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Catherine Klema

Director at OptimizeRx
Board

About Catherine Klema

Independent director of OptimizeRx (OPRX) since 2024; age 66. She is President of Nettleton Advisors LLC (founded 2001) and brings 40 years of healthcare investment, data/analytics, and technology-enabled services experience. Prior roles include Managing Director, Healthcare Investment Banking at SG Cowen Securities and Furman Selz. She chairs the Board of Managers and the Compensation Committee of Quorum Health, and serves in audit/oversight roles at Albert Einstein College of Medicine and Montefiore Health System. Prior public company boards include Allergan plc (2004–2019) and Pharmaceutical Product Development, Inc. (2000–2011) .

Past Roles

OrganizationRoleTenureCommittees/Impact
Nettleton Advisors LLCPresident2001–presentHealthcare strategic advisory leadership
SG Cowen SecuritiesManaging Director, Healthcare Investment BankingNot disclosedInvestment banking leadership in healthcare
Furman Selz LLCManaging Director, Healthcare Investment BankingNot disclosedInvestment banking leadership in healthcare

External Roles

OrganizationRoleTenureCommittees/Impact
Quorum Health (owner/operator of 12 hospitals)Chair, Board of Managers; Chair, Compensation CommitteeSince 2020Board leadership; compensation oversight
Albert Einstein College of MedicineTrustee; Chair, Audit CommitteeSince 2020Audit oversight
Montefiore Health SystemTrustee; Vice Chair; Chair, Audit Committee; Co‑Chair, Medical CommitteeSince 2012Governance, audit, and clinical oversight
Allergan plc (public)Director2004–2019Board service at global pharma
Pharmaceutical Product Development, Inc. (public)Director2000–2011Board service at global CRO

Board Governance

  • Independence and Board structure
    • The Board determined all five nominees, including Klema, are independent under Nasdaq standards; Board has an independent Chair (Lynn O’Connor Vos) .
    • Independent directors meet in executive session at least quarterly .
    • Board size fixed at five; declassified with annual elections .
  • Committee assignments (current)
    • Audit Committee: Member (Chair: Patrick Spangler) .
    • Nominating & Governance Committee: Chair (members include Vos, Lang) .
  • Attendance and engagement
    • 2024 meetings: Board 16; Audit 12; Nominating & Governance 3; Compensation 3 .
    • Each incumbent director attended at least 75% of aggregate Board and committee meetings; all directors attended the prior Annual Meeting .
  • Policies and safeguards
    • Stock ownership guidelines: Non‑employee directors must hold 3x annual cash retainer; 5‑year compliance window; 50% net‑shares retention until compliant .
    • Prohibitions on short sales, hedging, margin accounts, and pledging of Company securities .
    • Overboarding limits and change‑in‑occupation resignation policy; all directors in compliance .
    • Audit Committee reviews related‑party transactions; Compensation Committee oversees clawback policy application (executive incentive compensation) .

Fixed Compensation (Director, 2024)

ComponentAmountNotes
Cash fees$56,500Fees earned/paid in cash during 2024
Equity (RSUs)$149,999Grant date fair value per ASC 718; annual non‑employee director equity program
Total$206,499Sum of cash and stock award values

Director compensation program elements (unchanged for 2024): $40,000 annual cash retainer; ~$150,000 annual equity grant; additional annual cash retainers—Board Chair $40,000; Audit Chair $20,000; Audit Member $10,000; Compensation Chair $10,000; Compensation Member $5,000; Nominating & Governance Chair $8,000; Nominating & Governance Member $4,000; annual aggregate cap $750,000 per director .

Performance Compensation

  • Non‑employee directors do not have performance‑based cash bonuses; annual equity is time‑based RSUs for board alignment (no disclosed performance metrics for director equity) .

Other Directorships & Interlocks

CompanyTypeRolePotential Interlock
Quorum HealthPrivate healthcare providerChair, Board of Managers; Comp ChairNone disclosed with OPRX; Board independence review found no disqualifying relationships
Albert Einstein College of MedicineNon‑profit academicTrustee; Audit ChairNone disclosed
Montefiore Health SystemNon‑profit health systemTrustee; Vice Chair; Audit Chair; Co‑Chair Medical CommitteeNone disclosed
Allergan plcFormer publicDirector (2004–2019)Historical only
Pharmaceutical Product Development, Inc.Former publicDirector (2000–2011)Historical only
  • Related‑party transactions at OPRX disclosed for 2024 involved EVERSANA (James Lang’s employer) reseller revenues; none involve Klema .

Expertise & Qualifications

  • Skills matrix indicates she brings corporate governance, healthcare industry, M&A, risk management, and high‑level financial/accounting expertise to the Board .
  • Biography highlights 40 years in healthcare investment, data, analytics, and technology‑enabled business services .

Equity Ownership

MetricDetail
Total beneficial ownership11,752 shares; less than 1% of outstanding
RSUs vesting within 60 days (from record date)6,643 RSUs included in beneficial ownership per SEC rules
Unvested RSUs at 12/31/202411,752 RSUs
Ownership guidelinesNon‑employee directors: 3x annual cash retainer; 5‑year window; 50% net share retention until compliant
Compliance statusAll directors comply or have additional time to comply
Hedging/pledgingProhibited (short sales, hedging, margin, pledging)

Additional Compliance/Signals

  • Section 16(a) reporting: one late Form 4 covering a total of two transactions reported for Ms. Klema in 2024 (company‑wide summary) .
  • Board refreshment and shareholder engagement: Board added Klema in Jan 2024; after engagement with Whetstone Capital (8.2% holder), Whetstone withdrew its nomination notice in April 2025; the Board intends to add another independent director in 2H 2025 .
  • Say‑on‑Pay context: 2024 vote support was 64.8%; Board acknowledges low level and is pursuing ongoing outreach and compensation program evaluation (company‑level governance climate) .

Governance Assessment

Strengths

  • Independent director with deep healthcare capital markets and governance experience; chairs Nominating & Governance and serves on Audit, aligning with board refreshment, ESG oversight, and risk/controls mandates .
  • Strong governance framework: independent Chair, all independent board, quarterly executive sessions, anti‑hedging/pledging, stock ownership guidelines with retention requirements .
  • Director pay mix balanced toward equity (about 73% equity by grant‑date value in 2024), supporting alignment with shareholders .

Watch items / potential red flags

  • Section 16 timeliness: company disclosed one late Form 4 for Ms. Klema among broader late filings; typically immaterial but a process point for monitoring .
  • Company‑level say‑on‑pay support was 64.8% in 2024, below typical mid‑70s+ norms; the board (including N&G Chair) has highlighted engagement and review—investors may look for follow‑through and clearer pay‑for‑performance links .
  • Activist engagement in 2025 (Whetstone) underscores investor pressure; constructive resolution and planned addition of an independent director are positives, but continued responsiveness will be scrutinized .

Overall implication

  • Klema’s committee leadership (Nominating & Governance Chair) and Audit membership, combined with her healthcare finance background, bolster board effectiveness in oversight, refreshment, and governance policy. Current disclosures show no related‑party conflicts involving her, with policies in place to mitigate alignment risks (ownership guidelines; hedging/pledging bans). Monitoring areas include Section 16 compliance hygiene and tangible improvements in pay practices/engagement outcomes following the 2024 say‑on‑pay result .