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Upturn AI SWOT - About
Performant Healthcare, Inc (PHLT)
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Upturn Advisory Summary
06/27/2025: PHLT (1-star) has a low Upturn Star Rating. Not recommended to BUY.
Upturn Star Rating
Not Recommended Performance
These Stocks/ETFs, based on Upturn Advisory, consistently fall short of market performance, signaling caution before investing.
Number of Analysts
3 Analysts rated it
Limited analyst coverage, niche firm, research info may be scarce.
1 Year Target Price $7
1 Year Target Price $7
| 3 | Strong Buy |
| 0 | Buy |
| 0 | Hold |
| 0 | Sell |
| 0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit -17.18% | Avg. Invested days 31 | Today’s Advisory Consider higher Upturn Star rating |
Upturn Star Rating | Upturn Advisory Performance  3.0 | Stock Returns Performance  1.0 |
| Profits based on simulation | Last Close 06/27/2025 |
Key Highlights
Company Size Small-Cap Stock | Market Capitalization 181.24M USD | Price to earnings Ratio - | 1Y Target Price 7 |
Price to earnings Ratio - | 1Y Target Price 7 | ||
Volume (30-day avg) 3 | Beta 0.07 | 52 Weeks Range 2.17 - 4.35 | Updated Date 05/15/2025 |
52 Weeks Range 2.17 - 4.35 | Updated Date 05/15/2025 | ||
Dividends yield (FY) - | Basic EPS (TTM) -0.1 |
Earnings Date
Report Date - | When - | Estimate - | Actual - |
Profitability
Profit Margin -6.74% | Operating Margin (TTM) -6.82% |
Management Effectiveness
Return on Assets (TTM) -4.26% | Return on Equity (TTM) -10.6% |
Valuation
Trailing PE - | Forward PE - | Enterprise Value 182334507 | Price to Sales(TTM) 1.5 |
Enterprise Value 182334507 | Price to Sales(TTM) 1.5 | ||
Enterprise Value to Revenue 1.51 | Enterprise Value to EBITDA 321.01 | Shares Outstanding 78291400 | Shares Floating 49728326 |
Shares Outstanding 78291400 | Shares Floating 49728326 | ||
Percent Insiders 8.11 | Percent Institutions 85.06 |
Analyst Ratings
Rating 2 | Target Price 7 | Buy - | Strong Buy 3 |
Buy - | Strong Buy 3 | ||
Hold - | Sell - | Strong Sell - | |
Strong Sell - |
Upturn AI SWOT
Performant Healthcare, Inc
Company Overview
History and Background
Performant Healthcare, Inc. was founded in 2005. Initially focused on student loan recovery, it expanded into healthcare audit and recovery solutions, particularly related to improper payments and claims.
Core Business Areas
- Audit and Recovery Services: Identifies and recovers improper payments made by healthcare providers and payers, primarily focused on Medicare and Medicaid programs. Services include claims auditing, data mining, and appeals management.
Leadership and Structure
As of late 2023, Simeon Schwartz is Chairman. Interim CEO is Rohit Ramchandani. The company has a typical corporate structure with departments focused on operations, finance, sales, and technology.
Top Products and Market Share
Key Offerings
- Recovery Audit Contractor (RAC) Services: Performant serves as a Recovery Audit Contractor for the Centers for Medicare & Medicaid Services (CMS). They identify improper payments made to healthcare providers. Market share within the RAC program fluctuates based on contract awards and performance. Competitors include HMS Holdings (now Gainwell Technologies) and Cotiviti.
Market Dynamics
Industry Overview
The healthcare audit and recovery industry is driven by the need to control healthcare costs and reduce fraud, waste, and abuse within government healthcare programs like Medicare and Medicaid. Increased regulatory scrutiny and technological advancements in data analytics are shaping the industry.
Positioning
Performant Healthcare is positioned as a key player in government healthcare audit and recovery, particularly in the Medicare space. Competitive advantages may include experience with CMS programs and expertise in data analytics for identifying improper payments.
Total Addressable Market (TAM)
The TAM for healthcare fraud, waste, and abuse recovery is estimated to be in the tens of billions of dollars annually. Performant's position is significant but not dominant; they capture a portion of this TAM based on their contract awards and performance.
Upturn SWOT Analysis
Strengths
- Experience with government healthcare programs (Medicare, Medicaid)
- Expertise in data analytics and claims auditing
- Established relationships with CMS
- Strong understanding of healthcare regulations
Weaknesses
- Dependence on government contracts
- Competition from larger and more diversified companies
- Potential for regulatory changes to impact business model
- Past financial performance challenges
Opportunities
- Expansion into new areas of healthcare audit and recovery
- Leveraging technology to improve efficiency and accuracy
- Increased focus on value-based care driving demand for auditing services
- Potential for new government contracts and partnerships
Threats
- Changes in government regulations or funding for healthcare audit programs
- Increased competition from other companies in the industry
- Risk of data breaches or cybersecurity incidents
- Potential for legal challenges or disputes related to audit findings
Competitors and Market Share
Key Competitors
- COTV
- GH
Competitive Landscape
Performant Healthcare competes with larger, more established companies in the healthcare audit and recovery market. Their advantages include specialized expertise and experience with government programs, while their disadvantages include dependence on government contracts and limited scale.
Growth Trajectory and Initiatives
Historical Growth: Historical growth has been uneven, with periods of rapid growth followed by declines due to contract cycles and changes in government policy.
Future Projections: Future growth projections are dependent on Performant's ability to secure new contracts and expand its services. Analyst estimates vary based on these factors.
Recent Initiatives: Recent initiatives have focused on expanding their reach in the Recovery Audit Contractor program as well as creating new relationships with other healthcare providers.
Summary
Performant Healthcare is a specialized company focused on healthcare audit and recovery, primarily within government programs. Its dependence on government contracts poses risks, while its expertise provides a competitive advantage. Future growth hinges on securing new contracts and diversifying service offerings. Financials are volatile and must be observed closely. They must increase their diversification of service offerings to be more sustainable.
Peer Comparison
Sources and Disclaimers
Data Sources:
- SEC filings (10-K, 10-Q)
- Company website
- Press releases
- Analyst reports
Disclaimers:
This analysis is based on publicly available information and is not financial advice. Investment decisions should be made based on individual risk tolerance and due diligence.
AI Summarization is directionally correct and might not be accurate.
Summarized information shown could be a few years old and not current.
Fundamental Rating based on AI could be based on old data.
AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.
About Performant Healthcare, Inc
Exchange NASDAQ | Headquaters Plantation, FL, United States | ||
IPO Launch date 2012-08-10 | CEO & Director Mr. Simeon M. Kohl | ||
Sector Healthcare | Industry Health Information Services | Full time employees 964 | Website https://performantcorp.com |
Full time employees 964 | Website https://performantcorp.com | ||
Performant Healthcare, Inc. provides audit, recovery, and analytics services in the United States. It supports healthcare payers in identifying, preventing, and recovering waste and improper payments through advanced technology, analytics, and proprietary data assets. The company also offers coordination-of-benefits services, as well as claims-based services, which includes the audit and identification of improperly paid claims. Further, it provides advanced reporting capabilities, support services, customer care, and stakeholder training programs to mitigate future instances of improper payments. The company was formerly known as Performant Financial Corporation and changed its name to Performant Healthcare, Inc. in December 2024. Performant Healthcare, Inc. was founded in 1976 and is headquartered in Plantation, Florida.
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