differ materially from the forward-looking statements. Forward-looking statements are not guarantees of future performance. Although OptimizeRx believes that the expectations reflected in any forward-looking statements are based on reasonable assumptions, these expectations may not be attained and it is possible that actual results may differ materially from those indicated by these forward-looking statements due to a variety of risks, uncertainties and changes in circumstances, many of which are beyond OptimizeRx’s control.

Forward-looking statements are subject to risks and uncertainties. Actual results could differ materially from those expressed in or implied by such forward-looking statements due to a variety of factors, including: our history of losses, seasonal trends in the pharmaceutical brand marketing industry; the inability to support our technology and scale our operations successfully, developing and implementing new and updated applications, features and services for our solutions may be more difficult and expensive and take longer than expected; the inability to offer high-quality customer support for our solutions; dependence on a concentrated group of customers; inability to maintain contracts with electronic prescription platforms, agreements with electronic prescription platforms and electronic health record systems being subject to audit; inability to attract and retain customers; inability to comply with laws and regulations that affect the healthcare industry; competition; developments in the healthcare industry; inability to manage growth; inability to identify suitable acquisition targets, complete acquisitions, or integrate acquisitions successfully; acquisition activities may disrupt ongoing business and may involve increased expenses; inability to realize the financial and strategic goals contemplated at the time of a transaction; inability to realize any synergies or other anticipated benefits of an acquisition or that such synergies or benefits may take longer than anticipated to be realized; risk that the integration with an acquired entity may be more costly or difficult than expected; impairment charges for goodwill or other intangible assets may be increased as we shift our focus away from our non-core businesses; inability to comply with the restrictions in our credit agreement; inability to generate sufficient cash to service debt and fund other obligations; inability to attract and retain senior management and other key employees; economic, political, regulatory and other risks arising from our international operations; inability to protect our intellectual property; cybersecurity incidents; reduction in the performance, reliability and availability of our network infrastructure; increases in costs due to inflation and other adverse economic conditions; decreases in customer demand due to macroeconomic factors; lack of a consistent active trading market for our common stock; volatility in the market price of our common stock; and the failure to remediate the identified material weakness or any other material weaknesses identified in the future.

The risks and uncertainties included here are not exhaustive. Further information concerning our business, including additional factors that could materially affect our financial results, is included herein and in our other filings with the SEC, including our Annual Report on Form 10-K for the year ended December 31, 2023. Moreover, we operate in a rapidly changing and competitive environment. New risk factors emerge from time to time, and it is not possible for management to predict all such risk factors.

Further, it is not possible to assess the effect of all risk factors on our businesses or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements. Given these risks and uncertainties, investors should not place undue reliance on forward-looking statements as a prediction of actual results. In addition, we disclaim any obligation to update any forward-looking statements to reflect events or circumstances that occur after the date of this report.

Overview

We are a digital health technology company enabling care-focused engagement between life sciences organizations, healthcare providers, and patients at critical junctures throughout the patient care journey. Connecting over two million U.S. healthcare providers and millions of their patients through an intelligent omnichannel technology platform embedded within a proprietary point-of-care network, as well as mass digital communications channels, OptimizeRx helps life sciences organizations engage and support their customers.

Historically, our revenue was generated primarily through the facilitation of various types of messages to health care providers via their EHR systems and ERx platforms using the OptimizeRx proprietary network to solve the ever-increasing communication barriers between pharmaceutical representatives and healthcare providers that have presented in the rapidly changing healthcare industry. Over time, the demand for different types of communication and marketing solutions among life sciences organizations, healthcare providers, and patients led us to expand upon our initial solutions to increase the variety of health-related information we deliver, as well as the platforms, technology, media distribution channels, and audiences through and to which we deliver. In addition, the October 2023 acquisition of Medicx Health provided the Company with a significant footprint for direct-to-consumer healthcare marketing. Today, we offer diverse tech-enabled marketing solutions through our AI-generated DAAP, using sophisticated machine-learning algorithms to find the best audiences in the correct channels at the right time. Customers are able to execute traditional marketing campaigns on our proprietary digital point-of-care network, as well as dynamic marketing campaigns that optimize audiences in real time to increase the value of treatment information for healthcare professionals and patients in response to clinical care events. We employ a “land and expand” strategy focused on growing our existing client base and generating greater and more consistent revenues in part through the continued shift in our business model toward enterprise level engagements, while also broadening our omnichannel network. Our strategy for driving revenue growth is also expected to work in tandem with our efforts to increase margin and profitability as revenue drivers such as DAAP have inherently higher margins than most other messaging solutions we offer.

Customer Concentration

Because the pharmaceutical industry is dominated by large companies with multiple brands, our revenue is concentrated in a relatively small number of companies. We have approximately 100 pharmaceutical companies as customers, and our revenues are concentrated in these customers. Loss of one of more of our larger customers could have a negative impact on our operating results. Our top five customers represented approximately 44% and 39% of our revenue for the years ended December 31, 2023 and December 31, 2022, respectively. In each of 2023 and 2022, we had one customer that each represented more than 10% of our revenues.

Seasonality

In general, the pharmaceutical brand marketing industry experiences seasonal trends that affect the vast majority of participants in the pharmaceutical digital marketing industry. Many pharmaceutical companies allocate the largest portion of their brand marketing to the fourth quarter of the calendar year. As a result, the first quarter tends to reflect lower activity levels and lower revenue, with gradual increases in the following quarters. We generally expect these seasonality trends to continue and our ability to effectively manage our resources in anticipation of these trends may affect our operating results.

Impact of Macroeconomic Events

Unfavorable conditions in the economy may negatively affect the growth of our business and our results of operations. For example, macroeconomic events including volatility of inflation and interest rates have led to economic uncertainty. In addition, high levels of employee turnover across the pharmaceutical industry as well as a fewer number of U.S. drug approvals could create additional uncertainty within our target customer markets. Historically, during periods of economic uncertainty and downturns, businesses may slow spending, which may impact our business and our customers’ businesses. Adverse changes in demand could impact our business, collection of accounts receivable and our expected cash flow generation, which may adversely impact our financial condition and results of operations.

Key Performance Indicators

We monitor the following key performance indicators to help us evaluate our business, measure our performance, identify trends affecting our business and make strategic decisions. 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.

Average revenue per top 20 pharmaceutical manufacturer. Average revenue per top 20 pharmaceutical manufacturer is calculated by taking the total revenue the Company recognized through pharmaceutical manufacturers listed in Fierce Pharma’s “The top 20 pharma companies by 2023 revenue” over the last twelve months, divided by the total number of the aforementioned pharmaceutical manufacturers that our solutions helped support over that time period. The Company uses this metric to monitor its progress in “landing and expanding” with key customers within its largest customer vertical and believe it also provides investors with a transparent way to chart our progress in penetrating this important customer segment. The increase in the average in twelve months ended September 30, 2024 as compared to the twelve months ended September 30, 2023 is primarily the result of stronger DAAP related revenue streams and the Company’s October 2023 acquisition of Medicx Health, which added to 2024 revenues and was not included in the 2023 amounts (in thousands).

	Rolling Twelve Months Ended September 30,
	2024		2023
Average revenue per top 20 pharmaceutical manufacturer	$	2,824	$	1,902

Percent of top 20 pharmaceutical manufacturers that are customers. Percent of top 20 pharmaceutical manufacturers that are customers is calculated by taking the number of revenue generating customers that are pharmaceutical manufacturers listed in Fierce Pharma’s “The top 20 pharma companies by 2023 revenue” over the last 12 months, which is then divided by 20 - which is the number of pharmaceutical manufacturers included in the aforementioned list. The Company uses this metric to monitor its progress in penetrating key customers within its largest customer vertical and believes it also provides investors with a transparent way to chart our progress in penetrating this important customer segment. Our penetration within this core customer group stayed consistent from the twelve months ended September 30, 2023 to the twelve months ended September 30, 2024.

	Rolling Twelve Months Ended September 30,
	2024			2023
Percent of top 20 pharmaceutical manufacturers that are customers		100	%		100	%

Percent of total revenue attributable to top 20 pharmaceutical manufacturers. Percent of total revenue attributable to top 20 pharmaceutical manufacturers is calculated by taking the total revenue the Company recognized through pharmaceutical manufacturers listed in Fierce Pharma’s “The top 20 pharma companies by 2023 revenue” over the last twelve months, divided by our consolidated revenue over the same period. The Company uses this metric to monitor its progress in “landing and expanding” with key customers within its largest customer vertical and believes it also provides investors with a transparent way to chart our progress in penetrating this important customer segment.

	Rolling Twelve Months Ended September 30,
	2024			2023
Percent of total revenue attributable to top 20 pharmaceutical manufacturers		64	%		61	%

Net revenue retention. Net revenue retention is a comparison of revenue generated from all customers in the previous twelve-month period to total revenue generated from the same customers in the following twelve-month period (i.e., excludes new customer relationships for the most recent twelve-month period). The Company uses this metric to monitor its ability to improve its penetration with existing customers and believes it also provides investors with a metric to chart our ability to increase our year-over-year penetration and revenue with existing customers. The retention rate in the twelve months ended September 30, 2024 was higher due to increased adoption of DAAP year over year as well as the acquisition of Medicx Health in the fourth quarter of 2023.

	Rolling Twelve Months Ended September 30,
	2024			2023
Net revenue retention		127	%		93	%

Revenue per average full-time employee. We define revenue per average full-time employee (“FTE”), as total revenue over the last twelve months divided by the average number of employees over the last twelve months (i.e., the average between the number of FTEs at the end of the reported period and the number of FTEs at the end of the same period of the prior year). The Company uses this metric to monitor the productivity of its workforce and its ability to scale efficiently over time and believes the metric provides investors with a way to chart our productivity and scalability. Our revenue rate per employee increased year over year due to revenue growing at a higher rate than the average number of FTEs over the last 12 month period (in thousands).

	Rolling Twelve Months Ended September 30,
	2024		2023
Revenue per average full-time employee	$	630	$	568

Results of Operations for the Three and Nine Months Ended September 30, 2024 and 2023

The following tables sets forth, for the periods indicated, the dollar value and percentage of net revenue represented by certain items in our consolidated statements of operations (in thousands):

	Three Months Ended September 30,
	2024					2023
Net revenue	$	21,309		100.0	%	$	16,331		100.0	%
Cost of revenues		7,862		36.9	%		6,531		40.0	%
Gross profit		13,447		63.1	%		9,800		60.0	%
Operating expenses		22,009		103.3	%		13,353		81.8	%
Loss from operations		(8,562	)	(40.2	)%		(3,553	)	(21.8	)%
Other income (expense)
Interest expense		(1,524	)	(7.1	)%		—		—	%
Other income		38		0.2	%		—		—	%
Interest income		107		0.5	%		688		4.2	%
Total other income (expense)		(1,379	)	(6.4	)%		688		4.2	%
Loss before provision for income taxes		(9,941	)	(46.7	)%		(2,865	)	(17.5	)%
Income tax benefit		817		3.8	%		—		—	%
Net loss	$	(9,124	)	(42.78	)%	$	(2,865	)	(17.5	)%

Balances and percentage of net revenue information may not add due to rounding

	Nine Months Ended September 30,
	2024					2023
Net revenue	$	59,811		100.0	%	$	43,153		100.0	%
Cost of revenues		22,456		37.5	%		18,094		41.9	%
Gross profit		37,355		62.5	%		25,059		58.1	%
Operating expenses		54,695		91.4	%		40,557		94.0	%
Loss from operations		(17,340	)	(29.0	)%		(15,499	)	(35.9	)%
Other income (expense)
Interest expense		(4,597	)	(7.7	)%		—		—	%
Other income		113		0.2	%		—		—	%
Interest income		231		0.4	%		2,074		4.8	%
Total other income (expense)		(4,253	)	(7.3	)%		2,074		4.8	%
Loss before provision for income taxes		(21,593	)	(36.1	)%		(13,424	)	(31.1	)%
Income tax benefit		1,561		2.6	%		—		—	%
Net loss	$	(20,032	)	(33.5	)%	$	(13,424	)	(31.1	)%

Balances and percentage of net revenue information may not add due to rounding

Net Revenues

Net revenue reported for the three months ended September 30, 2024 was approximately $21,309, an increase of approximately 30% over the approximately $16,331 from the same period in 2023. Our net revenue reported for the nine months ended September 30, 2024 was approximately $59,811, an increase of approximately 39% over the approximately $43,153 from the same period in 2023. The increase in net revenue was as a result of the impact of the fourth quarter 2023 acquisition of Medicx Health, which was not included in the prior year numbers, plus growth of DAAP related sales. The increases in the three and nine months ended September 30, 2024 were partially offset by a reduction of approximately $1,088 and $4,169, respectively, as a result of the disposal of our non-core Access solutions and the sale of certain non-core solutions-related contracts in the fourth quarter of 2023.

Net revenues of $23,852 and $68,603, as shown in the pro forma financial consolidated statement of operations data table in Note 1 above, includes $1,088 and $4,169 related to the Access and other non-core solutions revenues for the three and nine months ended September 30, 2023, compared to $21,309 and $59,811 for the three and nine months ended September 30, 2024, for which no Access or other non-core solutions revenue was recorded.

Cost of Revenues

Our cost of revenues, comprised primarily of revenue share expense paid to our network partners as well as costs associated with licensing data from third parties, was approximately $7,862 or 36.9% of net revenues for the three months ended September 30, 2024 compared to $6,531 or 40.0% of net revenues for the three months ended September 30, 2023 and was approximately $22,456 or 38% of net revenues for the nine months ended September 30, 2024, compared to $18,094 or 42% of net revenues for the nine months ended September 30, 2023.

The changes in cost of revenues as a percentage of revenues was a result of solution and channel mix. Additional discussion is included in the Gross Margin section below.

Gross Margin

Our gross margin, which is the difference between our revenues and our cost of revenues, was approximately $13,447 or 63.1% of net revenues for the three months ended September 30, 2024 compared to $9,800 or 60.0% of net revenues for the three months ended September 30, 2023 and was approximately $37,355 or 62.5% of net revenues for the nine months ended September 30, 2024 compared to $25,059 or 58.1% of net revenues for the nine months ended September 30, 2023.

We had higher third quarter revenues compared to the same year ago period due to the fourth quarter 2023 acquisition of Medicx Health and growth in our DAAP related sales, leading to increased gross margin. Our overall margin percentage improved, compared with a year ago, as a result of an increased delivery of higher margin revenue solutions, such as DAAP and Medicx Audience Activation (“MAA”), and using more cost-effective channel partnerships.

Operating Expenses

Operating expenses increased to approximately $22,009 for the three months ended September 30, 2024 from approximately $13,353 for the same period in 2023, an increase of approximately 65%. For the nine months ended September 30, 2024 operating expenses were approximately $54,695 compared to approximately $40,557 for the nine months ended September 30, 2023, an increase of 35%. The detail by major category is reflected in the table below (in thousands).

	Three Months Ended September 30,				Nine Months Ended September 30,
	2024		2023		2024		2023
Stock-based compensation	$	2,604	$	3,206	$	8,530	$	11,090
Depreciation and amortization		1,095		467		3,235		1,395
Goodwill impairment		7,489		—		7,489		—
Other general and administrative expenses		10,821		9,680		35,441		28,072
Total operating expense	$	22,009	$	13,353	$	54,695	$	40,557

Stock-based compensation decreased from approximately $3,206 for the three months ended September 30, 2023, to approximately $2,604 for the three months ended September 30, 2024, and decreased from approximately $11,090 for the nine months ended September 30, 2023, to approximately $8,530 for the nine months ended September 30, 2024. The decrease in both periods was a result of the lower grant date fair value of awards due to declines in the Company’s stock price as well as fewer equity awards made in such periods.

Depreciation and amortization increased from approximately $467 for the three months ended September 30, 2023, to approximately $1,095 for the three months ended September 30, 2024, and increased from approximately $1,395 for the nine months ended September 30, 2023, to approximately $3,235 for the nine months ended September 30, 2024. The increase in both periods was a result of the additional amortization associated with the identifiable intangibles arising from the Medicx Health acquisition.

The Company recorded goodwill impairment in the amount of $7.5 million in the three months ended September 30, 2024. This amount represents the excess of the book value of the Company’s equity over the estimated fair value.

Other general and administrative expenses increased from approximately $9,680 for the three months ended September 30, 2023 to approximately $10,821 for the three months ended September 30, 2024, and increased from approximately $28,072 for the nine months ended September 30, 2023, to approximately $35,441 for the nine months ended September 30, 2024. This increase in both periods is primarily a result of increases in compensation expense, due to additional headcount as a result of the Medicx Health acquisition, increasing salary, bonus, and commission expense. There was also an increase in contractors and consultants.

Other income (expense)

Interest expense was approximately $1,524 and $4,597 for the three and nine months ended September 30, 2024 and represents interest charges on our Term Loan, which was raised to partially fund the acquisition of Medicx Health in the fourth quarter of 2023, together with the amortization of the related issuance costs.

Other income was $38 and $113 for the three and nine months ended September 30, 2024 and represents a reduction in the estimated amount due as a result of a supplier related payment contingency.

Interest income decreased from approximately $688 for the three months ended September 30, 2023, to approximately $107 for the three months ended September 30, 2024, and from approximately $2,074 for the nine months ended September 30, 2023, to approximately $231 for the nine months ended September 30, 2024. The decrease was a result of lower invested balances as we realized short-term investments during 2023 in order to partially fund the acquisition of Medicx Health.

Income tax expense

Income tax benefit was approximately $817, or an effective rate of 8.2%, and $1,561, or an effective rate of 7.2% for the three and nine months ended September 30, 2024, respectively. For further information, see Part I, Item I. Financial Statements; Note 13 — Income Taxes in the Condensed Consolidated Financial Statements.

Net Loss

We had a net loss of approximately $9,124 for the three months ended September 30, 2024, as compared to a net loss of approximately $2,865 during the three months ended September 30, 2023 and approximately $20,032 for the nine months ended September 30, 2024 as compared to $13,424 for the nine months ended September 30, 2023. The reasons and specific components associated with the change are discussed above.

Liquidity and Capital Resources

Historically, our primary sources of liquidity have been cash receipts from customers and proceeds from equity offerings, in addition, during the year ended December 31, 2023, the Company entered into a Term loan of $40.0 million in order to partially fund the acquisition of Medicx Health. As of September 30, 2024, the total principal balance outstanding on the Term loan was approximately $36.8 million and we were in compliance with all of the financial covenants of the Term loan.

As of September 30, 2024, we had total current assets of approximately $46.9 million, compared with current liabilities of approximately $14.5 million, resulting in working capital of approximately $32.4 million and a current ratio of approximately 3.2 to 1. This represents a decrease from our working capital of approximately $36.4 million, whilst maintaining the same current ratio at 3.0 to 1 when compared to December 31, 2023. This decrease in our working capital is discussed in more detail below.

We believe that funds generated from operations, together with existing cash, will be sufficient to finance our current operations and meet our obligations under the Term loan for the next twelve (12) months. In addition, we believe we can generate the cash needed to operate beyond the next 12 months from operations. However, we may seek additional debt, equity financing, or lines of credit to supplement cash from operations to fund acquisitions or strategic partner relationships, make capital expenditures, and satisfy working capital needs.

Cash Flows

Following is a table with summary data from the consolidated statements of cash flows for the nine months ended September 30, 2024 and 2023, as presented (in thousands).

	Nine Months Ended September 30,
	2024			2023
Net cash provided by /(used in) operating activities	$	4,691		$	(982	)
Net cash provided by /(used in) investing activities		(330	)		664
Net cash provided by /(used in) financing activities		(2,087	)		(7,969	)
Net increase (decrease) in cash and cash equivalents	$	2,274		$	(8,287	)

We generated approximately $4,691 from operating activities during the nine months ended September 30, 2024, compared with $982 used in operating activities in the same period in 2023. We had a net loss of $20,032 for the first nine months of 2024, which included non-cash expenses of $18,176. This was offset by cash generated through improved working capital management.

Cash used by investing activities was approximately $330 for the nine months ended September 30, 2024. We invested in internally developed software in the amount of $235 and spent $95 on property and equipment. Cash provided by investing activities for the same period in the prior year was $664 as we made a net investment of $2,311 in treasury bills and invested $1,561 in internally developed software.

Cash used for financing activities was approximately $2,087, during the nine months ended September 30, 2024. We used $587 to pay withholding taxes on behalf of employees vesting in restricted stock units and made repayments totaling $1,500 on our Term loan. Cash used for financing activities for the same period in prior year was $7,969, primarily related to the repurchase of 526,999 shares of our common stock for approximately $7,522. The remaining amount arose from paying withholding taxes on behalf of employees vesting in restricted stock units, partially offset by the receipt of funds from the exercise of stock options.

Critical Accounting Estimates

We prepare our condensed consolidated financial statements in conformity with accounting principles generally accepted in the United States (“GAAP”). The preparation of these financial statements requires the use of estimates, judgments and assumptions that affect the reported amounts of assets and liabilities at the date of the financial statements and reported amounts of revenues and expenses during the periods presented. Estimates and assumptions have been made in determining the allowance for credit losses, carrying value of assets, fair values assigned to acquired long-lived assets, depreciable and amortizable lives of tangible and intangible assets, the carrying value of liabilities, the valuation allowance for deferred tax assets, the timing of revenue recognition and related revenue-share expenses, and inputs used in the calculation of stock-based compensation. Actual results could differ from those estimates and assumptions.

Our significant accounting policies are described in Note 2 to the Consolidated Financial Statements in the Annual Report on Form 10-K for the year ended December 31, 2023 (2023 Annual Report on Form 10-K). The accounting policies we used in preparing these financial statements are substantially consistent with those we applied in our 2023 Annual Report on Form 10-K.

Goodwill

We evaluate goodwill for impairment during our fiscal fourth quarter, or more frequently if an event occurs or circumstances change.

The use of different assumptions, estimates, or judgments in the goodwill impairment testing process may significantly increase or decrease the estimated fair value of a reporting unit. Generally, changes in DCF estimates would have a similar effect on the estimated fair value of the reporting unit.

During the third quarter of 2024, the Company experienced sustained decreases in its stock price and market capitalization. Accordingly, the Company conducted a quantitative impairment test of its goodwill as of September 30, 2024. The Company estimated fair value by weighting the results from a market approach and an income approach. Significant assumptions inherent in the valuation methodologies included, but are not limited to, prospective financial information, discount rate, and comparable multiples from publicly traded companies in the same industry. The assessment resulted in a non-cash impairment charge of $7.5 million.

Our critical accounting estimates are described in Management’s Discussion and Analysis included in the 2023 Annual Report on Form 10-K.

Recently Issued Accounting Pronouncements

Off-Balance Sheet Arrangements

The Company has contracts with various electronic health records systems and ePrescribe platforms, whereby we agree to share a portion of the revenue we generate for eCoupons or banners through their network. From time to time, the Company enters into arrangements with a partner to acquire minimum amounts of media, data or messaging capabilities. As of September 30, 2024, the Company had commitments for future minimum payments of approximately $16.7 million that will be reflected in cost of revenues during the remainder of 2024 and years 2025 through 2028.

Item 3. Quantitative and Qualitative Disclosures about Market Risk

Not applicable.

Item 4. Controls and Procedures

Disclosure Controls and Procedures

We maintain disclosure controls and procedures designed to provide reasonable assurance that information required to be disclosed in reports filed or submitted under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s rules and forms and accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosures.

Our management, with the participation of our Chief Executive Officer and our Chief Financial Officer, conducted an evaluation, as of the end of the period covered by this report, of the effectiveness of our disclosure controls and procedures, as such term is defined in Exchange Act Rule 13a-15(e). Based on this evaluation, our Chief Executive Officer and our Chief Financial Officer concluded that, as of the end of the period covered by this report, our disclosure controls and procedures, as defined in Rule 13a-15(e), were not effective at the reasonable assurance level due to a material weakness in our internal control over financial reporting which was disclosed in our Annual Report on Form 10-K for the year ended December 31, 2023.

To address the material weakness referenced above, the Company performed additional analysis and performed other procedures in order to prepare the condensed consolidated financial statements in accordance with GAAP. Accordingly, management believes that the condensed consolidated financial statements included in this quarterly report on this Form 10-Q fairly present, in all material respects, our financial condition, results of operations and cash flows for the periods presented.

Plan for Remediation of Material Weakness

Management is actively engaged in the planning for, and implementation of, remediation efforts to address the material weakness identified above. Management intends to implement the following remediation steps:

The Company will require each third-party service organization to provide a SOC-1, Type 2 report to the Company for management to review and make adjustments to the remediation plans, as necessary.

If a SOC-1, Type 2 report is not available, the Company will evaluate each third-party’s relevant system(s) and reporting directly through inquiry and substantive testing of such third-party’s control environment.

If the Company is unable to obtain a valid SOC-1 Type 2 report or perform substantive testing of such third-party service organization’s control environment, the Company will implement a qualification and program triaging process, which would include modifying customer contracts, limiting the volume of activity with those third-parties and establishing other controls to ensure the completeness and accuracy of information received from those third-parties, such as performing tagging procedures where possible.

Management believes the measures described above will remediate the material weakness that we have identified. During the quarter ended September 30, 2024, the Company continued to engage with the third-party service organizations to discuss the reporting requirements. As management continues to evaluate and improve our disclosure controls and procedures and internal controls over financial reporting, the Company may decide to take additional measures to address control deficiencies or determine to modify certain of the remediation measures identified.

Changes in Internal Control over Financial Reporting

Except as noted above, there was no change in our internal control over financial reporting (as defined in Rule 13a-15(f) under the Exchange Act), that occurred during the quarter ended September 30, 2024 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

Limitations on the Effectiveness of Controls

A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Further, the design of a control system must reflect the fact that there are resource constraints, and the benefits of controls must be considered relative to their costs. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and not be detected. The Company conducts periodic evaluations of its internal controls to enhance, where necessary, its procedures and controls.

PART II – OTHER INFORMATION

Item 1. Legal Proceedings

From time to time, we may become involved in legal proceedings or be subject to claims arising in the ordinary course of our business. We are currently not a party to any material legal or administrative proceedings, and we are not aware of any pending or threatened material legal or administrative proceedings against us.

Item 1A: Risk Factors

There have been no material changes in our risk factors from the risks previously reported in PART 1, ITEM 1A, “Risk Factors” of our Annual Report on Form 10-K for the year ended December 31, 2023. You should carefully consider the factors discussed in PART I, ITEM 1A, “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2023, which could materially affect our business, financial condition or future results. The risks described in our Annual Report on Form 10-K are not the only risks we face. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial also may materially adversely affect our business, financial condition and/or operating results.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

None.

Item 3. Defaults upon Senior Securities

None.

Item 4. Mine Safety Disclosures

N/A

Item 5. Other Information

The spouse of Lynn O’Connor Vos, the Chairperson of our Board of Directors, adopted a Rule 10b5-1 plan (“Rule 10b5-1 Plan”) intended to satisfy the affirmative defense conditions of Rule 10b5-1(c) under the Exchange Act with a start date of September 13, 2024. The Rule 10b5-1 Plan provides for the sale of up to 9334 shares of the Company’s common stock held directly by Mr. Vos. The Rule 10b5-1 Plan expires on September 12, 2025, or upon the earlier completion of all authorized transactions under such Rule 10b5-1 Plan.

During the third quarter of 2024, none of our other directors or executive officers adopted or terminated any “Rule 10b5-1 trading arrangement” or “non-Rule 10b5-1 trading arrangement” (as each term is defined in Item 408(a) of Registration S-K).

Item 6. Exhibits

Exhibit Number		Description of Exhibit
3.1		Articles of Incorporation of OptimizeRx Corporation (the “Company”) Incorporated by reference to Exhibit 3.1 to the Company’s Registration Statement on Form S-1 (Registration No. 333-155280) filed on November 12, 2008.
3.2		Certificate of Correction, dated April 30, 2018. Incorporated by reference to Exhibit 3.5 to the Company’s Annual Report on Form 10-K for the year ended December 31, 2018.
3.3		Third Amended and Restated Bylaws of the Company. Incorporated by reference to Exhibit 3.3 to the Company’s Annual Report on Form 10-K for the year ended December 31, 2022.
31.1**		Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
31.2**		Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
32.1**		Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
101.INS**		Inline XBRL Instance Document
101.SCH		Inline XBRL Taxonomy Extension Schema Document
101.CAL		Inline XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF		Inline XBRL Taxonomy Extension Definition Linkbase Document
101.LAB		Inline XBRL Taxonomy Extension Label Linkbase Document
104		Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

	OptimizeRx Corporation
Date: November 14, 2024
	By:	/s/ William J. Febbo
		William J. Febbo
	Title:	Chief Executive Officer (principal executive officer)

	OptimizeRx Corporation
Date: November 14, 2024
	By:	/s/ Edward Stelmakh
		Edward Stelmakh
	Title:	Chief Financial Officer and Chief Operations Officer (principal financial and accounting officer)

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Exhibit 31.1

CERTIFICATIONS

I, William J. Febbo, certify that;

I have reviewed this quarterly report on Form 10-Q for the quarter ended September 30, 2024 of OptimizeRx Corp (the “registrant”);

Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: November 14, 2024

/s/ William J. Febbo
By:	William J. Febbo
Title:	Chief Executive Officer

Exhibit 31.2

CERTIFICATIONS

I, Edward Stelmakh certify that;

I have reviewed this quarterly report on Form 10-Q for the quarter ended September 30, 2024 of OptimizeRx Corp (the “registrant”);

Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: November 14, 2024

/s/ Edward Stelmakh
By:	Edward Stelmakh
Title:	Chief Financial Officer

Exhibit 32.1

CERTIFICATION OF CHIEF EXECUTIVE OFFICER AND

CHIEF FINANCIAL OFFICER

PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the quarterly Report of OptimizeRx Corp (the “Company”) on Form 10-Q for the quarter ended September 30, 2024 filed with the Securities and Exchange Commission (the “Report”), I, Will Febbo, Chief Executive Officer and I, Edward Stelmakh, Chief Financial Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

The Report fully complies with the requirements of Section 13(a) of the Securities Exchange Act of 1934; and

The information contained in the Report fairly presents, in all material respects, the consolidated financial condition of the Company as of the dates presented and the consolidated result of operations of the Company for the periods presented.

By:	/s/ William J Febbo
Name:	Willian J Febbo
Title:	Principal Executive Officer
Date:	November 14, 2024

By:	/s/ Edward Stelmakh
Name:	Edward Stelmakh
Title:	Principal Financial Officer
Date:	November 14, 2024

This certification has been furnished solely pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

Cover - shares	9 Months Ended
Cover - shares	Sep. 30, 2024	Nov. 08, 2024
Document Information [Line Items]
Document Type	10-Q
Document Quarterly Report	true
Document Transition Report	false
Entity Interactive Data Current	Yes
Amendment Flag	false
Document Period End Date	Sep. 30, 2024
Document Fiscal Year Focus	2024
Document Fiscal Period Focus	Q3
Entity Information [Line Items]
Entity Registrant Name	OptimizeRx Corporation
Entity Central Index Key	0001448431
Entity File Number	001-38543
Entity Tax Identification Number	26-1265381
Entity Incorporation, State or Country Code	NV
Current Fiscal Year End Date	--12-31
Entity Current Reporting Status	Yes
Entity Shell Company	false
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	false
Entity Contact Personnel [Line Items]
Entity Address, Address Line One	260 Charles Street
Entity Address, Address Line Two	Suite 302
Entity Address, City or Town	Waltham
Entity Address, State or Province	MA
Entity Address, Postal Zip Code	02453
Entity Phone Fax Numbers [Line Items]
City Area Code	248
Local Phone Number	651-6568
Entity Listings [Line Items]
Title of 12(b) Security	Common Stock, par value $0.001
Trading Symbol	OPRX
Security Exchange Name	NASDAQ
Entity Common Stock, Shares Outstanding		18,420,906

Condensed Consolidated Balance Sheets (Unaudited) - USD ($) $ in Thousands	Sep. 30, 2024	Dec. 31, 2023
Current assets
Cash and cash equivalents	$ 16,126	$ 13,852
Accounts receivable, net of allowance for credit losses of $339 and $239 at September 30, 2024 and December 31, 2023, respectively	26,327	36,253
Taxes receivable	64	1,036
Prepaid expenses and other	4,389	3,190
Total current assets	46,906	54,331
Property and equipment, net	161	149
Other assets
Goodwill	70,869	78,357
Technology assets, net	8,383	9,013
Patent rights, net	5,685	6,185
Tradename and customer relationships, net	32,411	34,198
Operating lease right of use assets, net	422	573
Security deposits and other assets	362	568
Total other assets	118,132	128,894
TOTAL ASSETS	165,199	183,374
Current liabilities
Current portion of long-term debt	2,000	2,000
Accounts payable – trade	2,754	2,227
Accrued expenses	5,557	7,755
Revenue share payable	3,210	5,506
Current portion of lease liabilities	195	222
Deferred revenue	786	172
Total current liabilities	14,502	17,882
Non-current liabilities
Long-term debt, net	33,278	34,231
Lease liabilities, net of current portion	242	371
Deferred tax liabilities, net	2,712	4,337
Total liabilities	50,734	56,821
Commitments and contingencies (See note 12)
Stockholders’ equity
Preferred stock, $0.001 par value, 10,000,000 shares authorized, none issued and outstanding at September 30, 2024 or December 31, 2023
Common stock, $0.001 par value, 166,666,667 shares authorized, 20,069,432 and 19,899,679 shares issued at September 30, 2024 and December 31, 2023, respectively	20	20
Treasury stock, $0.001 par value, 1,741,397 shares held at September 30, 2024 and December 31, 2023	(2)	(2)
Additional paid-in-capital	198,737	190,793
Accumulated deficit	(84,290)	(64,258)
Total stockholders’ equity	114,465	126,553
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY	$ 165,199	$ 183,374

Condensed Consolidated Balance Sheets (Unaudited) (Parentheticals) - USD ($) $ in Thousands	Sep. 30, 2024	Dec. 31, 2023
Statement of Financial Position [Abstract]
Accounts receivable, net of allowance for credit losses (in Dollars)	$ 339	$ 239
Preferred stock, par value (in Dollars per share)	$ 0.001	$ 0.001
Preferred stock, shares authorized	10,000,000	10,000,000
Preferred stock, shares issued
Preferred stock, shares outstanding
Common stock, par value (in Dollars per share)	$ 0.001	$ 0.001
Common stock, shares authorized	166,666,667	166,666,667
Common stock, shares issued	20,069,432	19,899,679
Treasury stock, par value (in Dollars per share)	$ 0.001	$ 0.001
Treasury stock, shares held	1,741,397	1,741,397

Condensed Consolidated Statements of Operations (Unaudited) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023
Income Statement [Abstract]
Net revenue	$ 21,309	$ 16,331	$ 59,811	$ 43,153
Cost of revenues, exclusive of depreciation and amortization presented separately below	7,862	6,531	22,456	18,094
Gross profit	13,447	9,800	37,355	25,059
Operating expenses
General and administrative expenses	13,425	12,886	43,971	39,162
Goodwill impairment	7,489		7,489
Depreciation and amortization	1,095	467	3,235	1,395
Total operating expenses	22,009	13,353	54,695	40,557
Loss from operations	(8,562)	(3,553)	(17,340)	(15,499)
Other income (expense)
Interest expense	(1,524)		(4,597)
Other income	38		113
Interest income	107	688	231	2,074
Total other income (expense), net	(1,379)	688	(4,253)	2,074
Loss before provision for income taxes	(9,941)	(2,865)	(21,593)	(13,424)
Benefit from income taxes	817		1,561
Net loss	$ (9,124)	$ (2,865)	$ (20,032)	$ (13,424)
Weighted average number of shares outstanding – basic (in Shares)	18,323,542	16,637,606	18,250,775	16,907,482
Weighted average number of shares outstanding – diluted (in Shares)	18,323,542	16,637,606	18,250,775	16,907,482
Loss per share – basic (in Dollars per share)	$ (0.5)	$ (0.17)	$ (1.1)	$ (0.79)
Loss per share – diluted (in Dollars per share)	$ (0.5)	$ (0.17)	$ (1.1)	$ (0.79)

Condensed Consolidated Statements of Changes in Stockholders’ Equity (Unaudited) - USD ($) $ in Thousands	Common Stock	Treasury Stock	Additional Paid in Capital	Accumulated Deficit	Total
Balance at Dec. 31, 2022	$ 18	$ (1)	$ 172,786	$ (46,692)	$ 126,111
Balance (in Shares) at Dec. 31, 2022	18,288,571	(1,214,398)
Options			1,467		1,467
Restricted stock			2,914		2,914
For options exercised (in Shares)	9,668
For options exercised			41		41
For restricted stock units vested			(170)		(170)
For restricted stock units vested (in Shares)	33,272
Net loss				(6,398)	(6,398)
Balance at Mar. 31, 2023	$ 18	$ (1)	177,036	(53,090)	123,964
Balance (in Shares) at Mar. 31, 2023	18,331,511	(1,214,398)
Balance at Dec. 31, 2022	$ 18	$ (1)	172,786	(46,692)	126,111
Balance (in Shares) at Dec. 31, 2022	18,288,571	(1,214,398)
Balance at Jun. 30, 2023	$ 18	$ (2)	173,050	(57,251)	115,815
Balance (in Shares) at Jun. 30, 2023	18,376,771	(1,741,397)
Balance at Dec. 31, 2022	$ 18	$ (1)	172,786	(46,692)	126,111
Balance (in Shares) at Dec. 31, 2022	18,288,571	(1,214,398)
Net loss					(13,424)
Balance at Sep. 30, 2023	$ 18	$ (2)	176,207	(60,117)	116,107
Balance (in Shares) at Sep. 30, 2023	18,386,920	(1,741,397)
Balance at Mar. 31, 2023	$ 18	$ (1)	177,036	(53,090)	123,964
Balance (in Shares) at Mar. 31, 2023	18,331,511	(1,214,398)
Options			1,655		1,655
Repurchase of common stock		$ (1)	(7,522)		(7,522)
Repurchase of common stock (in Shares)		(526,999)
Restricted stock			1,848		1,848
For options exercised (in Shares)	10,000
For options exercised			105		105
For restricted stock units vested			(73)		(73)
For restricted stock units vested (in Shares)	35,260
Net loss				(4,161)	(4,161)
Balance at Jun. 30, 2023	$ 18	$ (2)	173,050	(57,251)	115,815
Balance (in Shares) at Jun. 30, 2023	18,376,771	(1,741,397)
Options			1,598		1,598
Repurchase of common stock
Restricted stock			1,608		1,608
For options exercised
For restricted stock units vested			(49)		(49)
For restricted stock units vested (in Shares)	10,149
Net loss				(2,865)	(2,865)
Balance at Sep. 30, 2023	$ 18	$ (2)	176,207	(60,117)	116,107
Balance (in Shares) at Sep. 30, 2023	18,386,920	(1,741,397)
Balance at Dec. 31, 2023	$ 20	$ (2)	190,793	(64,258)	126,553
Balance (in Shares) at Dec. 31, 2023	19,899,679	(1,741,397)
Options			1,353		1,353
Restricted stock			1,671		1,671
For options exercised (in Shares)
For restricted stock units vested			(140)		(140)
For restricted stock units vested (in Shares)	22,200
Net loss				(6,900)	(6,900)
Balance at Mar. 31, 2024	$ 20	$ (2)	193,677	(71,158)	122,537
Balance (in Shares) at Mar. 31, 2024	19,921,879	(1,741,397)
Balance at Dec. 31, 2023	$ 20	$ (2)	190,793	(64,258)	126,553
Balance (in Shares) at Dec. 31, 2023	19,899,679	(1,741,397)
For options exercised (in Shares)
For restricted stock units vested (in Shares)	140,028
Balance at Jun. 30, 2024	$ 20	$ (2)	196,164	(75,166)	121,016
Balance (in Shares) at Jun. 30, 2024	20,061,907	(1,741,397)
Balance at Dec. 31, 2023	$ 20	$ (2)	190,793	(64,258)	126,553
Balance (in Shares) at Dec. 31, 2023	19,899,679	(1,741,397)
For options exercised (in Shares)
For restricted stock units vested (in Shares)	7,525
Net loss					(20,032)
Balance at Sep. 30, 2024	$ 20	$ (2)	198,737	(84,290)	114,465
Balance (in Shares) at Sep. 30, 2024	20,069,432	(1,741,397)
Balance at Mar. 31, 2024	$ 20	$ (2)	193,677	(71,158)	122,537
Balance (in Shares) at Mar. 31, 2024	19,921,879	(1,741,397)
Options			1,149		1,149
Restricted stock			1,753		1,753
For restricted stock units vested			(415)		(415)
For restricted stock units vested (in Shares)	140,028
Net loss				(4,008)	(4,008)
Balance at Jun. 30, 2024	$ 20	$ (2)	196,164	(75,166)	121,016
Balance (in Shares) at Jun. 30, 2024	20,061,907	(1,741,397)
Options			992		992
Repurchase of common stock
Restricted stock			1,612		1,612
For restricted stock units vested			(31)		(31)
For restricted stock units vested (in Shares)	7,525
Net loss				(9,124)	(9,124)
Balance at Sep. 30, 2024	$ 20	$ (2)	$ 198,737	$ (84,290)	$ 114,465
Balance (in Shares) at Sep. 30, 2024	20,069,432	(1,741,397)

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023
OPERATING ACTIVITIES:
Net loss	$ (20,032)	$ (13,424)
Adjustments to reconcile net loss to net cash provided by (used in) provided by operating activities:
Depreciation and amortization	3,235	1,395
Stock-based compensation	8,530	11,090
Goodwill impairment	7,489
Deferred income taxes	(1,625)
Bad debt expense	131	478
Amortization of debt issuance costs	547
Changes in:
Accounts receivable	9,795	838
Prepaid expenses and other assets	(1,200)	(728)
Accounts payable	527	(859)
Revenue share payable	(2,296)	(305)
Accrued expenses and other liabilities	(1,997)	509
Tax receivable	972
Deferred revenue	615	24
NET CASH PROVIDED BY (USED IN) OPERATING ACTIVITIES	4,691	(982)
INVESTING ACTIVITIES:
Purchase of property and equipment	(95)	(82)
Purchases of held-to-maturity investments		(162,778)
Redemptions of held-to-maturity investments		165,089
Acquisition of intangible assets, including intellectual property rights		(4)
Capitalized software development costs	(235)	(1,561)
NET CASH (USED IN) PROVIDED BY INVESTING ACTIVITIES	(330)	664
FINANCING ACTIVITIES:
Cash paid for employee withholding taxes related to the vesting of restricted stock units	(587)	(293)
Proceeds from exercise of stock options		146
Repurchase of common stock		(7,522)
Loan origination costs		(300)
Repayment of long-term debt	(1,500)
NET CASH USED IN FINANCING ACTIVITIES	(2,087)	(7,969)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS	2,274	(8,287)
CASH AND CASH EQUIVALENTS - BEGINNING OF PERIOD	13,852	18,209
CASH AND CASH EQUIVALENTS - END OF PERIOD	16,126	9,923
SUPPLEMENTAL CASH FLOW INFORMATION:
Cash paid for interest	4,081
ROU assets obtained in exchange for lease obligations		158
Cash paid for income taxes

Nature of Business and Basis of Presentation

9 Months Ended

Sep. 30, 2024

Nature of Business and Basis of Presentation [Abstract]

NATURE OF BUSINESS AND BASIS OF PRESENTATION

NOTE 1 – NATURE OF BUSINESS AND BASIS OF PRESENTATION

The accompanying condensed consolidated financial statements include OptimizeRx Corporation and its wholly owned subsidiaries (collectively, the “Company”, “we”, “our”, or “us”).

The results of operations for the three and nine months ended September 30, 2024, are not necessarily indicative of the results to be expected for the full year.

	Three Months Ended			Nine Months Ended
Pro-forma consolidated statement of operations	September 30,
Revenue	$	23,852		$	67,291
Net loss		(3,484	)		(18,141	)

Change in Accounting Estimate

Fair Value of Financial Instruments

Level 1 – Inputs are based upon unadjusted quoted prices for identical instruments traded in active markets.

New Accounting Pronouncements

9 Months Ended

Sep. 30, 2024

New Accounting Pronouncements [Abstract]

NEW ACCOUNTING PRONOUNCEMENTS

NOTE 2 – NEW ACCOUNTING PRONOUNCEMENTS

Cash, Cash Equivalents and Short-Term Investments

9 Months Ended

Sep. 30, 2024

Cash, Cash Equivalents and Short-Term Investments [Abstract]

CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS

NOTE 3 – CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS

Capitalized Software Costs

9 Months Ended

Sep. 30, 2024

Capitalized Software Costs [Abstract]

CAPITALIZED SOFTWARE COSTS

NOTE 4 – CAPITALIZED SOFTWARE COSTS

Goodwill

9 Months Ended

Sep. 30, 2024

Goodwill [Abstract]

GOODWILL

NOTE 5 – GOODWILL

Long-Term Debt

9 Months Ended

Sep. 30, 2024

Long-Term Debt [Abstract]

LONG-TERM DEBT

NOTE 6 – LONG-TERM DEBT

On October 11, 2023, in connection with the acquisition of Medicx Health, we entered into a financing agreement that provided for a $40 million term loan (the “Term Loan”).

Long-term debt, net comprised the following at September 30, 2024 and December 31, 2023:

	September 30, 2024			December 31, 2023
Term Loan, due in 2027	$	36,790		$	38,290
Less: current portion		(2,000	)		(2,000	)
Less: unamortized issuance costs		(1,512	)		(2,059	)
Long-term debt, net	$	33,278		$	34,231

As of September 30, 2024, the Company was in full compliance with the financial covenants associated with the Term Loan.

As of September 30, 2024
2024 (remainder)	$	500
2025		2,000
2026		2,000
2027		32,290
	$	36,790

Leases

9 Months Ended

Sep. 30, 2024

Leases [Abstract]

LEASES

NOTE 7 – LEASES

We had operating leases with terms greater than 12 months for office space in four multi-tenant facilities, which are recorded as Operating lease right-of-use assets and Operating lease liabilities.

	Three months ended September 30,				Nine Months Ended September 30,
	2024		2023		2024		2023
Operating lease cost	$	62	$	11	$	186	$	61
Short-term lease cost		1		19		2		27
Total lease cost	$	63	$	30	$	188	$	88

The table below presents the future minimum lease payments to be made under operating leases in each of the remainder of the current and next four fiscal years and thereafter:

As of September 30, 2024
2024 (remainder)	$	67
2025		188
2026		114
2027		67
2028		46
Thereafter		—
Total		482
Less: discount		45
Total lease liabilities	$	437

Stockholders' Equity

9 Months Ended

Sep. 30, 2024

Stockholders’ Equity [Abstract]

STOCKHOLDERS' EQUITY

NOTE 8 – STOCKHOLDERS’ EQUITY

Preferred Stock

The Company had 10,000,000 shares of preferred stock, $0.001 par value per share, authorized as of September 30, 2024. No shares were issued or outstanding in either 2024 or 2023.

Common Stock

Treasury Stock

Stock Based Compensation

9 Months Ended

Sep. 30, 2024

Stock Based Compensation [Abstract]

STOCK BASED COMPENSATION

NOTE 9 – STOCK BASED COMPENSATION

Stock Options

Restricted Stock Units

Revenues

9 Months Ended

Sep. 30, 2024

Revenues [Abstract]

REVENUES

NOTE 10 – REVENUES

	2024			2023
Balance January 1	$	172		$	164
Revenue recognized		(3,228	)		(2,444	)
Amount collected		3,961			3,015
Balance March 31	$	905		$	735
Revenue recognized		(1,853	)		(3,171	)
Amount collected		2,002			2,887
Balance June 30	$	1,054		$	451
Revenue recognized		(2,721	)		(3,043	)
Amount collected		2,453			2,780
Balance September 30	$	786		$	188

Disaggregation of Revenue

	Three Months Ended September 30,				Nine Months Ended September 30,
	2024		2023		2024		2023
Revenue recognized over time	$	20,441	$	14,815	$	54,189	$	40,421
Revenue recognized at a point in time		868		1,516		5,622		2,732
Total Revenue	$	21,309	$	16,331	$	59,811	$	43,153

The following is a summary of changes in the allowance for credit losses for the nine months ended September 30,:

	2024			2023
Balance at January 1,	$	239		$	352
Bad debt expense		132			128
Write-offs		—			—
Balance at March 31,	$	371		$	480
Bad debt expense		—			111
Write-offs		—			—
Balance at June 30,	$	371		$	591
Bad debt expense		(1	)		239
Write-offs		31			9
Balance at September 30,	$	339		$	821

Related Party Transactions

Loss Per Share

9 Months Ended

Sep. 30, 2024

Loss Per Share [Abstract]

LOSS PER SHARE

NOTE 11 – LOSS PER SHARE

Basic earnings per share (“EPS”) is computed by dividing net income (loss) by the weighted average number of common shares outstanding during the period.

The following table sets forth the computation of basic and diluted net loss per share.

	Three Months Ended September 30,						Nine Months Ended September 30,
	2024			2023			2024			2023
Numerator
Net loss	$	(9,124	)	$	(2,865	)	$	(20,032	)	$	(13,424	)

Denominator
Weighted average shares outstanding used in computing net loss per share
Basic		18,323,542			16,637,606			18,250,775			16,907,482
Effect of dilutive stock options, warrants, and stock grants		—			—			—			—
Diluted		18,323,542			16,637,606			18,250,775			16,907,482

Net loss per share
Basic	$	(0.50	)	$	(0.17	)	$	(1.10	)	$	(0.79	)
Diluted	$	(0.50	)	$	(0.17	)	$	(1.10	)	$	(0.79	)

	Three Months Ended September 30,				Nine Months Ended September 30,
Weighted average number of shares for the periods ended	2024		2023		2024		2023
Options		2,645		7,433		8,850		17,736
Unvested restricted stock unit awards		73,938		3,739		138,074		23,341
Total		76,583		11,172		146,924		41,077

Commitments and Contingencies

9 Months Ended

Sep. 30, 2024

Commitments And Contingencies [Abstract]

COMMITMENTS AND CONTINGENCIES

NOTE 12 – COMMITMENTS AND CONTINGENCIES

Litigation

Commitments

Income Taxes

9 Months Ended

Sep. 30, 2024

Income Taxes [Abstract]

INCOME TAXES

NOTE 13 – INCOME TAXES

Subsequent Events

9 Months Ended

Sep. 30, 2024

Subsequent Events [Abstract]

SUBSEQUENT EVENTS

NOTE 14 – SUBSEQUENT EVENTS

Subsequent to September 30, 2024, we made a voluntary principal payment of $2 million on our Term Loan balance.

Pay vs Performance Disclosure - USD ($) $ in Thousands	3 Months Ended						9 Months Ended
Pay vs Performance Disclosure - USD ($) $ in Thousands	Sep. 30, 2024	Jun. 30, 2024	Mar. 31, 2024	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Sep. 30, 2024	Sep. 30, 2023
Pay vs Performance Disclosure
Net Income (Loss)	$ (9,124)	$ (4,008)	$ (6,900)	$ (2,865)	$ (4,161)	$ (6,398)	$ (20,032)	$ (13,424)

Insider Trading Arrangements	3 Months Ended
Insider Trading Arrangements	Sep. 30, 2024
Trading Arrangements, by Individual
Rule 10b5-1 Arrangement Adopted	false
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false

Nature of Business and Basis of Presentation (Tables)

9 Months Ended

Sep. 30, 2024

Nature of Business and Basis of Presentation [Abstract]

Schedule of Pro-Forma Consolidated Statement of Operations

	Three Months Ended			Nine Months Ended
Pro-forma consolidated statement of operations	September 30,
Revenue	$	23,852		$	67,291
Net loss		(3,484	)		(18,141	)

Long-Term Debt (Tables)

9 Months Ended

Sep. 30, 2024

Long-Term Debt [Abstract]

Schedule of Long-term Debt, Net

Long-term debt, net comprised the following at September 30, 2024 and December 31, 2023:

	September 30, 2024			December 31, 2023
Term Loan, due in 2027	$	36,790		$	38,290
Less: current portion		(2,000	)		(2,000	)
Less: unamortized issuance costs		(1,512	)		(2,059	)
Long-term debt, net	$	33,278		$	34,231

Schedule of Repayments Due to Term Loan

As of September 30, 2024
2024 (remainder)	$	500
2025		2,000
2026		2,000
2027		32,290
	$	36,790

Leases (Tables)

9 Months Ended

Sep. 30, 2024

Leases [Abstract]

Schedule of Lease Cost

	Three months ended September 30,				Nine Months Ended September 30,
	2024		2023		2024		2023
Operating lease cost	$	62	$	11	$	186	$	61
Short-term lease cost		1		19		2		27
Total lease cost	$	63	$	30	$	188	$	88

Schedule of Future Minimum Lease Payments

The table below presents the future minimum lease payments to be made under operating leases in each of the remainder of the current and next four fiscal years and thereafter:

As of September 30, 2024
2024 (remainder)	$	67
2025		188
2026		114
2027		67
2028		46
Thereafter		—
Total		482
Less: discount		45
Total lease liabilities	$	437

Revenues (Tables)

9 Months Ended

Sep. 30, 2024

Revenues [Abstract]

Schedule of Deferred Revenue

The following is a summary of activity for the deferred revenue account for the nine months ended September 30:

	2024			2023
Balance January 1	$	172		$	164
Revenue recognized		(3,228	)		(2,444	)
Amount collected		3,961			3,015
Balance March 31	$	905		$	735
Revenue recognized		(1,853	)		(3,171	)
Amount collected		2,002			2,887
Balance June 30	$	1,054		$	451
Revenue recognized		(2,721	)		(3,043	)
Amount collected		2,453			2,780
Balance September 30	$	786		$	188

Schedule of Revenue Recognition

A break down is set forth in the table below.

	Three Months Ended September 30,				Nine Months Ended September 30,
	2024		2023		2024		2023
Revenue recognized over time	$	20,441	$	14,815	$	54,189	$	40,421
Revenue recognized at a point in time		868		1,516		5,622		2,732
Total Revenue	$	21,309	$	16,331	$	59,811	$	43,153

Schedule of the Allowance for Credit Losses

The following is a summary of changes in the allowance for credit losses for the nine months ended September 30,:

	2024			2023
Balance at January 1,	$	239		$	352
Bad debt expense		132			128
Write-offs		—			—
Balance at March 31,	$	371		$	480
Bad debt expense		—			111
Write-offs		—			—
Balance at June 30,	$	371		$	591
Bad debt expense		(1	)		239
Write-offs		31			9
Balance at September 30,	$	339		$	821

Loss Per Share (Tables)

9 Months Ended

Sep. 30, 2024

Loss Per Share [Abstract]

Schedule of Basic and Diluted Net Loss Per Share

The following table sets forth the computation of basic and diluted net loss per share.

	Three Months Ended September 30,						Nine Months Ended September 30,
	2024			2023			2024			2023
Numerator
Net loss	$	(9,124	)	$	(2,865	)	$	(20,032	)	$	(13,424	)

Denominator
Weighted average shares outstanding used in computing net loss per share
Basic		18,323,542			16,637,606			18,250,775			16,907,482
Effect of dilutive stock options, warrants, and stock grants		—			—			—			—
Diluted		18,323,542			16,637,606			18,250,775			16,907,482

Net loss per share
Basic	$	(0.50	)	$	(0.17	)	$	(1.10	)	$	(0.79	)
Diluted	$	(0.50	)	$	(0.17	)	$	(1.10	)	$	(0.79	)

Schedule of Vesting of Certain Restricted Stock Units

	Three Months Ended September 30,				Nine Months Ended September 30,
Weighted average number of shares for the periods ended	2024		2023		2024		2023
Options		2,645		7,433		8,850		17,736
Unvested restricted stock unit awards		73,938		3,739		138,074		23,341
Total		76,583		11,172		146,924		41,077

Nature of Business and Basis of Presentation (Details) $ in Thousands	3 Months Ended	9 Months Ended
	Sep. 30, 2024 USD ($)	Sep. 30, 2024 USD ($)	Sep. 30, 2023 USD ($)	Oct. 24, 2023
Nature of Business and Basis of Presentation [Line Items]
Number of US providers		2,000,000
Revenue		$ 67,291	$ 23,852
Healthy Offers, Inc [Member]
Nature of Business and Basis of Presentation [Line Items]
Acquire outstanding percentage				100.00%
Business Acquisition [Member]
Nature of Business and Basis of Presentation [Line Items]
Revenue	$ 1,088	$ 4,169

Nature of Business and Basis of Presentation (Details) - Schedule of Pro-Forma Consolidated Statement of Operations - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023
Schedule of Pro-Forma Consolidated Statement of Operations [Abstract]
Revenue	$ 67,291	$ 23,852
Net loss	$ (18,141)	$ (3,484)

Cash, Cash Equivalents and Short-Term Investments (Details) - USD ($)	Sep. 30, 2024	Dec. 31, 2023
Cash, Cash Equivalents and Short-Term Investments [Abstract]
Money market funds at cost	$ 8,200,000	$ 0

Capitalized Software Costs (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023	Dec. 31, 2023
Capitalized Software Costs [Abstract]
Amortization of software expense	$ 91	$ 48	$ 233	$ 143
Construction in process	$ 217		$ 217		$ 696

Goodwill (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
Goodwill (Details) - USD ($) $ in Thousands	Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023	Dec. 31, 2023
Goodwill [Abstract]
Goodwill	$ 70,869		$ 70,869		$ 78,357
Goodwill impairment	$ 7,489		$ 7,489

Long-Term Debt (Details) - USD ($)	3 Months Ended	9 Months Ended
Long-Term Debt (Details) - USD ($)	Sep. 30, 2024	Sep. 30, 2024	Sep. 30, 2023	Dec. 31, 2023	Oct. 11, 2023
Long-Term Debt [Line Items]
Term loan	$ 36,790,000	$ 36,790,000		$ 38,290,000
Amortization of debt issuance cost	$ 182,000	$ 547,000
Leverage ratio description		In addition, the Company is required to make a mandatory prepayment on March 31, of each year, commencing with 2025, equivalent to Excess Cash Flow multiplied by a percentage factor of 25%, if the leverage ratio is 3.60 to 1.00 or less, 50% if the leverage ratio is greater than 3.60 to 1 or less than or equal; to 4.10 to 1.00 and 75%, if the leverage ratio is greater than 4.10 to 1.00.
Term Loan [Member]
Long-Term Debt [Line Items]
Term loan					$ 40,000,000
Term loan bears interest percentage	14.00%	14.00%
Effective rate	16.10%	16.10%		1.25%
Original principal amount				$ 500

Long-Term Debt (Details) - Schedule of Long-term Debt, Net - USD ($) $ in Thousands	Sep. 30, 2024	Dec. 31, 2023
Schedule of Long-term Debt, Net [Abstract]
Term Loan, due in 2027	$ 36,790	$ 38,290
Less: current portion	(2,000)	(2,000)
Less: unamortized issuance costs	(1,512)	(2,059)
Long-term debt, net	$ 33,278	$ 34,231

Long-Term Debt (Details) - Schedule of Repayments Due to Term Loan - USD ($) $ in Thousands	Sep. 30, 2024	Dec. 31, 2023
Schedule of Repayments Due to Term Loan [Abstract]
2024 (remainder)	$ 500
2025	2,000
2026	2,000
2027	32,290
Total	$ 36,790	$ 38,290

Leases (Details) - USD ($) $ in Thousands	9 Months Ended
Leases (Details) - USD ($) $ in Thousands	Sep. 30, 2024	Sep. 30, 2023
Leases [Abstract]
Weighted average remaining lease term	2 years 8 months 12 days
Weighted average discount rate	6.96%
Cash paid for measurement of lease liabilities	$ 168	$ 53
Operating lease payment payments on lease obligation	193	60
Amortization right of use assets	$ 175	$ 61

Leases (Details) - Schedule of Lease Cost - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023
Schedule of Lease Cost [Abstract]
Operating lease cost	$ 62	$ 11	$ 186	$ 61
Short-term lease cost	1	19	2	27
Total lease cost	$ 63	$ 30	$ 188	$ 88

Leases (Details) - Schedule of Future Minimum Lease Payments $ in Thousands	Sep. 30, 2024 USD ($)
Schedule of Future Minimum Lease Payments [Abstract]
2024 (remainder)	$ 67
2025	188
2026	114
2027	67
2028	46
Thereafter
Total	482
Less: discount	45
Total lease liabilities	$ 437

Stockholders' Equity (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended						6 Months Ended		9 Months Ended
	Sep. 30, 2024	Jun. 30, 2024	Mar. 31, 2024	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Jun. 30, 2024	Jun. 30, 2023	Sep. 30, 2024	Sep. 30, 2023	Dec. 31, 2023
Stockholders Equity [Line Items]
Preferred stock, shares authorized	10,000,000								10,000,000		10,000,000
Preferred stock, par value (in Dollars per share)	$ 0.001								$ 0.001		$ 0.001
Preferred stock, shares issued
Preferred stock, shares outstanding
Common stock, shares authorized	166,666,667								166,666,667		166,666,667
Common stock, par value (in Dollars per share)	$ 0.001								$ 0.001		$ 0.001
Treasury common stock outstanding	1,741,397								1,741,397		1,741,397
Common stock were issued	20,069,432								20,069,432		19,899,679
Restricted stock withholding shares									52,092
Restricted stock withholding value (in Dollars)									$ 585,571
Proceeds of common stock received amount (in Dollars)					$ 105	$ 41
Share repurchase program authorized amount (in Dollars)						$ 15,000
Repurchased value (in Dollars)					$ 7,522
Treasury Stock [Member]
Stockholders Equity [Line Items]
Repurchased value (in Dollars)										$ 7,522
Common Stock [Member]
Stockholders Equity [Line Items]
Common stock, shares authorized	166,666,667								166,666,667
Common stock, par value (in Dollars per share)	$ 0.001								$ 0.001
Common stock shares outstanding	18,328,035								18,328,035		18,158,282
Treasury common stock outstanding	1,741,397								1,741,397		1,741,397
Common stock were issued
Shares issued of common stock					10,000	9,668
Shares of common stock	7,525	140,028	22,200	10,149	35,260	33,272	140,028		7,525
Restricted stock withholding shares									28,157
Restricted stock withholding value (in Dollars)										$ 121
Proceeds of common stock received amount (in Dollars)
Repurchased value (in Dollars)
Common Stock [Member] \| 2013 Incentive Plan [Member]
Stockholders Equity [Line Items]
Shares issued of common stock						9,668		10,000		0
Shares of common stock						33,272		35,260		10,149
Proceeds of common stock received amount (in Dollars)						$ 40		$ 105		$ 0
Treasury Stocks [Member]
Stockholders Equity [Line Items]
Shares issued of common stock
Shares of common stock
Proceeds of common stock received amount (in Dollars)
Repurchased shares					(526,999)
Repurchased value (in Dollars)					$ 1
Treasury Stocks [Member] \| Treasury Stock [Member]
Stockholders Equity [Line Items]
Repurchased shares				0					526,999

Stock Based Compensation (Details) - USD ($) $ in Thousands	3 Months Ended	9 Months Ended
Stock Based Compensation (Details) - USD ($) $ in Thousands	Sep. 30, 2024	Sep. 30, 2024	Sep. 30, 2023	Jun. 05, 2024
Stock Based Compensation [Line Items]
Number of shares of common stock available for awards (in Shares)				4,450,000
Compensation expense		$ 591	$ 541
Remaining expense	$ 4,115	$ 4,115
Weighted average period		1 year 6 months 25 days
Total intrinsic value of outstanding options	8	$ 8
Stock expense		16
Restricted stock units expense		$ 16
Vesting period		1 year
Stock Options [Member]
Stock Based Compensation [Line Items]
Compensation expense		$ 3,494	4,720
Stock expense	8
Restricted Stock Units (RSUs) [Member]
Stock Based Compensation [Line Items]
Compensation expense		5,036	$ 6,370
Expenses related to restricted stock	6,793	$ 6,793
Weighted average period		1 year 7 months 6 days
Restricted stock units expense	$ 8
2021 Equity Incentive Plan [Member]
Stock Based Compensation [Line Items]
Number of shares of common stock available for awards (in Shares)				1,950,000

Revenues (Details) - USD ($) $ in Thousands	3 Months Ended
Revenues (Details) - USD ($) $ in Thousands	Sep. 30, 2024	Jun. 30, 2024	Mar. 31, 2024	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Jan. 01, 2024	Dec. 31, 2023	Jan. 01, 2023
Revenues [Line Items]
Contract balance	$ 23,191							$ 2,021
Deferred revenue	786	$ 1,054	$ 905	$ 188	$ 451	$ 735	$ 172	172	$ 164
Recognized revenue	(2,721)	$ (1,853)	$ (3,228)	$ (3,043)	$ (3,171)	$ (2,444)
Eversana and LifeMD [Member]
Revenues [Line Items]
Recognized revenue	200
Unbilled Revenues [Member]
Revenues [Line Items]
Unbilled amounts	$ 6,002							$ 3,288

Revenues (Details) - Schedule of Deferred Revenue - USD ($) $ in Thousands	3 Months Ended
	Sep. 30, 2024	Jun. 30, 2024	Mar. 31, 2024	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Jan. 01, 2024	Dec. 31, 2023	Jan. 01, 2023
Revenue From Contract With Customer Abstract
Contract with Customer, Liability, Current	$ 786	$ 1,054	$ 905	$ 188	$ 451	$ 735	$ 172	$ 172	$ 164
Contract with Customer, Liability, Revenue Recognized	(2,721)	(1,853)	(3,228)	(3,043)	(3,171)	(2,444)
ContractWithCustomerLiabilityAmountCollected	$ 2,453	$ 2,002	$ 3,961	$ 2,780	$ 2,887	$ 3,015

Revenues (Details) - Schedule of Revenue Recognition - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023
Schedule of Revenue Recognition [Line Items]
Total Revenue	$ 21,309	$ 16,331	$ 59,811	$ 43,153
Revenue recognized over time [Member]
Schedule of Revenue Recognition [Line Items]
Total Revenue	20,441	14,815	54,189	40,421
Revenue recognized at a point in time [Member]
Schedule of Revenue Recognition [Line Items]
Total Revenue	$ 868	$ 1,516	$ 5,622	$ 2,732

Revenues (Details) - Schedule of the Allowance for Credit Losses - USD ($) $ in Thousands	3 Months Ended						9 Months Ended
	Sep. 30, 2024	Jun. 30, 2024	Mar. 31, 2024	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Sep. 30, 2024	Sep. 30, 2023	Dec. 31, 2023	Dec. 31, 2022
Revenue From Contract With Customer Abstract
Accounts Receivable, Allowance for Credit Loss, Current	$ 339	$ 371	$ 371	$ 821	$ 591	$ 480	$ 339	$ 821	$ 239	$ 352
Accounts Receivable, Credit Loss Expense (Reversal)	(1)		132	239	111	128	$ 131	$ 478
Accounts Receivable, Allowance for Credit Loss, Writeoff	$ 31			$ 9

Loss Per Share (Details) - Schedule of Basic and Diluted Net Loss Per Share - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended						9 Months Ended
	Sep. 30, 2024	Jun. 30, 2024	Mar. 31, 2024	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Sep. 30, 2024	Sep. 30, 2023
Numerator
Net loss (in Dollars)	$ (9,124)	$ (4,008)	$ (6,900)	$ (2,865)	$ (4,161)	$ (6,398)	$ (20,032)	$ (13,424)
Weighted average shares outstanding used in computing net loss per share
Basic	18,323,542			16,637,606			18,250,775	16,907,482
Effect of dilutive stock options, warrants, and stock grants
Diluted	18,323,542			16,637,606			18,250,775	16,907,482
Net loss per share
Basic (in Dollars per share)	$ (0.5)			$ (0.17)			$ (1.1)	$ (0.79)
Diluted (in Dollars per share)	$ (0.5)			$ (0.17)			$ (1.1)	$ (0.79)

Loss Per Share (Details) - Schedule of Vesting of Certain Restricted Stock Units - shares	3 Months Ended		9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023
Schedule of Vesting of Certain Restricted Stock Units [Line Items]
Total			146,924	41,077
Restricted Stock Units (RSUs) [Member]
Schedule of Vesting of Certain Restricted Stock Units [Line Items]
Total	76,583	11,172
Options [Member]
Schedule of Vesting of Certain Restricted Stock Units [Line Items]
Total			8,850	17,736
Options [Member] \| Restricted Stock Units (RSUs) [Member]
Schedule of Vesting of Certain Restricted Stock Units [Line Items]
Total	2,645	7,433
Unvested Restricted Stock Unit Awards [Member]
Schedule of Vesting of Certain Restricted Stock Units [Line Items]
Total			138,074	23,341
Unvested Restricted Stock Unit Awards [Member] \| Restricted Stock Units (RSUs) [Member]
Schedule of Vesting of Certain Restricted Stock Units [Line Items]
Total	73,938	3,739

Commitments and Contingencies (Details) $ in Millions	Sep. 30, 2024 USD ($)
Commitments And Contingencies [Abstract]
Total future minimum payment amount	$ 16.7
Minimum payment due in the remainder	1.8
Minimum payment due one	8.8
Minimum payment due two	3.6
Minimum payment due three	2.4
Minimum payment due four	$ 0.1

Income Taxes (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
Income Taxes (Details) - USD ($) $ in Thousands	Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023	Dec. 31, 2023
Income Taxes [Abstract]
Benefit from income taxes	$ (817)		$ (1,561)
Percentage of effective tax rate	8.20%		7.20%
Provision for or benefit from taxes
Net operating loss carryforwards					$ 16,700

Subsequent Events (Details) - USD ($) $ in Thousands	Sep. 30, 2024	Dec. 31, 2023
Subsequent Events [Abstract]
Long term debt	$ 2,000	$ 2,000

OptimizeRx (NASDAQ:OPRX)
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OptimizeRx (NASDAQ:OPRX)
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