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Ontrak (OTRK)
NASDAQ:OTRK

Ontrak (OTRK) AI Stock Analysis

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Ontrak

(NASDAQ:OTRK)

39Underperform
Ontrak faces significant challenges with ongoing financial losses and negative cash flow, affecting its overall stability and growth prospects. Technical analysis shows bearish trends, and valuation metrics are unattractive. Despite some optimistic guidance from the earnings call regarding new customer acquisitions and potential revenue growth, the current financial situation heavily impacts the overall score.

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

Ontrak Business Overview & Revenue Model

Company DescriptionOntrak, Inc. is a healthcare technology company that focuses on helping its clients, primarily health plans, improve the health and well-being of their members through data-driven solutions. The company specializes in offering behavioral health management services that integrate care coaching, analytics, and digital interventions to address chronic health conditions, particularly those with underlying behavioral health issues. Ontrak's services aim to enhance patient engagement and care outcomes while reducing healthcare costs.
How the Company Makes MoneyOntrak makes money through contracts with health plans, insurers, and employer groups by providing its behavioral health management services. The company operates on a value-based care model, where it receives payments based on the success of its interventions in improving patient outcomes and reducing healthcare costs. Revenue is generated primarily from the fees charged for its health management services, which are often structured as performance-based arrangements, aligning Ontrak's income with the cost savings and health improvements achieved for its clients. Key factors contributing to its earnings include the efficacy of its intervention programs, the scale of partnerships with healthcare payers, and the expansion of its service offerings to cover more health conditions or populations.

Ontrak Financial Statement Overview

Summary
Ontrak's financial health is weak, with persistent losses affecting profitability and cash flow. The company's revenue has declined significantly, and it relies heavily on external financing. While the balance sheet shows some stability, negative cash flows and net losses pose significant risks.
Income Statement
25
Negative
The company's income statement shows persistent losses with negative net income and operating margins over time. Despite a high gross profit margin of 54.3% in TTM, revenue has decreased significantly from 2021 levels, indicating volatility and challenges in maintaining revenue growth. The net profit margin remains negative, reflecting ongoing profitability issues.
Balance Sheet
35
Negative
The balance sheet indicates moderate equity with a debt-to-equity ratio of 0.71 in TTM, suggesting a balanced capital structure. However, stockholders' equity has decreased substantially from previous years, indicating potential financial strain. The return on equity is negative due to net losses, undermining investor confidence.
Cash Flow
20
Very Negative
Cash flow analysis reveals negative free cash flow in TTM, reflecting challenges in generating sufficient cash to cover operational needs. Operating cash flow to net income ratio is unfavorable, highlighting inefficiencies in cash generation from operations. The company has relied significantly on financing activities to manage cash requirements.
Breakdown
TTMDec 2023Dec 2022Dec 2021Dec 2020Dec 2019
Income StatementTotal Revenue
11.24M12.74M14.51M84.13M82.84M35.09M
Gross Profit
6.10M8.80M7.05M52.92M39.23M14.69M
EBIT
-18.35M-20.68M-43.18M-19.03M-14.92M-20.01M
EBITDA
-16.25M-14.42M-42.38M-24.65M-14.92M-21.78M
Net Income Common Stockholders
-26.72M-27.92M-51.57M-37.14M-22.71M-26.17M
Balance SheetCash, Cash Equivalents and Short-Term Investments
3.16M9.70M5.03M58.82M86.91M13.61M
Total Assets
6.32M19.85M25.76M93.68M144.70M23.86M
Total Debt
7.47M1.69M11.26M37.45M47.97M34.19M
Net Debt
4.31M-8.01M6.23M-21.37M-38.93M20.57M
Total Liabilities
15.29M5.58M20.08M48.13M83.95M47.76M
Stockholders Equity
-8.96M14.27M5.68M45.55M60.75M-23.91M
Cash FlowFree Cash Flow
-12.95M-15.78M-25.12M-30.64M-8.04M-16.90M
Operating Cash Flow
-12.76M-15.50M-23.97M-26.16M-6.28M-16.90M
Investing Cash Flow
-191.00K-285.00K-1.16M-4.48M-4.64M0.00
Financing Cash Flow
11.69M15.77M-31.11M-6.63M100.11M27.35M

Ontrak Technical Analysis

Technical Analysis Sentiment
Negative
Last Price1.48
Price Trends
50DMA
1.57
Negative
100DMA
1.65
Negative
200DMA
2.35
Negative
Market Momentum
MACD
<0.01
Negative
RSI
46.14
Neutral
STOCH
42.93
Neutral
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 1.48 is below the 20-day moving average (MA) of 1.49, below the 50-day MA of 1.57, and below the 200-day MA of 2.35, indicating a bearish trend. The MACD of <0.01 indicates Negative momentum. The RSI at 46.14 is Neutral, neither overbought nor oversold. The STOCH value of 42.93 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for OTRK.

Ontrak Risk Analysis

Ontrak disclosed 60 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 (49)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
56
Neutral
$2.13B34.084.87%8.33%256.54%
49
Neutral
$6.85B0.81-52.76%2.50%19.89%1.27%
43
Neutral
$122.07M-54.13%-1.81%70.88%
40
Underperform
$233.47M-154.01%187.79%32.40%
39
Underperform
$6.45M-782.98%-4.05%89.52%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
OTRK
Ontrak
1.48
-5.19
-77.81%
OCGN
Ocugen
0.80
-0.74
-48.05%
LIVN
LivaNova
39.13
-16.03
-29.06%
AMWL
American Well
7.82
-7.61
-49.32%

Ontrak Earnings Call Summary

Earnings Call Date: Mar 13, 2025 | % Change Since: 2.07% | Next Earnings Date: May 8, 2025
Earnings Call Sentiment Neutral
The earnings call highlighted significant new customer acquisitions and expansion of services, showcasing growth in the sales pipeline and improvement in outreach success rates. However, these positive developments are counterbalanced by declines in revenue and gross margin, alongside negative cash flow. Despite the challenges, there is a positive outlook for future revenue growth.
Highlights
New Customer Expansion
Ontrak Health expanded its services to Sentara Health plans, offering its Engage solution to approximately 20,000 planned members, including specialized care coaching.
Success in Sales Pipeline
Secured 2 new regional health plan customers and 4 health plan expansions since January 2024, demonstrating versatility across various plan types such as Medicaid and Medicare Advantage.
High Outreach Success Rate
Achieved a greater than 50% outreach success rate, more than double the industry standard, positively impacting HEDIS scores for clients.
New Customer and Product Launches
Announced signing of a large health plan in the Northeast, expanding services to include Ontrak's quality solutions, helping to close over 30,000 HEDIS gaps in care.
Positive Revenue Projections
Current customers under contract account for $11 million to $13 million of annual revenue, with potential new deals adding $9 million to $12 million of additional revenue.
Lowlights
Revenue Decline
Q3 revenue of $2.6 million, a 31% decrease compared to the same period last year due to the loss of a customer.
Decreased Revenue per Member
Quarterly revenue per health plan enrolled member per month decreased to $449 from $552 in Q3 2023, mainly due to new customer pricing structures.
Reduced Gross Margin
Gross margin reduced to 62% from 72% in Q3 2023, with expectations of potential slight decreases during new customer expansions.
Negative Cash Flow
Operating cash flow for Q3 was negative $1.4 million, though this was an improvement from negative $4.5 million in Q2 2024.
Company Guidance
During the Q3 2024 earnings call for Ontrak Health, several key metrics and guidance points were discussed. Brandon LaVerne highlighted the company's expansion with Sentara Health plans, which will offer the Engage solution to approximately 20,000 members, focusing on those with rising health risks. The company secured two new regional health plan customers and four expansions since January 2024, covering Medicaid, HARP, commercial, and marketplace plans. The pipeline is robust, with 4 late-stage prospects, including a potential partnership with a prominent healthcare system in the West and a large Blues plan in the Midwest, representing significant growth opportunities. Mary Lou Osborne mentioned that Ontrak's quality solutions aim to close over 30,000 HEDIS gaps in care, achieving a greater than 50% outreach success rate. Financially, James Park reported Q3 revenue of $2.6 million, a 31% decrease year-over-year, with a gross margin of 62% and a projected Q4 revenue increase to $2.9 million-$3.2 million. The company's cash reserves stood at $8 million, with $11 million to $13 million in annual revenue from current contracts and an additional $9 million to $12 million potential revenue from near-term opportunities.
Glossary
OutperformA stock rated as "Outperform" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock is likely to deliver higher returns compared to the average returns of other stocks in the same sector or market index. Investors might consider this stock a good buying opportunity.
NeutralA stock rated as "Neutral" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly attractive nor unattractive for investment. Investors may consider holding onto the stock, as it is not expected to either significantly outperform or underperform the market.
UnderperformA stock rated as "Underperform" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock may deliver lower returns compared to the average returns of other stocks in the same sector or market index. Investors might consider selling the stock or avoiding it as an investment.

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.