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Companies OptimizeRx

OptimizeRx (OPRX): executive pay, fiscal 2025

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CEO total pay$2,717,717CEO Stephen Silvestro · source
Say-on-pay support92.87%Latest vote · source
CEO vs. named peers46th pct.Of 17 peer CEOs

CEO pay, last three years

  • $970,357FY2023
  • $973,132FY2024
  • $2,717,717FY2025

CEO total pay was $2,717,717 in fiscal 2025, up from $973,132 in fiscal 2024.

FY2025: salary $500,000 · bonus $0 · stock awards $752,184 · option awards $834,310

Executives and directors

Frequently asked questions

Who was the highest-paid executive at OptimizeRx in fiscal 2025?
As disclosed, Stephen Silvestro (Chief Executive Officer) was the highest-paid executive at OptimizeRx in fiscal 2025, with total compensation of $2,717,717.
How does OptimizeRx's chief executive pay compare to its disclosed peer group?
As disclosed, Stephen Silvestro's total compensation ranked at the 46th percentile of OptimizeRx's disclosed peer group.
How did shareholders vote on OptimizeRx's executive compensation?
As disclosed, 92.87% of shareholders supported OptimizeRx's executive compensation in the latest say-on-pay vote.
How much does OptimizeRx spend in total on board compensation for fiscal 2025?
As disclosed, OptimizeRx reported total board compensation of $1,136,968 for fiscal 2025.

Answers are drawn only from the figures disclosed in this brief and cited to their location in the source filing. Where a figure required for an answer is not disclosed, that is stated rather than estimated.

Full detail

Every table from the filing. Open any section.

Summary compensation table
Named executive officerSalaryBonusStock awardsOption awardsNon-equity incentivePension / NQDCAll otherTotal
Stephen Silvestro$500,000$0$752,184$834,310$627,623$0$3,600$2,717,717
Chief Executive Officer
Theresa Greco367,5000353,182409,312398,471015,8001,544,265
Chief Commercial Officer
Edward Stelmakh450,0000252,188334,309471,873015,8001,524,170
Chief Financial & Strategy Officer

A dash means the company reported no figure in that column; 0 means it reported zero. Figures are as printed in the filing, without adjustment.

Three-year trend — total compensation per named executive

Named executive officerFY2025 totalFY2024 totalFY2023 totalΔ FY2024→2025
Stephen Silvestro$2,717,717$973,132$970,357↑ +1,744,585
Theresa Greco1,544,265———
Edward Stelmakh1,524,1701,009,304929,726↑ +514,866

Prior-year totals as disclosed in the corresponding proxy; deltas are computed values with the derivation shown in the register.

Incentive-plan design — the Compensation Discussion & Analysis

CEO STI target (% of salary)80%
CEO LTI target (% of salary)—
Independent consultantPearl Meyer
Clawback policytrue
Anti-hedging—
Anti-pledging—
Equity grants and outstanding awards

Grants of plan-based awards — fiscal year 2025

ExecutiveAwardGrant dateThresholdTargetGrantedMaximumGrant-date fair value
Reserve ProposalOTHER2026-04-10————$18,765,075

Vehicle mix — grant-date fair value by award type

Grant-level vehicle detail not disclosed.

% performance-vested = PSU grant-date fair value ÷ (RSU + PSU + Options), a computed value with the derivation shown in the register.

Outstanding equity awards at fiscal year-end 2025

ExecutiveAwardShares unvestedExercise priceMarket value unvested
Theresa GrecoRSU2,441—$29,927
Edward StelmakhRSU5,237—64,206
Edward StelmakhOption5,23712.73—
Theresa GrecoRSU6,173—75,681
Stephen SilvestroRSU6,547—80,266
Stephen SilvestroOption6,54712.73—
Theresa GrecoRSU7,042—86,335
Theresa GrecoRSU10,352—126,916
Theresa GrecoOption11,9208.1—
Theresa GrecoOption12,13310.65—
Stephen SilvestroRSU15,625—191,563
Edward StelmakhRSU15,625—191,563
Theresa GrecoRSU15,625—191,563
Theresa GrecoOption19,4364.83—
Stephen SilvestroRSU27,606—338,450
Edward StelmakhRSU27,606—338,450
Stephen SilvestroOption35,15616.14—
Edward StelmakhOption35,15616.14—
Theresa GrecoOption35,15616.14—
Stephen SilvestroRSU46,948—575,582
Stephen SilvestroOption51,8284.83—
Edward StelmakhOption51,8284.83—
Stephen SilvestroOption80,88410.65—
Director compensation
DirectorCash feesStock awardsOption awardsNon-equity incentiveAll otherTotal
Lynn O'Connor VosIndependent · Strategic · Audit · Nominating/Governance · Compensation$119,000$149,994———$268,994
Patrick SpanglerIndependent · Strategic · Audit (Chair) · Compensation85,000149,994———234,994
Catherine KlemaIndependent · Strategic · Audit · Nominating/Governance (Chair)78,000149,994———227,994
James LangIndependent · Nominating/Governance · Compensation (Chair)54,000149,994———203,994
Gregory WassonIndependent · Strategic · Compensation51,000149,994———200,994
Stephen SilvestroEmployee director · Partial-year service—————0
Mariyamma Varghese PrestiIndependent · Audit · Partial-year service · Newly elected——————

Board fee structure and ownership guideline

Annual cash retainer$40,000
Annual equity retainer$150,000
Per board meeting fee—
Committee chair fees (audit / comp / nom-gov)20,000 / 10,000 / 8,000
Stock ownership guideline$120,000

Total cost of the board

ComponentFY2025
Cash retainers and fees$387,000
Equity awards (grant-date value)$749,968
All other compensation$0
Total cost of the board$1,136,968

Computed as the sum of the director compensation table rows above; inputs and formula shown in the register.

Peer group, and who names OptimizeRx as a peer

Companies that benchmark against OPRX

3 companies name OPRX as a compensation peer

The list of companies that name OPRX as a peer is temporarily unavailable — recheck shortly.

Disclosed peer group — fiscal year 2025

The compensation peer group as the company disclosed it in its own proxy — the reference set behind the percentile above.

Chief executive pay against the peer group

Most recent fiscal-year chief executive compensation at each disclosed peer, taken from that company’s own proxy statement.

RankCompanyFYChief executiveSalaryStock awardsOption awardsNon-equity incentiveTotal
1Viant Technology Inc.2025Mark Morelli$1,140,809$6,206,906$0$2,079,576$9,634,679
2Domo, Inc.2026Joshua James500,0008,357,0040593,5509,465,244
3Phreesia, Inc.2026Chaim Indig515,0007,562,706008,077,706
4Kaltura, Inc.2025Ron Yekutiel552,9855,431,5790353,4716,412,754
5SoundThinking, Inc.2025Ralph Clark472,5003,818,1510302,4004,600,051
6American Well Corporation2025Ido Schoenberg701,7551,294,33102,010,1004,162,171
7Health Catalyst, Inc.2025Daniel Burton525,0003,444,040003,991,159
8OptimizeRx2025Stephen Silvestro500,000752,184834,310627,6232,717,717
9Augmedix, Inc.2022Emmanuel Krakaris450,0000423,150280,0001,157,484
10Simulations Plus, Inc.2025Shawn O'Connor524,7250567,45001,096,572
11CoreCard Corporation2024J. Leland Strange500,000152,68800906,669
12HealthStream, Inc.2025Robert Frist400,500224,97779,550158,100868,037
13iCAD, Inc.2023Dana Brown315,3850521,0930849,047
—CareCloud, Inc.——————not in coverage universe
—Arteris, Inc.——————not in coverage universe
—Intellicheck, Inc.——————not in coverage universe
—Smith Micro Software, Inc.——————not in coverage universe

Each peer’s compensation is from its most recently filed proxy; fiscal years differ by company. Each peer’s figures come from its own filings; the subject company is highlighted. Peers whose chief executive compensation is outside our coverage universe are stated as such, never left blank.

Incentive design against the same peers

CompanyAnnual incentive payoutLong-term vehicle mixPSU measures include TSRCompensation consultant
OptimizeRx191%not disclosednot disclosedPearl Meyer
American Well Corporationnot disclosedPSU 45 · Cash LTI 45 · RSU 10NoAon
Arteris, Inc.not disclosednot disclosednot disclosednot disclosed
Augmedix, Inc.not disclosedOptions 100not disclosedCompensia, Inc.
CareCloud, Inc.not disclosedRSUs 100not disclosednot disclosed
CoreCard Corporationnot disclosednot disclosednot disclosednot disclosed
Domo, Inc.119%RSU 100NoCompensia
Health Catalyst, Inc.39%RSU 50 · PRSU 50Yes — TSR AchievementAon
HealthStream, Inc.97.6%not disclosedNonot disclosed
iCAD, Inc.not disclosedOption 100not disclosednot disclosed
Intellicheck, Inc.not disclosednot disclosednot disclosednot disclosed
Kaltura, Inc.68%RSU 100not disclosedFW Cook
Phreesia, Inc.140.3%PSU 50 · RSU 50Yes — Relative TSRFW Cook, Inc.
Simulations Plus, Inc.not disclosedOptions 100not disclosedPearl Meyer
Smith Micro Software, Inc.not disclosednot disclosednot disclosednot disclosed
SoundThinking, Inc.not disclosedRSU 50 · PSU 50NoAon
Viant Technology Inc.121%PSU 60 · RSU 40NoPearl Meyer

Read from each company’s Compensation Discussion and Analysis: annual incentive payout as a percentage of target, the disclosed long-term vehicle mix, whether performance-share measures include a total shareholder return component, and the retained compensation consultant. “Not disclosed” appears only where the company’s filing does not state the item.

Say-on-pay history and pay ratio
Meeting yearMeeting dateForAgainstAbstainSupportOutcome
20262026-06-0911,660,549895,09598,15292.87%Passed
20252025-06-115,443,7203,857,6533,757,63658.53%Passed
20242024-06-058,790,1904,676,45097,02665.27%Passed
20232023-06-074,722,5466,738,014393,69641.21%Failed
20222022-06-098,907,0794,678,794423,39365.56%Passed
20212021-08-199,935,017877,491629,64091.88%Passed

Rows are labeled by annual-meeting year, with the meeting date beside each; the vote held in a given year acts on the prior fiscal year’s compensation.

Say-on-pay — history, company’s computation

Meeting yearMeeting dateApproval — company’s computation
20262026-06-0992.87%a
20252025-06-1158.53%b
20242024-06-0565.27%c

a. Voting standard not stated in the filing.

b. Voting standard not stated in the filing.

c. Approved under the standard stated in the filing — “PROPOSAL ITEM VOTE REQUIRED FOR APPROVAL EFFECT OF ABSTENTIONS (or the withholding of authority) EFFECT OF BROKER NON-VOTES 1 Election of six directors Plurality - the six director nominees who receive the most "FOR" votes will be elected to serve on the Board No effect No effect 2 Advisory approval of the compensation of OptimizeRx's named executive officers Number of votes cast in favor exceeds number of votes cast in opposition No effect No effect 3 Amendment to OptimizeRx Corporation 2021 Equity Incentive Plan to increase the aggregate number of shares of common stock available for awards by 1,950,000 shares to 4,450,000 shares Number of votes cast in favor exceeds number of votes cast in opposition No effect No effect 4 Ratification of the appointment of independent auditor Number of votes cast in favor exceeds number of votes cast in opposition No effect No broker non -votes ;”.

Approval percentages are the company’s own reported computations under its own stated standard, not recomputed by Velarion. Where a company does not state a standard, none is assumed.

CEO pay ratio

Ratio (CEO : median employee)—
CEO total compensation—
Median employee compensation—
Insider trades since the proxy

Every insider equity transaction reported on Form 4 after the 2025 proxy statement — acquisitions, dispositions, exercises, and withholdings — and therefore not reflected in any table in that document.

InsiderRoleTransaction dateCodeSharesPriceValueSecuritySource
Mariyamma Varghese PrestiDirector2026-05-01A13,060$0$0CommonForm 4 ↗
Stephen SilvestroChief Executive Officer2026-05-15D5,219527,191CommonForm 4 ↗
Theresa GrecoChief Commercial Officer2026-05-15D87954,580CommonForm 4 ↗
Theresa GrecoChief Commercial Officer2026-05-15D91454,762CommonForm 4 ↗
James LangDirector2026-06-09A34,51700CommonForm 4 ↗
Catherine KlemaDirector2026-06-09A34,51700CommonForm 4 ↗
Lynn O'Connor VosDirector2026-06-09A34,51700CommonForm 4 ↗
Mariyamma Varghese PrestiDirector2026-06-09A17,25800CommonForm 4 ↗
Gregory WassonDirector2026-06-09A34,51700CommonForm 4 ↗
Patrick SpanglerDirector2026-06-09A34,51700CommonForm 4 ↗
Marion Odence-FordChief Legal & Admin Officer2026-08-20A57,60000CommonForm 4 ↗
Brendan W. MerrellChief Operating Officer2026-08-20A57,60000CommonForm 4 ↗
Stephen SilvestroChief Executive Officer2026-08-20A79,20000CommonForm 4 ↗
Andrew J. D'SilvaChief Business Officer2026-08-20A57,60000CommonForm 4 ↗
Andrew J. D'SilvaChief Business Officer2026-08-21D1,24389,584CommonForm 4 ↗
Edward StelmakhChief Finance & Strat Officer2026-08-21D1,381810,648CommonForm 4 ↗
Stephen SilvestroChief Executive Officer2026-08-21D1,737813,392CommonForm 4 ↗
Brendan W. MerrellChief Operating Officer2026-08-21D1,02087,864CommonForm 4 ↗
Marion Odence-FordChief Legal & Admin Officer2026-08-21D1,529811,789CommonForm 4 ↗
Andrew J. D'SilvaChief Business Officer2026-09-01D1,432811,256CommonForm 4 ↗
Andrew J. D'SilvaChief Business Officer2026-10-01D41483,473CommonForm 4 ↗

Transaction codes per Form 4: A acquisition · S open-market sale · F tax withholding · M option exercise · G gift. Value = shares × price as reported. Dividend-equivalent and fractional-share accrual rows (derivative Class A, under $10,000 and under 2,000 shares) are aggregated per date; every row appears in full below.

Sources (51 citations)

Each figure is listed with the filing it comes from, where it appears in that filing, and the value as printed. Any figure can be independently confirmed against the source.

  • Section 01, Stephen Silvestro. DEF 14A, filed 2026-04-30. Section “Executive Compensation”. As printed: 2,717,717. View filing ↗
  • Section 01, Theresa Greco. DEF 14A, filed 2026-04-30. Section “Executive Compensation”. As printed: 1,544,265. View filing ↗
  • Section 01, Edward Stelmakh. DEF 14A, filed 2026-04-30. Section “Executive Compensation”. As printed: 1,524,170. View filing ↗
  • Section 03, Reserve Proposal OTHER. DEF 14A, filed 2026-04-30. Section “ADVISORY VOTE ON EXECUTIVE COMPENSATION &” · grants of plan-based awards table. View filing ↗
  • Section 07, pay ratio. DEF 14A, filed 2026-04-30. Section “CEO Pay Ratio”. As printed: —. View filing ↗
  • Section 08, Lynn O'Connor Vos. DEF 14A, filed 2026-04-30. Section “Director Compensation”. As printed: 268,993.6. View filing ↗
  • Section 08, Patrick Spangler. DEF 14A, filed 2026-04-30. Section “Director Compensation”. As printed: 234,993.6. View filing ↗
  • Section 08, Catherine Klema. DEF 14A, filed 2026-04-30. Section “Director Compensation”. As printed: 227,993.6. View filing ↗
  • Section 08, James Lang. DEF 14A, filed 2026-04-30. Section “Director Compensation”. As printed: 203,993.6. View filing ↗
  • Section 08, Gregory Wasson. DEF 14A, filed 2026-04-30. Section “Director Compensation”. As printed: 200,993.6. View filing ↗
  • Section 08, Stephen Silvestro. DEF 14A, filed 2026-04-30. Section “Director Compensation”. As printed: 0. View filing ↗
  • Section 08, Mariyamma Varghese Presti. DEF 14A, filed 2026-04-30. Section “Director Compensation”. As printed: —. View filing ↗
  • Section 02, Mariyamma Varghese Presti 2026-05-01. Form 4, filed 2026-06-10. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Stephen Silvestro 2026-05-15. Form 4, filed 2026-05-18. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Theresa Greco 2026-05-15. Form 4, filed 2026-05-18. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Theresa Greco 2026-05-15. Form 4, filed 2026-05-18. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, James Lang 2026-06-09. Form 4, filed 2026-06-10. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Catherine Klema 2026-06-09. Form 4, filed 2026-06-10. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Lynn O'Connor Vos 2026-06-09. Form 4, filed 2026-06-10. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Mariyamma Varghese Presti 2026-06-09. Form 4, filed 2026-06-10. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Gregory Wasson 2026-06-09. Form 4, filed 2026-06-10. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Patrick Spangler 2026-06-09. Form 4, filed 2026-06-10. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Marion Odence-Ford 2026-08-20. Form 4, filed 2026-08-24. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Brendan W. Merrell 2026-08-20. Form 4, filed 2026-08-24. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Stephen Silvestro 2026-08-20. Form 4, filed 2026-08-24. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Andrew J. D'Silva 2026-08-20. Form 4, filed 2026-08-24. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Andrew J. D'Silva 2026-08-21. Form 4, filed 2026-08-24. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Edward Stelmakh 2026-08-21. Form 4, filed 2026-08-24. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Stephen Silvestro 2026-08-21. Form 4, filed 2026-08-24. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Brendan W. Merrell 2026-08-21. Form 4, filed 2026-08-24. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Marion Odence-Ford 2026-08-21. Form 4, filed 2026-08-24. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Andrew J. D'Silva 2026-09-01. Form 4, filed 2026-09-02. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 02, Andrew J. D'Silva 2026-10-01. Form 4, filed 2026-10-02. Insider equity transaction reported since the proxy statement. View filing ↗
  • Section 06, 2026 vote. Form 8-K, filed 2026-06-12. Item 5.07 · say-on-pay result. As reported: 92.87% (votes for as printed: 11,660,549). View filing ↗
  • Section 06, 2025 vote. Form 8-K, filed 2025-06-16. Item 5.07 · say-on-pay result. As reported: 58.53% (votes for as printed: 5,443,720). View filing ↗
  • Section 06, 2024 vote. Form 8-K, filed 2024-06-07. Item 5.07 · say-on-pay result. As reported: 65.27% (votes for as printed: 8,790,190). View filing ↗
  • Section 01 trend, Δ column (computed). Computed. Δ = current-FY total − prior-FY total per named officer.
  • Section 09b board cost (computed). Computed. Cash 387,000 + equity 749,968 + all other 0 = 1,136,968, summed across the director compensation table rows.
  • Viant Technology Inc., Section 10b CEO total. DEF 14A, filed 2026-04-10. CEO total compensation as printed in Viant Technology Inc.'s own proxy. As printed: 9,634,679. View filing ↗
  • Domo, Inc., Section 10b CEO total. DEF 14A, filed 2026-06-01. CEO total compensation as printed in Domo, Inc.'s own proxy. As printed: 9,465,244. View filing ↗
  • Phreesia, Inc., Section 10b CEO total. DEF 14A, filed 2026-05-14. CEO total compensation as printed in Phreesia, Inc.'s own proxy. As printed: 8,077,706. View filing ↗
  • Kaltura, Inc., Section 10b CEO total. DEF 14A, filed 2026-04-30. CEO total compensation as printed in Kaltura, Inc.'s own proxy. As printed: 6,412,754. View filing ↗
  • SoundThinking, Inc., Section 10b CEO total. DEF 14A, filed 2026-04-22. CEO total compensation as printed in SoundThinking, Inc.'s own proxy. As printed: 4,600,051. View filing ↗
  • American Well Corporation, Section 10b CEO total. DEF 14A, filed 2026-04-23. CEO total compensation as printed in American Well Corporation's own proxy. As printed: 4,162,171. View filing ↗
  • Health Catalyst, Inc., Section 10b CEO total. DEF 14A, filed 2026-06-03. CEO total compensation as printed in Health Catalyst, Inc.'s own proxy. As printed: 3,991,159. View filing ↗
  • OptimizeRx (subject), Section 10b CEO total. DEF 14A, filed 2026-04-30. CEO total compensation as printed in OptimizeRx's own proxy. As printed: 2,717,717. View filing ↗
  • Augmedix, Inc., Section 10b CEO total. DEF 14A, filed 2023-06-26. CEO total compensation as printed in Augmedix, Inc.'s own proxy. As printed: 1,157,484. View filing ↗
  • Simulations Plus, Inc., Section 10b CEO total. DEF 14A, filed 2025-12-29. CEO total compensation as printed in Simulations Plus, Inc.'s own proxy. As printed: 1,096,572. View filing ↗
  • CoreCard Corporation, Section 10b CEO total. DEF 14A, filed 2025-04-14. CEO total compensation as printed in CoreCard Corporation's own proxy. As printed: 906,669. View filing ↗
  • HealthStream, Inc., Section 10b CEO total. DEF 14A, filed 2026-04-10. CEO total compensation as printed in HealthStream, Inc.'s own proxy. As printed: 868,037. View filing ↗
  • iCAD, Inc., Section 10b CEO total. DEF 14A, filed 2024-04-29. CEO total compensation as printed in iCAD, Inc.'s own proxy. As printed: 849,047. View filing ↗
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