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Ontrak (OTRK)
NASDAQ:OTRK
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Ontrak (OTRK) AI Stock Analysis

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OTRK

Ontrak

(NASDAQ:OTRK)

Rating:37Underperform
Price Target:
$0.50
▲(61.29%Upside)
Ontrak's overall stock score reflects severe financial and operational challenges. The decision to cease operations is the most impactful factor, signaling a terminal decline. Additionally, technical indicators and valuation metrics indicate a highly distressed situation, with minimal prospects for recovery.

Ontrak (OTRK) vs. SPDR S&P 500 ETF (SPY)

Ontrak Business Overview & Revenue Model

Company DescriptionOntrak, Inc. is a healthcare technology company focused on improving health outcomes and reducing healthcare costs by identifying, engaging, and treating members with unaddressed behavioral health conditions. The company operates in the healthcare sector, providing technology-enabled, data-driven solutions that integrate with healthcare plans to offer personalized treatment programs. Ontrak's core services include delivering behavioral health care interventions through a combination of telehealth, digital engagement, and personalized care coaching.
How the Company Makes MoneyOntrak generates revenue primarily through contractual agreements with health plans and managed care organizations. The company's revenue model is based on a pay-for-performance structure, where Ontrak receives payments based on the health improvements and cost savings it delivers to its clients. Key revenue streams include fees for successful member enrollments in its programs and additional compensation tied to achieving specific health outcomes or cost reduction targets. Significant partnerships with major health insurers and healthcare providers contribute to Ontrak's earnings by expanding its reach and enabling the company to leverage its technology platform to manage a larger population of members.

Ontrak Earnings Call Summary

Earnings Call Date:May 20, 2025
(Q1-2025)
|
% Change Since: -80.25%|
Next Earnings Date:Aug 06, 2025
Earnings Call Sentiment Neutral
The earnings call highlights Ontrak's significant enrollment growth, operational efficiency improvements, and promising pipeline opportunities, but these are tempered by a notable decline in revenue and gross margin due to customer loss and changes in revenue per member. The company's strategic expansions and partnerships are positive, yet financial metrics indicate challenges remain.
Q1-2025 Updates
Positive Updates
Substantial Enrollment Growth
Ontrak reached over 3,165 total enrolled members, including more than 1,150 members in the Engage program, nearly doubling year-over-year.
Expansion in Pipeline Opportunities
Successful state Medicaid provider approval and ongoing engagement with a large Midwestern Medicaid plan could potentially double run rate revenue in 2025.
Operational Efficiency Achievements
The current workforce productivity is more than twice as high as in 2021, with the organization serving more members with less than half the employees.
New Partnerships and Expansions
Implementation with new customers such as Intermountain Health and Northeast regional plan, along with expansion of the Engage solution with existing partners.
Negative Updates
Revenue Decline
Q1 revenue decreased by 25% compared to the previous year due to the loss of a customer.
Decreased Revenue Per Member
Revenue per health plan enrolled member per month dropped to $254 from $500 in Q4 2024 and $504 in Q1 2024.
Lower Gross Margin
Q1 gross margin fell to 37% from 61% in Q4 2024 and 63.6% in Q1 2024, primarily due to the shift in member mix.
Company Guidance
During the first quarter of 2025, Ontrak Health reported a significant increase in their enrolled member base, reaching over 3,165 total members, including 1,150 in their Engage program. This marks nearly double the enrollment year-over-year. Despite a 25% decrease in revenue to $2 million compared to last year, attributed to the loss of a customer, the company is optimistic about future growth, with a path to potentially double their run rate revenue in 2025 through new customer conversions. The company's strategic focus includes expanding their Medicaid provider status and leveraging their AI-driven engagement system to enhance productivity and outcomes. They achieved a gross margin of 37% and a cash reserve of $4.1 million at the end of the quarter, with additional financing options secured. Looking forward, Ontrak anticipates Q2 revenues between $2.2 million and $2.6 million, reflecting an 8% to 22% sequential increase.

Ontrak Financial Statement Overview

Summary
Ontrak faces significant financial challenges with declining revenues, negative profitability, and high leverage. Revenue and profitability are deeply negative, with concerning debt levels and cash flow issues. These factors necessitate urgent strategic adjustments.
Income Statement
30
Negative
Ontrak's income statement shows significant challenges with declining revenue and negative margins. The company has experienced a substantial decrease in revenue from previous years, with a negative revenue growth rate. Gross profit margin is moderately positive, but the net profit margin is deeply negative, indicating a struggle to achieve profitability. EBIT and EBITDA margins are also negative, highlighting ongoing operational inefficiencies.
Balance Sheet
40
Negative
The balance sheet reflects a mixed financial position with high leverage and minimal equity. The debt-to-equity ratio is concerning, indicating potential risks associated with high leverage. Stockholders' equity has decreased significantly, affecting the equity ratio negatively. The return on equity is negative, further pointing to profitability challenges. On a positive note, the company has maintained some level of cash reserves, although these have declined over time.
Cash Flow
35
Negative
Ontrak's cash flow statement reveals consistent negative free cash flow and operating cash flow, indicating cash burn and potential liquidity issues. The free cash flow growth is negative, and the operating cash flow to net income ratio is unfavorable due to negative cash flow and net income. Financing activities have provided some relief, but the sustainability of such reliance is uncertain.
BreakdownDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue10.85M12.74M14.51M84.13M82.84M
Gross Profit6.82M8.80M7.05M52.92M39.23M
EBITDA-22.59M-14.42M-42.38M-24.65M-14.92M
Net Income-25.49M-27.92M-51.57M-37.14M-22.71M
Balance Sheet
Total Assets21.07M19.85M25.76M93.68M144.70M
Cash, Cash Equivalents and Short-Term Investments5.71M9.70M5.03M58.82M86.91M
Total Debt8.50M1.69M11.26M37.45M47.97M
Total Liabilities11.21M5.58M20.08M48.13M83.95M
Stockholders Equity9.87M14.27M5.68M45.55M60.75M
Cash Flow
Free Cash Flow-13.61M-15.78M-25.12M-30.64M-8.04M
Operating Cash Flow-13.44M-15.50M-23.97M-26.16M-6.28M
Investing Cash Flow-177.00K-285.00K-1.16M-4.48M-4.64M
Financing Cash Flow9.62M15.77M-31.11M-6.63M100.11M

Ontrak Technical Analysis

Technical Analysis Sentiment
Negative
Last Price0.31
Price Trends
50DMA
0.96
Negative
100DMA
1.24
Negative
200DMA
1.48
Negative
Market Momentum
MACD
-0.14
Negative
RSI
23.61
Positive
STOCH
14.13
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For OTRK, the sentiment is Negative. The current price of 0.31 is below the 20-day moving average (MA) of 0.49, below the 50-day MA of 0.96, and below the 200-day MA of 1.48, indicating a bearish trend. The MACD of -0.14 indicates Negative momentum. The RSI at 23.61 is Positive, neither overbought nor oversold. The STOCH value of 14.13 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for OTRK.

Ontrak Risk Analysis

Ontrak disclosed 61 risk factors in its most recent earnings report. Ontrak reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Ontrak Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
59
Neutral
$570.72M-86.36%-3.04%-152.59%
51
Neutral
$7.30B0.27-62.71%2.44%15.02%0.60%
50
Neutral
$116.20M-44.04%2.79%58.22%
46
Neutral
$20.21M-3190.66%-806.84%
44
Neutral
$1.27B-14.18%-2.57%79.86%
37
Underperform
$2.17M-215.66%-21.03%47.41%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
OTRK
Ontrak
0.31
-2.86
-90.22%
TDOC
Teladoc
7.21
-0.39
-5.13%
AMWL
American Well
7.01
-2.55
-26.67%
DH
Definitive Healthcare Corp
3.90
0.35
9.86%
VSEE
VSee Health
1.21
-1.46
-54.68%

Ontrak Corporate Events

Business Operations and Strategy
Ontrak Ceases Operations After Failed Partnership
Negative
Jul 31, 2025

Ontrak announced that on July 2, 2025, a major potential partner decided not to pursue a partnership, prompting the board to assess its financial situation and funding prospects. Due to the inability to meet financial covenants and lack of viable funding options, the board decided to cease operations and terminate all employees by July 31, 2025.

The most recent analyst rating on (OTRK) stock is a Buy with a $3.00 price target. To see the full list of analyst forecasts on Ontrak stock, see the OTRK Stock Forecast page.

Business Operations and Strategy
Ontrak Faces Partnership Setback Amid Ongoing Prospects
Neutral
Jul 7, 2025

On July 2, 2025, Ontrak, Inc. was informed by a prospective partner that it would not pursue a partnership, affecting up to 9,000 lives for Wholehealth+ and 20,000 for Engage. Despite this setback, Ontrak continues to engage with four prospects in advanced sales stages, representing up to 13,000 lives for Wholehealth+ and 20,000 for Engage, and has 20 additional active prospects representing approximately 15 million plan lives.

The most recent analyst rating on (OTRK) stock is a Buy with a $60.00 price target. To see the full list of analyst forecasts on Ontrak stock, see the OTRK Stock Forecast page.

Private Placements and FinancingBusiness Operations and Strategy
Ontrak Completes $3.24 Million Public Offering
Neutral
Jul 3, 2025

On June 30, 2025, Ontrak, Inc. completed a public offering of common stock and warrants, raising approximately $3.24 million in net proceeds. The company plans to use these funds for working capital and general corporate purposes. The offering involved the sale of shares and prefunded warrants, each accompanied by four additional warrants, with an exercise price of $0.60 per share. The offering is part of Ontrak’s strategy to enhance its financial position and support its operations in the behavioral healthcare industry.

The most recent analyst rating on (OTRK) stock is a Buy with a $60.00 price target. To see the full list of analyst forecasts on Ontrak stock, see the OTRK Stock Forecast page.

Private Placements and Financing
Ontrak Amends Note Purchase Agreement with Acuitas
Neutral
Jun 30, 2025

On June 27, 2025, Ontrak, Inc. entered into a Seventh Amendment to its Master Note Purchase Agreement with Acuitas Capital LLC and U.S. Bank Trust Company. This amendment allows Acuitas to purchase up to $8.45 million in senior secured convertible promissory notes from Ontrak, with conditions tied to the company’s financial status and market conditions. Additionally, Humanitario Capital, an affiliate of Acuitas, exercised 500,000 pre-funded warrants on June 20, 2025, increasing Acuitas’ ownership to 52% of Ontrak’s common stock, though this was not considered a change of control due to prior ownership levels.

The most recent analyst rating on (OTRK) stock is a Buy with a $60.00 price target. To see the full list of analyst forecasts on Ontrak stock, see the OTRK Stock Forecast page.

Private Placements and FinancingBusiness Operations and Strategy
Ontrak Secures Financing Agreement with Acuitas Capital
Neutral
May 20, 2025

On May 19, 2025, Ontrak, Inc. entered into an agreement with Acuitas Capital LLC to facilitate financial support through the purchase of senior secured convertible and non-convertible promissory notes. This arrangement allows Ontrak to request up to $5 million in principal amount for each type of note, with conditions ensuring the company’s efforts to raise capital through equity offerings. The agreement includes provisions for issuing warrants to purchase shares of Ontrak’s common stock, impacting the company’s financial strategy and potentially affecting its market operations.

The most recent analyst rating on (OTRK) stock is a Buy with a $60.00 price target. To see the full list of analyst forecasts on Ontrak stock, see the OTRK Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Aug 01, 2025