Velarion · Company Intelligence
Compensation Brief
Fiscal year 2025 · Filings through 2026-06-12

OptimizeRx (OPRX)

Fiscal year 2025 executive and director compensation, incentive-plan design, equity activity, and governance — every figure in this brief is traceable to its exact location in the company’s SEC filing — the document, the section, the page, and the table, linked directly.

$2,717,717
Stephen Silvestro total, FY2025
54th
CEO pay percentile vs peers
CEO-to-median pay ratio
92.87%
Say-on-pay support, latest vote
Companies that benchmark against OPRX
2 companies name OPRX as a compensation peer

Each company listed discloses OPRX in its own benchmarking peer group, as disclosed in each company's most recent proxy statement within the last two proxy seasons. Two companies are therefore absent by design: one that named OPRX in an earlier year and no longer does, and one whose own most recent disclosure is older than the last two seasons.

01

Summary Compensation Table — fiscal year 2025

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 FY20242025
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.

02

Equity transactions since the proxy statement was filed

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 ↗
Theresa GrecoChief Commercial Officer2026-05-15D91454,762CommonForm 4 ↗
Theresa GrecoChief Commercial Officer2026-05-15D87954,580CommonForm 4 ↗
Stephen SilvestroChief Executive Officer2026-05-15D5,219527,191CommonForm 4 ↗
Lynn O'Connor VosDirector2026-06-09A34,51700CommonForm 4 ↗
Mariyamma Varghese PrestiDirector2026-06-09A17,25800CommonForm 4 ↗
Gregory WassonDirector2026-06-09A34,51700CommonForm 4 ↗
Catherine KlemaDirector2026-06-09A34,51700CommonForm 4 ↗
James LangDirector2026-06-09A34,51700CommonForm 4 ↗
Patrick SpanglerDirector2026-06-09A34,51700CommonForm 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.

03

Grants of plan-based awards — fiscal year 2025

ExecutiveAwardGrant dateThresholdTargetGrantedMaximumGrant-date fair value
Reserve ProposalOTHER2026-04-10$18,765,075
03b

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.

04

Outstanding equity awards at fiscal year-end 2025

ExecutiveAwardShares unvestedExercise priceMarket value unvested
Stephen SilvestroRSU27,606$338,450
Edward StelmakhRSU5,23764,206
Theresa GrecoOption11,9208.1
Theresa GrecoRSU10,352126,916
Theresa GrecoRSU2,44129,927
Stephen SilvestroRSU46,948575,582
Stephen SilvestroOption51,8284.83
Edward StelmakhOption51,8284.83
Stephen SilvestroOption6,54712.73
Stephen SilvestroOption80,88410.65
Theresa GrecoOption12,13310.65
Theresa GrecoOption35,15616.14
Theresa GrecoRSU7,04286,335
Theresa GrecoRSU6,17375,681
Stephen SilvestroRSU15,625191,563
Edward StelmakhRSU27,606338,450
Edward StelmakhRSU15,625191,563
Stephen SilvestroRSU6,54780,266
Theresa GrecoRSU15,625191,563
Edward StelmakhOption5,23712.73
Stephen SilvestroOption35,15616.14
Edward StelmakhOption35,15616.14
Theresa GrecoOption19,4364.83
05

Incentive-plan design — the Compensation Discussion & Analysis

The Company's compensation philosophy is to provide compensation that will attract, motivate, retain and reward high-performing executive talent and foster a pay-for-performance philosophy by tying a significant portion of pay to the Company's performance.

CEO STI target (% of salary)80%
CEO LTI target (% of salary)
Independent consultantPearl Meyer
Clawback policytrue
Anti-hedgingtrue
Anti-pledgingtrue
06

Say-on-pay — recent advisory votes

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.

07

CEO pay ratio

Ratio (CEO : median employee)
CEO total compensation
Median employee compensation
08

Director compensation — fiscal year 2025

DirectorCash feesStock awardsOption awardsNon-equity incentiveAll otherTotal
Lynn O'Connor VosIndependent · Board Chair · Audit · Compensation · Nominating/Governance · Strategic$119,000$149,994$0$0$0$268,994
Patrick SpanglerIndependent · Audit (Chair) · Compensation · Strategic85,000149,994000234,994
Catherine KlemaIndependent · Audit · Nominating/Governance (Chair) · Strategic78,000149,994000227,994
James LangIndependent · Compensation (Chair) · Nominating/Governance54,000149,994000203,994
Gregory WassonIndependent · Compensation · Strategic51,000149,994000200,994
Stephen SilvestroEmployee director · Partial-year service00000
Mariyamma Varghese PrestiIndependent · Audit · Partial-year service · Newly elected000000
09

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)10,000 / 20,000 / 4,000
Stock ownership guideline
09b

Total cost of the board

ComponentFY2025
Cash retainers and fees$387,000
Equity awards (grant-date value)$749,970
All other compensation$0
Total cost of the board$1,136,970

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

10

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.

10a

Peer reciprocity

Of the companies OptimizeRx names as compensation peers, which name it back in their own disclosed peer groups. A peer set the market reciprocates reads differently from one selected in a single direction.

Reciprocity shown where the peer's own current proxy has been read — each mark is cited in the register to that peer's filing. A dash means the peer's current proxy was read and names no reciprocal group including OptimizeRx.

10b

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
1Domo, Inc.2026Joshua James$500,000$8,357,004$0$593,550$9,465,244
2Phreesia, Inc.2026Chaim Indig515,0007,562,706008,077,706
3Kaltura, Inc.2025Ron Yekutiel552,9855,431,5790353,4716,412,754
4SoundThinking, Inc.2025Ralph Clark472,5003,818,1510302,4004,600,051
5American Well Corporation2025Ido Schoenberg701,7551,294,33102,010,1004,162,171
6Health Catalyst, Inc.2025Daniel Burton525,0003,444,040003,991,159
7OptimizeRx2025Stephen Silvestro500,000752,184834,310627,6232,717,717
8Arteris, Inc.2025K. Charles Janac477,000635,513557,924480,5302,166,523
9Viant Technology Inc.2025Tim Vanderhook700,00000776,6361,506,636
10Augmedix, Inc.2022Emmanuel Krakaris450,0000423,150280,0001,157,484
11Simulations Plus, Inc.2025Shawn O'Connor524,7250567,45001,096,572
12Smith Micro Software, Inc.2025William Smith, Jr.450,000516,67500984,096
13HealthStream, Inc.2025Robert Frist400,500224,97779,550158,100868,037
14Intellicheck, Inc.2025Bryan Lewis412,0000226,74592,066741,311
CoreCard Corporationnot in coverage universe
iCAD, Inc.not in coverage universe
CareCloud, 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.

10c

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.109.5%RSU 50 · Options 50not disclosedCompensia, Inc.
Augmedix, Inc.not disclosedOptions 100not disclosedCompensia, Inc.
CareCloud, Inc.not disclosednot disclosednot disclosednot disclosed
CoreCard Corporationnot disclosednot disclosednot disclosednot disclosed
Domo, Inc.119%not disclosedNoCompensia
Health Catalyst, Inc.39%RSU 50 · PSU 50Yes — TSR AchievementAon (Human Capital Solutions practice)
HealthStream, Inc.97.6%not disclosedNonot disclosed
iCAD, Inc.not disclosednot disclosednot 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 disclosedRSU 100Nonot disclosed
SoundThinking, Inc.not disclosedRSU 50 · PSU 50NoAon
Viant Technology Inc.111%RSU 100not disclosedAlpine

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.

11

Source register

Each figure's location is given both for the eye (section · page · table · row · column) and for a script (table/row/column index and exact character span in the filed document). Any figure can be independently confirmed against the source.

#SupportsDocumentFiledAccessionLocation in document
1Section 01, Stephen SilvestroDEF 14A2026-04-300001213900-26-049698Section “Summary Compensation Table for 2025”. As printed: 2,717,717. Filing ↗machine: r1 · c7 · span 817197–817206
2Section 01, Theresa GrecoDEF 14A2026-04-300001213900-26-049698Section “Summary Compensation Table for 2025”. As printed: 1,544,265. Filing ↗machine: r5 · c7 · span 858053–858062
3Section 01, Edward StelmakhDEF 14A2026-04-300001213900-26-049698Section “Summary Compensation Table for 2025”. As printed: 1,524,170. Filing ↗machine: r3 · c7 · span 837667–837676
4Section 03, Reserve Proposal OTHERDEF 14A2026-04-300001213900-26-049698Section “ADVISORY VOTE ON EXECUTIVE COMPENSATION &” · grants of plan-based awards table. Filing ↗machine: span 158845–158855
5Section 07, pay ratioDEF 14A2026-04-300001213900-26-049698Section “CEO Pay Ratio”. As printed: —. Filing ↗
6Section 08, Lynn O'Connor VosDEF 14A2026-04-300001213900-26-049698Section “Director Compensation”. As printed: 268,993.6. Filing ↗machine: span 565409–565419
7Section 08, Patrick SpanglerDEF 14A2026-04-300001213900-26-049698Section “Director Compensation”. As printed: 234,993.6. Filing ↗machine: span 578741–578751
8Section 08, Catherine KlemaDEF 14A2026-04-300001213900-26-049698Section “Director Compensation”. As printed: 227,993.6. Filing ↗machine: span 569821–569831
9Section 08, James LangDEF 14A2026-04-300001213900-26-049698Section “Director Compensation”. As printed: 203,993.6. Filing ↗machine: span 574328–574338
10Section 08, Gregory WassonDEF 14A2026-04-300001213900-26-049698Section “Director Compensation”. As printed: 200,993.6. Filing ↗machine: span 583252–583262
11Section 08, Stephen SilvestroDEF 14A2026-04-300001213900-26-049698Section “Director Compensation”. As printed: 0. Filing ↗
12Section 08, Mariyamma Varghese PrestiDEF 14A2026-04-300001213900-26-049698Section “Director Compensation”. As printed: 0. Filing ↗
13Section 02, Mariyamma Varghese Presti 2026-05-01Form 42026-06-100001628280-26-042124Insider equity transaction reported since the proxy statement. Filing ↗
14Section 02, Theresa Greco 2026-05-15Form 42026-05-180001628280-26-036004Insider equity transaction reported since the proxy statement. Filing ↗
15Section 02, Theresa Greco 2026-05-15Form 42026-05-180001628280-26-036004Insider equity transaction reported since the proxy statement. Filing ↗
16Section 02, Stephen Silvestro 2026-05-15Form 42026-05-180001628280-26-035998Insider equity transaction reported since the proxy statement. Filing ↗
17Section 02, Lynn O'Connor Vos 2026-06-09Form 42026-06-100001628280-26-042129Insider equity transaction reported since the proxy statement. Filing ↗
18Section 02, Mariyamma Varghese Presti 2026-06-09Form 42026-06-100001628280-26-042131Insider equity transaction reported since the proxy statement. Filing ↗
19Section 02, Gregory Wasson 2026-06-09Form 42026-06-100001628280-26-042128Insider equity transaction reported since the proxy statement. Filing ↗
20Section 02, Catherine Klema 2026-06-09Form 42026-06-100001628280-26-042133Insider equity transaction reported since the proxy statement. Filing ↗
21Section 02, James Lang 2026-06-09Form 42026-06-100001628280-26-042132Insider equity transaction reported since the proxy statement. Filing ↗
22Section 02, Patrick Spangler 2026-06-09Form 42026-06-100001628280-26-042130Insider equity transaction reported since the proxy statement. Filing ↗
23Section 06, 2026 voteForm 8-K2026-06-120001213900-26-068272Item 5.07 · say-on-pay result. As reported: 92.87% (votes for as printed: 11,660,549). Filing ↗
24Section 06, 2025 voteForm 8-K2025-06-160001213900-25-054784Item 5.07 · say-on-pay result. As reported: 58.53% (votes for as printed: 5,443,720). Filing ↗
25Section 06, 2024 voteForm 8-K2024-06-070001213900-24-050753Item 5.07 · say-on-pay result. As reported: 65.27% (votes for as printed: 8,790,190). Filing ↗
26Section 01 trend, Δ column (computed)ComputedcomputedΔ = current-FY total − prior-FY total per named officer.machine: formula: Δ = FY(n) − FY(n−1)
27Section 09b board cost (computed)ComputedcomputedCash 387,000 + equity 749,970 + all other 0 = 1,136,970, summed across the director compensation table rows.machine: formula: Σ = 1,136,970
28Domo, Inc., Section 10b CEO totalDEF 14A2026-06-010001628280-26-039549CEO total compensation as printed in Domo, Inc.'s own proxy. As printed: 9,465,244. Filing ↗machine: t13 · r2 · c14 · span 455747–455756
29Phreesia, Inc., Section 10b CEO totalDEF 14A2026-05-140001412408-26-000155CEO total compensation as printed in Phreesia, Inc.'s own proxy. As printed: 8,077,706. Filing ↗machine: span 634967–634976
30Kaltura, Inc., Section 10b CEO totalDEF 14A2026-04-300001140361-26-018319CEO total compensation as printed in Kaltura, Inc.'s own proxy. As printed: 6,412,754. Filing ↗machine: r2 · c18 · span 296558–296567
31SoundThinking, Inc., Section 10b CEO totalDEF 14A2026-04-220001193125-26-170312CEO total compensation as printed in SoundThinking, Inc.'s own proxy. As printed: 4,600,051. Filing ↗machine: r2 · c27 · span 344655–344664
32American Well Corporation, Section 10b CEO totalDEF 14A2026-04-230001393584-26-000008CEO total compensation as printed in American Well Corporation's own proxy. As printed: 4,162,171. Filing ↗machine: r2 · c14 · span 771018–771028
33Health Catalyst, Inc., Section 10b CEO totalDEF 14A2026-06-030001636422-26-000075CEO total compensation as printed in Health Catalyst, Inc.'s own proxy. As printed: 3,991,159. Filing ↗machine: span 702084–702093
34OptimizeRx (subject), Section 10b CEO totalDEF 14A2026-04-300001213900-26-049698CEO total compensation as printed in OptimizeRx's own proxy. As printed: 2,717,717. Filing ↗machine: r1 · c7 · span 817197–817206
35Arteris, Inc., Section 10b CEO totalDEF 14A2026-04-210001193125-26-166706CEO total compensation as printed in Arteris, Inc.'s own proxy. As printed: 2,166,523. Filing ↗machine: r2 · c31 · span 244035–244044
36Viant Technology Inc., Section 10b CEO totalDEF 14A2026-04-230001193125-26-173662CEO total compensation as printed in Viant Technology Inc.'s own proxy. As printed: 1,506,636. Filing ↗machine: t96 · r2 · c31 · span 242428–242437
37Augmedix, Inc., Section 10b CEO totalDEF 14A2023-06-260001213900-23-051693CEO total compensation as printed in Augmedix, Inc.'s own proxy. As printed: 1,157,484. Filing ↗machine: t15 · r1 · c12 · span 607068–607077
38Simulations Plus, Inc., Section 10b CEO totalDEF 14A2025-12-290001023459-25-000068CEO total compensation as printed in Simulations Plus, Inc.'s own proxy. As printed: 1,096,572. Filing ↗machine: t15 · r4 · c16 · span 575496–575505
39Smith Micro Software, Inc., Section 10b CEO totalDEF 14A2026-04-160001437749-26-012555CEO total compensation as printed in Smith Micro Software, Inc.'s own proxy. As printed: 984,096. Filing ↗machine: t70 · r1 · c26 · span 570934–570941
40HealthStream, Inc., Section 10b CEO totalDEF 14A2026-04-100001437749-26-012017CEO total compensation as printed in HealthStream, Inc.'s own proxy. As printed: 868,037. Filing ↗machine: t69 · r1 · c24 · span 501227–501234
41Intellicheck, Inc., Section 10b CEO totalDEF 14A2026-04-010001040896-26-000012CEO total compensation as printed in Intellicheck, Inc.'s own proxy. As printed: 741,311. Filing ↗machine: span 186880–186887
42Section 10a, Health Catalyst, Inc. reciprocityDEF 14A0001636422-26-000075Health Catalyst, Inc. names OptimizeRx in its own disclosed peer group (read from its most recent proxy). Filing ↗
43Section 10a, SoundThinking, Inc. reciprocityDEF 14A0001193125-26-170312SoundThinking, Inc.'s most recent proxy was read; its disclosed peer group does not include OptimizeRx. Filing ↗
44Section 10a, Domo, Inc. reciprocityDEF 14A0001628280-26-039549Domo, Inc.'s most recent proxy was read; its disclosed peer group does not include OptimizeRx. Filing ↗
45Section 10a, American Well Corporation reciprocityDEF 14A0001393584-26-000008American Well Corporation's most recent proxy was read; its disclosed peer group does not include OptimizeRx. Filing ↗
46Section 10a, Phreesia, Inc. reciprocityDEF 14A0001412408-26-000155Phreesia, Inc.'s most recent proxy was read; its disclosed peer group does not include OptimizeRx. Filing ↗