As of March 23, 2026, the three largest insider holders of OPRX are William J Febbo (Ceo, 600.85K shares), James Paul Lang (Director, 399.32K shares), Stephen L Silvestro (Chief Executive Officer, 190.51K shares).
| Holder | Position | Shares (Direct) | Shares (Indirect) | Report Date |
|---|---|---|---|---|
| William J Febbo | Ceo | 600,852 | 0 | 20 Feb, 2025 |
| James Paul Lang | 399,320 | 0 | 12 Jun, 2025 | |
| Stephen L Silvestro | Chief Executive Officer | 190,507 | 0 | 23 Dec, 2025 |
| Edward Stelmakh | Chief Finance Strat Officer | 123,172 | 0 | 23 Dec, 2025 |
| Marion Odence-Ford | Chief Legal Admin Officer | 91,936 | 0 | 12 Feb, 2026 |
| Miriam J Paramore | President And Cso | 74,607 | 0 | 03 Dec, 2021 |
| Theresa Greco | Chief Commercial Officer | 72,868 | 0 | 23 Dec, 2025 |
| Ellen O'Connor Vos | 72,642 | 0 | 12 Jun, 2025 | |
| Doug Besch | Chief Product Tech Officer | 66,876 | 0 | 23 Dec, 2025 |
| Gregory D Wasson | 57,183 | 0 | 12 Jun, 2025 | |
| Andrew J. D'Silva | Chief Business Officer | 44,735 | 0 | 22 Dec, 2025 |
| Patrick D Spangler | 44,215 | 0 | 11 Sep, 2025 | |
| Brendan W. Merrell | Chief Operating Officer | 26,207 | 0 | 22 Dec, 2025 |
| Todd Inman | Chief Technology Officer | 538 | 0 | 03 Mar, 2023 |
* Please note that the shares above only reflect shares from the fund portfolio and the institutional portfolio. Shares from the personal portfolio are excluded from this Institutional Ownership Page. See these insiders' latest transactions here on Insider Page.
| Transaction Date | Insider Name | Security Class | Transaction Type | Shares Traded | Price | Shares Remaining | Ownership | Code |
|---|---|---|---|---|---|---|---|---|
| 11 Feb, 2026 | Marion Odence-Ford | Common Stock | A | 4,000 | - | 93,322 | D | M |
| 11 Feb, 2026 | Marion Odence-Ford | Common Stock | D | 1,386 | $9.23 | 91,936 | D | F |
| 11 Feb, 2026 | Marion Odence-Ford | Restricted Stock Units | D | 4,000 | $0.00 | 0 | D | M |
| 23 Dec, 2025 | Theresa Greco | Common Stock | D | 1,420 | $12.74 | 72,868 | D | F |
| 19 Dec, 2025 | Edward Stelmakh | Common Stock | A | 5,237 | $0.00 | 128,218 | D | M |
| 23 Dec, 2025 | Doug Besch | Common Stock | D | 4,079 | $12.74 | 66,876 | D | F |
| 23 Dec, 2025 | Marion Odence-Ford | Common Stock | D | 4,051 | $12.74 | 89,322 | D | F |
| 23 Dec, 2025 | Edward Stelmakh | Common Stock | D | 3,658 | $12.74 | 123,172 | D | F |
| 23 Dec, 2025 | Stephen L Silvestro | Common Stock | D | 3,361 | $12.74 | 190,507 | D | F |
| 23 Dec, 2025 | Stephen L Silvestro | Common Stock | D | 3,361 | $12.74 | 190,507 | D | F |
| 19 Dec, 2025 | Edward Stelmakh | Common Stock | D | 1,388 | $13.51 | 126,830 | D | F |
| 19 Dec, 2025 | Edward Stelmakh | Restricted Stock Units | D | 5,237 | $0.00 | 5,237 | D | M |
| 19 Dec, 2025 | Andrew J. D'Silva | Common Stock | D | 703 | $13.51 | 44,735 | D | F |
| 19 Dec, 2025 | Doug Besch | Common Stock | A | 1,964 | $0.00 | 71,536 | D | M |
| 19 Dec, 2025 | Edward Stelmakh | Common Stock | A | 5,237 | $0.00 | 128,218 | D | M |
| 19 Dec, 2025 | Brendan W. Merrell | Common Stock | D | 289 | $13.51 | 26,207 | D | F |
| 19 Dec, 2025 | Stephen L Silvestro | Common Stock | A | 6,546 | $0.00 | 195,462 | D | M |
| 19 Dec, 2025 | Marion Odence-Ford | Common Stock | A | 3,928 | $0.00 | 94,526 | D | M |
| 19 Dec, 2025 | Edward Stelmakh | Common Stock | D | 1,388 | $13.51 | 126,830 | D | S |
| 19 Dec, 2025 | Stephen L Silvestro | Common Stock | D | 1,594 | $13.51 | 193,868 | D | F |