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PaySign (PAYS)
NASDAQ:PAYS
US Market

PaySign (PAYS) AI Stock Analysis

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PAYS

PaySign

(NASDAQ:PAYS)

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Neutral 63 (OpenAI - 5.2)
Rating:63Neutral
Price Target:
$4.00
▲(8.11% Upside)
The score is supported by improving financial performance and a strong, guidance-raising earnings call (accelerating YoY growth and record profitability). These positives are tempered by a clearly bearish technical trend (price below all key moving averages with negative MACD) and a key fundamental watch item: sharply weaker TTM free cash flow despite remaining positive. Valuation is reasonable but not cheap given the 28.821 P/E and no dividend yield provided.
Positive Factors
Revenue & profitability momentum
Sustained high-single to double-digit revenue growth and large EBITDA expansion show the business scaling profitably. Improving operating leverage and record quarterly profits indicate durable margin recovery and stronger earnings power over the next several quarters.
Patient affordability program expansion
Rapidly growing patient-affordability revenue and a rising program count reflect a scalable, sticky B2B product that diversifies revenue away from volatile segments. Program expansion and larger support capacity suggest durable recurring fees and deeper client integration.
Conservative balance sheet and ROE
Low leverage and solid ROE provide financial flexibility to invest in product expansion and absorb industry cycles. A conservative capital structure reduces refinancing risk and supports multi-quarter investments in growth without stressing solvency.
Negative Factors
Free cash flow deterioration
Although cash generation remains positive, the sharp TTM decline in free cash flow signals worsening cash conversion or rising working-capital/resource spending. If sustained, this can limit reinvestment, slow organic growth, and pressure liquidity over several quarters.
Plasma industry oversupply & center productivity drop
PaySign's payments tied to plasma donor centers face structural demand headwinds while per-center revenue is down. Prolonged oversupply or slow center maturation could compress a meaningful revenue segment and reduce predictability of recurring volumes.
Regulatory delay for BECCS and rising operating costs
Regulatory delays postpone new-product revenue and extend payback on investments. Concurrently rising compensation and equity spend can keep operating margin pressure elevated; together they lengthen the timeline for new revenue to offset higher structural costs.

PaySign (PAYS) vs. SPDR S&P 500 ETF (SPY)

PaySign Business Overview & Revenue Model

Company DescriptionPaySign, Inc. provides prepaid card products and processing services under the PaySign brand for corporate, consumer, and government applications. It offers various services, such as transaction processing, cardholder enrollment, value loading, cardholder account management, reporting, and customer service through PaySign, a proprietary card-processing platform. The company also develops prepaid card programs for corporate incentive and rewards, including consumer rebates, donor compensation, clinical trials, healthcare reimbursement payments, and pharmaceutical payment assistance; and payroll or general purpose reloadable cards, as well as gift or incentive cards. In addition, it offers and Per Diem/Corporate Expense Payments that allows businesses, and non–profits and government agencies the ability to control employee spending while reducing administration costs by eliminating the need for traditional expense reports. Further, the company provides payment claims processing and other administrative services; pharmacy-based voucher and copay, and medical claims and debit-based affordability programs; PaySign Premier, a demand deposit account debit card; and payment solution for source plasma collection centers, as well as customer service center and PaySign Communications Suite services. Its principal target markets for processing services comprise prepaid card issuers, retail and private-label issuers, small third-party processors, and small and mid-size financial institutions in the United States and Mexico. The company was formerly known as 3PEA International, Inc. and changed its name to PaySign, Inc. in April 2019. PaySign, Inc. was incorporated in 1995 and is based in Henderson, Nevada.
How the Company Makes MoneyPaySign generates revenue through multiple streams, primarily by charging fees for its prepaid card programs and transaction processing services. The company's revenue model includes card issuance fees, transaction fees for point-of-sale purchases, and monthly service fees for ongoing account management. Additionally, PaySign benefits from interchange fees received from card transactions. The company has established strategic partnerships with various organizations, including healthcare providers and payment processors, which contribute to its earnings by expanding its customer base and enhancing its service offerings. These partnerships enable PaySign to deliver tailored solutions that meet the specific needs of its clients, thereby driving additional revenue growth.

PaySign Earnings Call Summary

Earnings Call Date:Nov 12, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Mar 24, 2026
Earnings Call Sentiment Positive
The earnings call highlighted significant revenue and income growth, expansion in patient affordability programs, and operational efficiencies. However, challenges include plasma industry oversupply, regulatory delays, and increased operating expenses.
Q3-2025 Updates
Positive Updates
Record Revenue Growth
PaySign reported record revenue of $21.6 million, a 41.6% increase year-over-year.
Strong Adjusted EBITDA Growth
Adjusted EBITDA reached a record $5 million, up 78% from the previous year.
Significant Net Income Increase
Net income rose by 54% to $2.2 million, or $0.04 per fully diluted share.
Patient Affordability Business Expansion
The patient affordability business generated $7.9 million in revenue, a 142% increase from the prior year's quarter.
Operational Efficiencies Achieved
Meaningful operational efficiencies were achieved during the quarter.
Expansion of Patient Support Center
Opened a new 30,000 square foot patient support center, quadrupling support capacity.
Improved Gross Profit Margins
Gross profit margin improved by 72 basis points to 56.3%.
Increased Program Count
Ended the quarter with 105 active programs, expecting to reach 125 to 135 by year-end.
Negative Updates
Plasma Industry Challenges
The plasma industry continues to face an oversupply of sourced plasma, which is expected to normalize in 2026.
Revenue Per Plasma Center Decline
Revenue per plasma center declined to $7,122 due to new centers not reaching full maturity and existing centers impacted by plasma oversupply.
Increased Operating Expenses
Compensation and benefits increased by 20.3%, and stock compensation increased by 32%.
Regulatory Delays for BECCS
Awaiting FDA 510 clearance for the BECCS, causing delays in launching this business line.
Company Guidance
During the PaySign, Inc. Third Quarter 2025 Earnings Conference Call, the company reported record financial and operational achievements. Revenue for the quarter reached $21.6 million, marking a 41.6% increase year-over-year, while adjusted EBITDA rose by 78% to $5 million. Net income grew by 54% to $2.2 million, translating to $0.04 per fully diluted share. The patient affordability business significantly contributed to this growth, with revenue soaring 142% to $7.9 million. The company ended the quarter with 105 active programs and anticipates increasing this number to between 125 and 135 by year-end. In the plasma donor compensation segment, revenue increased by 12.4% to $12.9 million despite a reduction of 12 centers, totaling 595 active centers. PaySign also highlighted operational advancements, including the opening of a new 30,000-square-foot patient support center, which quadruples its support capacity. Looking ahead, the company raised its 2025 revenue guidance to between $80.5 million and $81.5 million, with an anticipated adjusted EBITDA range of $19 million to $20 million.

PaySign Financial Statement Overview

Summary
Fundamentals are solid with improved profitability and low leverage: TTM revenue is up 9.25%, margins are healthy (~57% gross, ~10% net), and EBIT margin improved meaningfully versus 2024 (~1.7% to ~9.7%). Balance sheet strength is notable (TTM debt-to-equity ~0.13; TTM ROE ~19%). The key risk is cash flow trajectory: while operating cash flow (~$18.7M) and free cash flow (~$9.8M) remain positive, free cash flow deteriorated sharply in the TTM period, signaling weaker cash conversion versus recent history.
Income Statement
78
Positive
Profitability and scale have improved materially versus earlier years. TTM (Trailing-Twelve-Months) revenue is up 9.25% with healthy profitability (about 57% gross margin and ~10% net margin), and operating profitability has expanded meaningfully versus 2024 (EBIT margin rose from ~1.7% to ~9.7%). Strength: consistent multi-year revenue growth and strong margin structure for the business model. Weakness: growth has decelerated from the very high rates seen in 2022–2024, and historical earnings were volatile (losses in 2020–2021 and a negative EBIT in 2023), which lowers confidence in smooth earnings durability.
Balance Sheet
84
Very Positive
Balance sheet appears conservatively levered with low debt relative to equity (TTM debt-to-equity ~0.13) and rising equity over time. Returns on equity are solid (TTM ~19%), reflecting improved profitability on a growing capital base. Strength: low leverage and improving equity cushion support financial flexibility. Weakness: total assets have grown quickly, and while returns are healthy now, prior-year return volatility (negative in 2020–2021, then elevated in 2023) suggests performance can swing meaningfully with operating conditions.
Cash Flow
62
Positive
Cash generation remains positive, with TTM (Trailing-Twelve-Months) operating cash flow of ~$18.7M and free cash flow of ~$9.8M, and free cash flow is broadly aligned with earnings (free cash flow is ~0.84x net income). Strength: the business is producing positive operating and free cash flow across periods provided. Weakness: free cash flow has deteriorated sharply in the TTM period (very large negative free-cash-flow growth) and is below prior annual levels, indicating weaker cash conversion/working-capital dynamics or higher spending versus recent history.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue74.88M58.38M47.27M38.03M29.46M24.12M
Gross Profit44.80M32.20M24.14M20.95M14.71M9.30M
EBITDA14.38M7.02M3.86M2.79M-1.12M-5.79M
Net Income7.56M3.82M6.46M1.03M-2.72M-9.14M
Balance Sheet
Total Assets209.51M179.03M146.60M108.24M84.05M67.83M
Cash, Cash Equivalents and Short-Term Investments7.53M10.77M16.99M9.71M7.39M7.83M
Total Debt6.08M2.93M3.31M3.67M4.01M4.33M
Total Liabilities163.75M148.59M122.11M91.95M71.06M54.60M
Stockholders Equity45.76M30.44M24.49M16.29M12.99M13.24M
Cash Flow
Free Cash Flow9.84M13.46M20.57M21.23M12.55M10.43M
Operating Cash Flow18.67M22.95M27.62M25.32M15.23M13.78M
Investing Cash Flow-10.84M-9.49M-7.05M-4.09M-2.68M-3.34M
Financing Cash Flow150.32K-466.25K-1.12M0.00192.14K-72.86K

PaySign Technical Analysis

Technical Analysis Sentiment
Negative
Last Price3.70
Price Trends
50DMA
4.93
Negative
100DMA
5.24
Negative
200DMA
5.27
Negative
Market Momentum
MACD
-0.30
Positive
RSI
18.60
Positive
STOCH
8.37
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For PAYS, the sentiment is Negative. The current price of 3.7 is below the 20-day moving average (MA) of 4.47, below the 50-day MA of 4.93, and below the 200-day MA of 5.27, indicating a bearish trend. The MACD of -0.30 indicates Positive momentum. The RSI at 18.60 is Positive, neither overbought nor oversold. The STOCH value of 8.37 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for PAYS.

PaySign Risk Analysis

PaySign disclosed 28 risk factors in its most recent earnings report. PaySign 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 1 New Risks
1.
Global and regional economic conditions could harm our business. Q4, 2023

PaySign Peers Comparison

Overall Rating
UnderperformOutperform
Sector (61)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
68
Neutral
$460.94M12.1526.84%-6.57%-29.62%
67
Neutral
$2.15B31.849.79%10.58%-45.52%
65
Neutral
$2.27B-1,157.140.58%24.71%99.52%
63
Neutral
$203.66M28.1420.36%32.61%-8.26%
61
Neutral
$37.18B12.37-10.20%1.83%8.50%-7.62%
53
Neutral
$379.69M-2.29-48.63%101.97%58.61%
51
Neutral
$561.25M-2.52-17.60%-0.58%-57.43%
* Technology Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
PAYS
PaySign
3.70
1.00
37.04%
IMXI
International Money Express
15.51
-3.40
-17.98%
RPAY
Repay Holdings
3.44
-4.13
-54.56%
AVPT
AvePoint
10.53
-8.89
-45.78%
PAYO
Payoneer
6.04
-5.00
-45.29%
BKKT
Bakkt Holdings, Inc. Class A
11.61
-2.74
-19.09%
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: Feb 04, 2026