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Upturn AI SWOT - About
Performant Healthcare, Inc (PHLT)
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Upturn Advisory Summary
08/14/2025: 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
Very few follow this stock; limited insights, higher-risk early investing.
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 -27.21% | Avg. Invested days 31 | Today’s Advisory Consider higher Upturn Star rating |
Upturn Star Rating | Upturn Advisory Performance  2.0 | Stock Returns Performance  1.0 |
| Profits based on simulation | Last Close 08/14/2025 |
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 - 7.74 | Updated Date 05/15/2025 |
52 Weeks Range 2.17 - 7.74 | Updated Date 05/15/2025 | ||
Dividends yield (FY) - | Basic EPS (TTM) -0.1 |
Earnings Date
Report Date 2025-08-08 | When - | Estimate - | Actual 0.0257 |
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 |
Upturn AI SWOT
Performant Healthcare, Inc
Company Overview
History and Background
Performant Healthcare, Inc. was founded in 2006. It focuses on identifying and recovering improper healthcare payments. The company has evolved to offer a broader range of recovery and payment integrity services.
Core Business Areas
- Recovery Audit: Identifies and recovers improper payments made by government and commercial healthcare payers.
- Payment Integrity: Prevents improper payments before they occur through data analysis and process improvements.
- Denial Management: Helps healthcare providers manage and appeal denied claims.
Leadership and Structure
The leadership team includes Simeon Schwartz, M.D. as Executive Chairman and Lisa Im as CEO. The company is structured with functional departments supporting operations, finance, and technology.
Top Products and Market Share
Key Offerings
- Medicare RAC Audit Services: Performant provides audit services to Medicare programs, identifying improper payments made to healthcare providers. Market share data is difficult to ascertain precisely, but Performant is a significant player in this space. Competitors include Cotiviti, HMS Holdings (now Gainwell Technologies), and Optum.
- Commercial Payment Integrity Services: Similar to Medicare RAC, but for commercial healthcare payers. Competitors include Cotiviti, Equian (now Optum), and Conduent.
Market Dynamics
Industry Overview
The healthcare payment integrity industry is driven by the need to reduce healthcare costs and fraud. Increasing regulatory scrutiny and technological advancements are shaping the market.
Positioning
Performant is positioned as a specialist in recovery auditing and payment integrity, leveraging data analytics and expertise to identify and recover improper payments. Their competitive advantage lies in its expertise and track record in government programs like Medicare.
Total Addressable Market (TAM)
The estimated Total Addressable Market (TAM) for payment integrity solutions in healthcare is estimated to be in the tens of billions of dollars. Performant Healthcare, Inc is a moderately sized player with respect to this TAM.
Upturn SWOT Analysis
Strengths
- Established track record in Medicare RAC program
- Expertise in data analytics and healthcare regulations
- Strong relationships with government agencies
- Focus on high-value recovery opportunities
Weaknesses
- Reliance on government contracts, subject to regulatory changes
- Fluctuations in revenue due to timing of audits and recoveries
- Smaller scale compared to larger competitors
- Potential for negative publicity from provider disputes
Opportunities
- Expansion into new markets, such as Medicaid and commercial payers
- Development of new technology-based solutions for payment integrity
- Increased regulatory focus on fraud and abuse
- Strategic partnerships and acquisitions
Threats
- Changes in government regulations and funding
- Increased competition from larger players
- Provider resistance to audit and recovery efforts
- Data security and privacy concerns
Competitors and Market Share
Key Competitors
- COTV
- GAIN
- HUM
Competitive Landscape
Performant faces stiff competition from Cotiviti, who have much larger market cap.
Growth Trajectory and Initiatives
Historical Growth: Historical growth data not available.
Future Projections: Analyst projections data not available.
Recent Initiatives: Data not available
Summary
Performant Healthcare is a moderately sized company focusing on healthcare payment integrity with expertise in government programs. The company faces challenges due to reliance on government contracts and competition from larger players. Opportunities exist in expanding to new markets and developing technology-based solutions. Potential threats include regulatory changes and provider resistance.
Peer Comparison
Sources and Disclaimers
Data Sources:
- Company filings
- Industry reports
- Analyst estimates
Disclaimers:
The information provided is for informational purposes only and should not be considered financial advice. Market share data is estimated based on available information and may not be precise.
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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