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Pacific Health Care Organization (PFHO)
OTHER OTC:PFHO
US Market

Pacific Health Care Organization (PFHO) AI Stock Analysis

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PFHO

Pacific Health Care Organization

(OTC:PFHO)

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Outperform 73 (OpenAI - 5.2)
,
Outperform 73 (OpenAI - 5.2)
,
Outperform 73 (OpenAI - 5.2)
Rating:73Outperform
Price Target:
$1.50
▲(14.50% Upside)
Action:ReiteratedDate:03/20/26
The score is driven primarily by strong financial performance, especially the low-leverage balance sheet and improved 2025 profitability alongside strong revenue growth. This is tempered by only mixed technical momentum and signs of uneven cash-flow growth/conversion, while valuation looks reasonable based on the ~12 P/E.
Positive Factors
Conservative balance sheet / low leverage
Very low or no debt materially reduces financial distress and gives management durable optionality to fund growth, absorb reimbursement shocks, or pursue acquisitions without raising leverage. Steady equity growth and improving ROE (~10.6% in 2025) signal improving capital efficiency while retaining low leverage risk.
Accelerating revenue growth and improved margins
A sharp acceleration in revenue alongside materially higher gross and net margins points to sustainable improvements in market traction or pricing/mix. Higher margins increase structural earnings power and buffer against cyclical cost pressure, supporting repeatable profitability over the medium term.
Consistent positive free cash flow and stronger operating cash
Consistent positive FCF that tracks net income indicates core earnings convert to cash, supporting reinvestment, debt reduction, or shareholder returns. The marked improvement in operating cash flow in 2025 suggests structural operational gains rather than one-off items, enhancing sustainable cash-generation capacity.
Negative Factors
Declining free cash flow growth / uneven cash conversion
FCF growth falling in 2024–2025 even as earnings rose points to working capital timing, capex, or billing/collection dynamics that can constrain internally funded growth. Persistent variability in cash conversion reduces predictability of cash available for strategic investments or capital returns over the medium term.
Volatile operating profitability
Wide swings in EBITDA margins across years weaken confidence in recurring earnings power and complicate forecasting. If margins depend on transient mix shifts or episodic gains, sustainable margin targets are less reliable, raising execution risk for long-term margin expansion plans.
Small scale and limited employee base
A very small workforce suggests limited operational scale and potential constraints in underwriting, network contracting, regulatory compliance, and distribution relative to larger peers. Small scale can translate into weaker negotiating leverage with payors and providers and less ability to absorb regulatory or operational shocks over time.

Pacific Health Care Organization (PFHO) vs. SPDR S&P 500 ETF (SPY)

Pacific Health Care Organization Business Overview & Revenue Model

Company DescriptionPacific Health Care Organization, Inc., together with its subsidiaries, provides specialty workers' compensation managed care services for self-administered employers, insurers, third-party administrators, municipalities, and other industries in the United States. The company is involved in managing health care organizations (HCOs) and medical provider networks (MPNs); and negotiates legal agreements for the implementation of workers' compensation carve-outs for California customers. It also offers HCO, MPN, and medical case management programs; and claims-related services, including utilization and medical bill review, medical case management, lien representation, legal support, and Medicare set aside. The company was formerly known as Clear Air, Inc. and changed its name to Pacific Health Care Organization, Inc. in January 2001. Pacific Health Care Organization, Inc. was incorporated in 1970 and is based in Newport Beach, California.

Pacific Health Care Organization Financial Statement Overview

Summary
Strong overall fundamentals supported by accelerating revenue growth in 2025, improved profitability (higher gross and net margins), and a very conservative balance sheet with minimal to no debt. Offsetting factors include volatility in operating profitability over time and declining free cash flow growth in 2024–2025 despite higher earnings, indicating some variability in cash conversion.
Income Statement
78
Positive
Revenue growth accelerated meaningfully in the latest year (2025 up ~63% vs. 2024 up ~8%), and profitability improved with higher gross margin (~48%) and net margin (~21%) in 2025. Net income also stepped up versus prior years. The main drawback is volatility in operating profitability over time (EBITDA margin was much higher in 2021/2024 than 2022/2023/2025), suggesting earnings quality may be influenced by mix or period-specific items.
Balance Sheet
92
Very Positive
The balance sheet is very conservatively financed: debt is minimal to none (2025 shows zero debt; prior years were extremely low relative to equity), indicating low leverage risk. Equity has grown steadily from 2020 to 2025, and returns on equity improved in 2025 (~10.6%) versus 2024 (~7.6%). The key limitation is that returns, while improving, are not consistently high year-to-year.
Cash Flow
70
Positive
Free cash flow is consistently positive across the period and closely tracks net income in each year, which supports earnings quality. Operating cash flow improved strongly in 2025, helping cash generation. However, free cash flow growth was negative in both 2024 and 2025, and cash conversion has been uneven (in 2024, operating cash flow was below net income), pointing to some variability in working capital or timing.
BreakdownDec 2025Dec 2024Mar 2024Mar 2023Mar 2022
Income Statement
Total Revenue6.72M6.07M5.63M5.74M5.40M
Gross Profit3.22M2.58M2.16M2.18M2.01M
EBITDA1.03M1.30M716.06K700.12K1.25M
Net Income1.39M883.58K767.93K492.89K995.02K
Balance Sheet
Total Assets13.48M12.43M11.82M12.05M11.33M
Cash, Cash Equivalents and Short-Term Investments12.21M11.10M10.44M10.78M10.09M
Total Debt0.0035.30K56.49K50.14K70.37K
Total Liabilities401.85K745.60K1.02M735.07K508.46K
Stockholders Equity13.07M11.69M10.80M11.32M10.82M
Cash Flow
Free Cash Flow1.14M665.95K914.84K672.37K368.01K
Operating Cash Flow1.16M675.08K932.36K711.24K386.39K
Investing Cash Flow-990.15K-1.13M806.79K-8.76M-18.38K
Financing Cash Flow-72.31K35.30K-1.21M0.00218.90K

Pacific Health Care Organization Technical Analysis

Technical Analysis Sentiment
Negative
Last Price1.31
Price Trends
50DMA
1.27
Negative
100DMA
1.22
Negative
200DMA
1.13
Positive
Market Momentum
MACD
-0.01
Negative
RSI
46.38
Neutral
STOCH
75.64
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For PFHO, the sentiment is Negative. The current price of 1.31 is above the 20-day moving average (MA) of 1.24, above the 50-day MA of 1.27, and above the 200-day MA of 1.13, indicating a neutral trend. The MACD of -0.01 indicates Negative momentum. The RSI at 46.38 is Neutral, neither overbought nor oversold. The STOCH value of 75.64 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for PFHO.

Pacific Health Care Organization Risk Analysis

Pacific Health Care Organization disclosed 24 risk factors in its most recent earnings report. Pacific Health Care Organization reported the most risks in the "Production" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Pacific Health Care Organization Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
73
Outperform
$15.68M11.9911.75%8.72%66.72%
61
Neutral
$3.76B-8.51-39.45%37.38%-912.18%
60
Neutral
$3.54B-88.83-0.49%47.39%85.35%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
51
Neutral
$16.92B-3.03-27.74%14.92%-286.72%
50
Neutral
$991.62M-25.73%15.23%38.79%
49
Neutral
$7.18B18.6810.99%13.71%-18.02%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
PFHO
Pacific Health Care Organization
1.23
0.50
67.81%
CNC
Centene
34.40
-24.94
-42.03%
MOH
Molina Healthcare
139.41
-173.24
-55.41%
CLOV
Clover Health Investments
1.89
-1.92
-50.39%
OSCR
Oscar Health
12.63
-1.33
-9.53%
ALHC
Alignment Healthcare
17.34
-0.12
-0.69%
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: Mar 20, 2026