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1. Company Snapshot

1.a. 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 predicts people whose chronic disease will improve with behavior change, recommends effective care pathways that people are willing to follow, and engages and guides them to and through the care they need.


The company's technology-enabled OnTrak program provides healthcare solutions to members with behavioral conditions that cause or exacerbate chronic medical conditions, such as diabetes, hypertension, coronary artery disease, chronic obstructive pulmonary disease, and congestive heart failure.The OnTrak integrates evidence-based psychosocial and medical interventions delivered in-person or via telehealth along with care coaching and in-market community care coordinators, who address the social and environmental determinants of health.The company was formerly known as Catasys, Inc.


and changed its name to Ontrak, Inc.in July 2020.The company was incorporated in 2003 and is headquartered in Henderson, Nevada.

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1.b. Last Insights on OTRK

Recent negative drivers behind Ontrak, Inc.'s performance include concerns over the company's ability to scale its business efficiently, as evidenced by the lack of significant revenue growth despite new customer partnerships and solution launches. The company's high operating expenses, including sales and marketing costs, may be weighing on its margins. Additionally, the recent launch of WholeHealth+ solution for Intermountain Health's Medicare Advantage members in Nevada may not be generating sufficient revenue to offset these expenses, leading to concerns over the company's profitability.

1.c. Company Highlights

2. Ontrak Health Posts Mixed Q1 2025 Results Amidst Growth and Challenges

Ontrak Health reported a mixed Q1 2025 performance, with revenues declining 25% year-over-year to $2 million, driven by the loss of a major customer. The company posted a net loss of $12.8 million, or -$9.54 per share, significantly below consensus estimates of -$1.35. Gross margin contracted to 37% from higher member acquisition costs and a shift in member mix toward the lower-priced Engage program. Despite revenue challenges, Ontrak achieved its highest new member additions since Q3 2021, with 2,039 new members joining during the quarter, reflecting strong demand for its AI-driven engagement platform.

Publication Date: May -21

📋 Highlights
  • Revenue Decrease: Ontrak's Q1 2025 revenue dropped 25% year-over-year to $2 million, primarily due to the loss of a major customer.
  • Member Growth: Total enrolled members nearly doubled to 3,165, with 1,150 in the Engage program, showcasing strong expansion in outreach efforts.
  • Pipeline Opportunities: The company is optimistic about converting a large Midwestern Medicaid plan and has four health plan proposals under review, with mid-funnel prospects showing strong interest in its AI-powered engagement system.
  • New Member Additions: Ontrak added 2,039 new members, its highest since Q3 2021, with a 10% disenrollment rate and 184 graduations.
  • Financial Position: The company reported $4.1 million in cash reserves, secured $1.5 million under its Keep Well agreement, and announced a new $10 million financing agreement to strengthen its financial position.

Operational Progress and Growth Opportunities

Ontrak's total enrolled members reached 3,165, nearly doubling year-over-year, with over 1,150 members in the Engage program. The company highlighted its progress in expanding its outreach pool and improving operational efficiency, with productivity per employee rising despite a smaller workforce. CEO Terren Pepple noted, "Our AI-powered engagement system is resonating with health plans, and we're seeing promising interest in our pipeline." The company is optimistic about converting a large Midwestern Medicaid plan, which could add significant revenue, along with four active proposals under review and strong mid-funnel prospects.

Strategic Initiatives and Financial Outlook

Ontrak's provider model strategy and NCQA certification continue to strengthen its market position, with plans for further accreditation in 2026. The company also secured $1.5 million under its Keep Well agreement and announced a new $10 million financing agreement to support growth initiatives. While cash flow from operations was negative $2.7 million, Ontrak maintained $4.1 million in cash reserves. Management guided Q2 revenue between $2.2-2.6 million, reflecting an 8-22% sequential increase, driven by potential pipeline conversions and expansions.

Valuation and Investor Sentiment

Ontrak's stock currently trades at a price-to-sales (P/S) ratio of 0.61, reflecting the market's cautious stance on its growth prospects despite strong top-line momentum. The company's negative P/E ratio of -0.33 highlights ongoing profitability challenges, while its EV/EBITDA of -0.56 underscores the speculative nature of the investment. With analysts forecasting 55.3% revenue growth next year, the stock appears priced for recovery, but execution risks remain elevated.

3. NewsRoom

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Ontrak (OTRK) Upgraded to Buy: Here's Why

Jul -11

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Here's Why Ontrak (OTRK) Could be Great Choice for a Bottom Fisher

Jul -11

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Ontrak Health Announces Pricing of $4 Million Public Offering

Jun -27

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Ontrak Health Announces Expansion of Engage Solution for Sentara Health Plans Self-funded Employer Customers

Jun -24

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Ontrak, Inc. (OTRK) Q1 2025 Earnings Call Transcript

May -20

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Ontrak Secures Financing Commitment to Fuel Growth and Innovation

May -20

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Ontrak Achieves NCQA Recertification as a Credentialing Verification Organization

Apr -30

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Ontrak, Inc. (OTRK) Q4 2024 Earnings Call Transcript

Apr -14

4. Business Breakdown

4.a. Revenues by Country

4.b. Revenues by Segment

5. Expected revenues mid-term growth (10.50%)

6. Segments

Government

Expected Growth: 10.47%

Ontrak, Inc.'s Government segment growth of 10.47% is driven by increasing demand for behavioral health solutions, expansion of government contracts, and strategic partnerships. Additionally, the company's focus on value-based care and population health management has led to higher adoption rates among government agencies, contributing to the segment's growth.

Commercial

Expected Growth: 10.55%

Ontrak's commercial segment growth of 10.55% is driven by increasing demand for its AI-powered behavioral health solutions, expansion into new markets, and strategic partnerships with healthcare providers. Additionally, the company's focus on improving member engagement and reducing healthcare costs has led to increased adoption and retention rates, further fueling growth.

7. Detailed Products

ONTRAK-C

A comprehensive, AI-powered, data-driven platform that identifies and engages high-risk, high-cost members, providing personalized interventions to improve health outcomes and reduce healthcare costs.

ONTRAK-R

A real-time, data-driven platform that identifies and engages high-risk, high-cost members, providing personalized interventions to improve health outcomes and reduce healthcare costs.

ONTRAK-E

A comprehensive, data-driven platform that identifies and engages high-risk, high-cost members, providing personalized interventions to improve health outcomes and reduce healthcare costs.

ONTRAK-360

A comprehensive, data-driven platform that identifies and engages high-risk, high-cost members, providing personalized interventions to improve health outcomes and reduce healthcare costs.

8. Ontrak, Inc.'s Porter Forces

Forces Ranking

Threat Of Substitutes

Ontrak, Inc. operates in a niche market, providing digital care programs for health plans and self-insured employers. While there are some substitutes available, they are not as comprehensive as Ontrak's offerings, reducing the threat of substitutes.

Bargaining Power Of Customers

Ontrak, Inc.'s customers are primarily health plans and self-insured employers, which have limited bargaining power due to the specialized nature of Ontrak's services.

Bargaining Power Of Suppliers

Ontrak, Inc. has a diversified supplier base, reducing the bargaining power of individual suppliers. Additionally, the company's digital nature reduces its reliance on physical suppliers.

Threat Of New Entrants

While there are barriers to entry in the digital healthcare market, Ontrak, Inc. faces some threat from new entrants, particularly from established healthcare companies expanding their digital offerings.

Intensity Of Rivalry

The digital healthcare market is highly competitive, with several established players competing for market share. Ontrak, Inc. must differentiate itself through its unique offerings and customer service to maintain its position.

9. SWOT Analysis

10. Capital Structure

10.a. Balance Sheet

10.b. Weighted Average Cost of capital

Value
Debt Weight 9.64%
Debt Cost 16.45%
Equity Weight 90.36%
Equity Cost 16.45%
WACC 16.45%
Leverage 10.67%

11. Quality Control: Ontrak, Inc. passed 5 out of 9 key points

12.a Historical Valuation

12.b Price/Earnings Ratio

12.c Margin Valuation

12.d Peers Valuation

Peers Group Analysis

Stock-Card
CareCloud

A-Score: 5.2/10

Value: 7.6

Growth: 6.9

Quality: 7.8

Yield: 0.0

Momentum: 8.0

Volatility: 1.0

1-Year Total Return ->

Stock-Card
TruBridge

A-Score: 5.1/10

Value: 7.5

Growth: 3.0

Quality: 5.1

Yield: 0.0

Momentum: 9.5

Volatility: 5.3

1-Year Total Return ->

Stock-Card
Definitive Healthcare

A-Score: 3.8/10

Value: 8.7

Growth: 5.3

Quality: 4.1

Yield: 0.0

Momentum: 2.5

Volatility: 2.3

1-Year Total Return ->

Stock-Card
Cue Health

A-Score: 3.6/10

Value: 10.0

Growth: 3.2

Quality: 3.6

Yield: 0.0

Momentum: 5.0

Volatility: 0.0

1-Year Total Return ->

Stock-Card
Amwell

A-Score: 3.5/10

Value: 9.6

Growth: 3.9

Quality: 4.3

Yield: 0.0

Momentum: 1.0

Volatility: 2.0

1-Year Total Return ->

Stock-Card
Ontrak

A-Score: 2.9/10

Value: 10.0

Growth: 4.1

Quality: 3.4

Yield: 0.0

Momentum: 0.0

Volatility: 0.0

1-Year Total Return ->

Peers Metrics

12.e Scoring Insights

12.f DCF BETA

Parameters

Short Term Growth

Short term Time

Long-Term Growth

WACC

Target Price

0.33$

Current Price

0.33$

Potential

-0.00%

Expected Cash-Flows