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Ontrak (OTRKQ)
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Ontrak (OTRKQ) AI Stock Analysis

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OTRKQ

Ontrak

(OTC:OTRKQ)

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Rating:44Neutral
Price Target:
$0.00
▼(-100.00% Downside)
Action:UpgradedDate:10/23/25
Ontrak's overall stock score of 44 is driven primarily by its weak financial performance, with declining revenue, heavy losses, high debt, and negative cash flows posing significant risks. Technical analysis shows mixed signals with a long-term downtrend, while valuation metrics highlight unprofitability and lack of shareholder returns. Financial health remains the most critical concern impacting the score.
Positive Factors
Strategic Partnerships
Strategic partnerships with health insurers expand Ontrak's market reach and service offerings, potentially driving long-term revenue growth and enhancing competitive positioning in the healthcare technology sector.
Negative Factors
Declining Revenue
Declining revenue indicates potential market challenges and operational inefficiencies, which could hinder growth and profitability if not addressed through strategic adjustments.
Read all positive and negative factors
Positive Factors
Negative Factors
Strategic Partnerships
Strategic partnerships with health insurers expand Ontrak's market reach and service offerings, potentially driving long-term revenue growth and enhancing competitive positioning in the healthcare technology sector.
Read all positive factors

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

Ontrak Business Overview & Revenue Model

Company Description
Ontrak, Inc. operates as an artificial intelligence powered, telehealth-enabled, and virtualized healthcare company that provides in-person services to health plans and other third-party payors in the United States. Its technology-enabled platform...
How the Company Makes Money
Ontrak generates revenue primarily through contracts with health plans and employers, where it provides its behavioral health intervention programs. The company's revenue model is based on a fee-for-service structure, often incorporating performan...

Ontrak Earnings Call Summary

Earnings Call Date:May 20, 2025
(Q1-2025)
|
% Change Since: |
Next Earnings Date:May 13, 2026
Earnings Call Sentiment Neutral
The earnings call reflects a mixed sentiment with significant operational improvements and growth in membership contrasted by a notable decline in revenue and gross margin due to customer loss. While there are promising new business opportunities, the financial challenges remain a concern.
Positive Updates
Expansion of Outreach Pool
Ontrak's outreach pool has expanded significantly over the past year with new customer implementations, including Intermountain Health and a Northeast regional plan.
Negative Updates
Revenue Decline
Q1 2025 revenue was $2 million, reflecting a 25% decrease compared to the same period last year due to the loss of a major customer.
Read all updates
Q1-2025 Updates
Negative
Expansion of Outreach Pool
Ontrak's outreach pool has expanded significantly over the past year with new customer implementations, including Intermountain Health and a Northeast regional plan.
Read all positive updates
Company Guidance
During the Ontrak Health First Quarter 2025 Earnings Conference Call, the company provided optimistic guidance regarding its future prospects. Ontrak anticipates doubling its run rate revenue in 2025 compared to 2024, driven by successful conversions of new customer opportunities, notably with a large Midwestern Medicaid plan. The company reported a significant increase in enrolled members, reaching 3,165 by the end of Q1, which nearly doubled year-over-year. The quarter's revenue was $2 million, reflecting a 25% decrease from the previous year, attributed to the loss of a customer at the end of 2024. However, the company expects Q2 2025 revenues to range from $2.2 million to $2.6 million, representing an 8% to 22% sequential increase. Ontrak's strategic investments in AI-driven technology and expanded solution offerings, including the Engage program, have significantly improved productivity and market reach, with the potential to address critical gaps in the behavioral health care landscape. The company also highlighted its strong pipeline of prospective contracts that could bring an additional $15 million in revenue, potentially doubling its current customer-based revenue.

Ontrak Financial Statement Overview

Summary
Ontrak's financial performance is weak across income statement, balance sheet, and cash flow metrics. Revenue decline (-15% YoY), deep net losses (-274.2% margin), high leverage (Debt-to-Equity of 2.08), and persistent negative free cash flow (-$13.1M) signal significant operational and financial challenges. A score of 40 reflects these ongoing risks despite a decent gross margin (57.6%).
Income Statement
15
Very Negative
Balance Sheet
20
Very Negative
Cash Flow
10
Very Negative
BreakdownMar 2025Mar 2024Dec 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-14.21M
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 Debt8.50M1.69M11.26M37.45M48.73M
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 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
52
Neutral
$949.07M-6.16-14.24%-2.37%77.85%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
46
Neutral
$88.39M-0.82-35.88%4.33%50.50%
46
Neutral
$152.81M-2.20-47.69%-5.30%46.01%
44
Neutral
$1.42K>-0.01-21.03%47.41%
42
Neutral
$11.02M-0.51336.68%187.24%82.90%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
OTRKQ
Ontrak
0.06
-1.45
-96.03%
TDOC
Teladoc
5.32
-2.56
-32.49%
AMWL
American Well
5.34
-1.83
-25.52%
DH
Definitive Healthcare Corp
1.07
-1.42
-57.03%
EUDA
EUDA Health Holdings
7.09
-63.11
-89.90%
VSEE
VSee Health
0.23
-0.93
-80.00%
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: Oct 23, 2025