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Ontrak Schedule 13D: Peizer gains 97 % stake, new financing but heavy dilution ahead

Filing Impact
(Low)
Filing Sentiment
(Neutral)
Form Type
SCHEDULE 13D/A

Rhea-AI Filing Summary

Amendment No. 34 to Schedule 13D. The filing, dated 30 June 2025, updates the ownership and financing arrangements between Ontrak, Inc. ("OTRK") and its controlling shareholder Terren S. Peizer and affiliated entities—Acuitas Group Holdings LLC, Acuitas Capital LLC and Humanitario Capital LLC (collectively, the "Reporting Persons").

Ownership concentrations. • Peizer now reports beneficial ownership of 146,642,356 shares, representing 96.9 % of the shares deemed outstanding.
• Acuitas Group Holdings: 91,592,858 shares (92.9 % of a smaller share-count base).
• Humanitario Capital: 55,049,498 shares (92.0 %).
• Acuitas Capital: 15,055,568 shares (68.0 %). The extremely high stakes stem largely from warrants and convertible notes whose exercise prices were recently reset to $0.60.

Seventh Amendment to Keep Well Agreement (27 June 2025). 1) Terminates the May 2025 commitment and replaces it with a new commitment for up to $8.45 million in principal amount of ‘‘Committed Demand Notes,’’ with optional ‘‘Uncommitted Demand Notes’’ thereafter. 2) Conversion price for these notes equals the lesser of $0.9726 or a floor formula tied to market price, but not below $0.3242. 3) Acuitas Capital waives repayment until the earlier of 1 September 2026 or 30 days after it has purchased all committed notes. 4) Each note carries 200 % warrant coverage; warrants are five-year instruments with an initial exercise price equal to the stock’s close on funding date. 5) Stockholder approval under Nasdaq rules is required before share issuance on conversion or warrant exercise.

June 2025 Agreement. Conditional on the Seventh Amendment and a concurrent public offering, the exercise prices of Keep Well Warrants (37.9 M shares), Demand Warrants (38.5 M) and a Private Placement Warrant (52.7 M) were reduced to $0.60; share counts increased proportionally to 128.35 M. The public offering closed 30 June 2025 at $0.60 per share and four warrants.

Governance & legal. Peizer was sentenced to 42 months imprisonment and three years’ supervised release on 23 June 2025; he has filed an appeal. No other reporting person has criminal or civil securities violations in the past five years.

Investor takeaways. The amendment signals near-total insider control, substantial potential dilution through reset, deeply in-the-money warrants, and reliance on shareholder approval to activate further conversions. Liquidity is temporarily supported by up to $8.45 M of additional note purchases, but legal overhang and concentration risk remain material.

Positive

  • $8.45 M committed funding via Seventh Amendment strengthens near-term liquidity without immediate repayment obligations.
  • Warrant and note terms embed 200 % coverage and long maturities, potentially attracting insider capital on favourable terms.
  • Acuitas waived its right to demand cash repayment before September 2026, reducing short-term cash burn pressure.

Negative

  • Exercise-price reset to $0.60 expands potential share count to 128.35 M, creating significant dilution risk.
  • Terren Peizer’s 42-month prison sentence introduces severe governance and reputational concerns.
  • Peizer controls approximately 97 % of outstanding shares, effectively eliminating minority influence and reducing float.
  • Conversion prices can fall as low as $0.3242, signalling possible further dilution if share price declines.

Insights

TL;DR – Massive insider control, new $8.45 M lifeline, but dilution and legal overhang dominate risk-reward.

The Seventh Amendment provides urgently needed working capital with flexible drawdowns and a long repayment holiday, easing short-term solvency fears. However, conversion and warrant resets at $0.60 create 128 M incremental shares, placing a heavy overhang on the equity. Post-reset, Peizer’s beneficial stake approaches 97 %, dramatically limiting free float and raising exchange-listing and liquidity concerns. The 42-month prison sentence further heightens governance risk, potentially impairing access to third-party capital. On balance, although the funding commitment is positive for cash runway, the structural dilution and governance issues are materially negative for minority shareholders.

TL;DR – Governance red flags: 97 % control plus a prison sentence equals high fiduciary risk.

OTRK now effectively operates under single-person control. Such concentration can expedite financing but erodes board independence and minority protections. The requirement for Nasdaq shareholder approval before conversions offers some check, yet Peizer’s voting power virtually assures passage, making the vote procedural. The criminal conviction undermines leadership credibility and could trigger counterparty hesitation or further regulatory scrutiny. Overall impact is negative and materially significant for governance-focused investors.






If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of §§ 240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box.

The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).






SCHEDULE 13D




Comment for Type of Reporting Person:
Based on 98,545,262 Shares deemed outstanding pursuant to Rule 13d-3(d)(1), calculated as the sum of: (i) 7,084,537 Shares expected to be outstanding as of immediately following closing of the June 2025 Offering (without giving effect to conversion or exercise of other outstanding securities), as disclosed by the Company in the Final Prospectus (Reg. No. 333-288099) filed with the SEC on June 30, 2025 (the "June 2025 Prospectus"); (ii) an aggregate of 37,905,161 Shares underlying the New Keep Well Warrants previously issued to Acuitas (after giving effect to adjustments reducing the exercise prices thereof to $0.60 per Share, and proportionately increasing the warrant shares thereunder, as described below in Item 4); (iii) 1,111,112 Shares issuable to Acuitas Capital (or its designee) upon conversion of the Surviving Note previously issued to Acuitas Capital (assuming (1) a conversion price equal to $1.80 per share and (2) any accrued interest thereon is paid in cash); (iv) an aggregate of 6,416,672 Shares issuable to Acuitas Capital (or its designee) upon conversion of outstanding Demand Notes purchased by Acuitas Capital (assuming, in each case, (1) a conversion price equal to $1.80 per share and (2) any accrued interest thereon is paid in cash); (v) an aggregate of 38,499,996 Shares underlying the Demand Warrants issued to Acuitas in connection with the purchase of Demand Notes (after giving effect to adjustments reducing the exercise prices thereof to $0.60 per Share, and proportionately increasing the warrant shares thereunder, as described below in Item 4); and (vi) an aggregate of 7,527,784 Shares underlying the Conversion Warrants issuable to Acuitas Capital (or its designee) (assuming, in each case, (1) a conversion price equal to $1.80 per share and (2) any accrued interest thereon is paid in cash), in each case, as described further in Item 5 below.


SCHEDULE 13D




Comment for Type of Reporting Person:
Based on 22,140,105 Shares deemed outstanding pursuant to Rule 13d-3(d)(1), calculated as the sum of: (i) 7,084,537 Shares expected to be outstanding as of immediately following closing of the June 2025 Offering (without giving effect to conversion or exercise of other outstanding securities), as disclosed by the Company in the June 2025 Prospectus; (ii) 1,111,112 Shares issuable to Acuitas Capital (or its designee) upon conversion of the Surviving Note previously issued to Acuitas Capital (assuming (1) a conversion price equal to $1.80 per share and (2) any accrued interest thereon is paid in cash); (iii) an aggregate of 6,416,672 Shares issuable to Acuitas Capital (or its designee) upon conversion of outstanding Demand Notes purchased by Acuitas Capital (assuming, in each case, (1) a conversion price equal to $1.80 per share and (2) any accrued interest thereon is paid in cash); and (iv) an aggregate of 7,527,784 Shares underlying the Conversion Warrants issuable to Acuitas Capital (or its designee) (assuming, in each case, (1) a conversion price equal to $1.80 per share and (2) any accrued interest thereon is paid in cash), in each case, as described further in Item 5 below.


SCHEDULE 13D




Comment for Type of Reporting Person:
Based on 59,828,555 Shares deemed outstanding pursuant to Rule 13d-3(d)(1), calculated as the sum of: (i) 7,084,537 Shares expected to be outstanding as of immediately following closing of the June 2025 Offering (without giving effect to conversion or exercise of other outstanding securities), as disclosed by the Company in the June 2025 Prospectus; and (ii) an aggregate of 52,744,018 Shares underlying the Private Placement Securities previously issued to Humanitario in November 2023, representing the sum of (1) 51,944,443 Shares underlying the Private Placement Warrant (after giving effect to adjustments reducing the exercise prices thereof to $0.60 per Share, and proportionately increasing the warrant shares thereunder, as described below in Item 4) and (2) 799,575 Shares underlying the Private Placement Pre-Funded Warrant, in each case, as described further in Item 5 below.


SCHEDULE 13D




Comment for Type of Reporting Person:
Based on 151,289,280 Shares deemed outstanding pursuant to Rule 13d-3(d)(1), calculated as the sum of: (i) 7,084,537 Shares expected to be outstanding as of immediately following closing of the June 2025 Offering (without giving effect to conversion or exercise of other outstanding securities), as disclosed by the Company in the June 2025 Prospectus; (ii) an aggregate of 37,905,161 Shares underlying the New Keep Well Warrants previously issued to Acuitas (after giving effect to adjustments reducing the exercise prices thereof to $0.60 per Share, and proportionately increasing the warrant shares thereunder, as described below in Item 4); (iii) an aggregate of 52,744,018 Shares underlying the Private Placement Securities previously issued to Humanitario (after giving effect to adjustment reducing the exercise price of the Private Placement Warrant to $0.60 per Share, and proportionately increasing the warrant shares thereunder, as described below in Item 4); (iv) 1,111,112 Shares issuable to Acuitas Capital (or its designee) upon conversion of the Surviving Note previously issued to Acuitas Capital (assuming (1) a conversion price equal to $1.80 per share and (2) any accrued interest thereon is paid in cash); (v) an aggregate of 6,416,672 Shares issuable to Acuitas Capital (or its designee) upon conversion of outstanding Demand Notes purchased by Acuitas Capital (assuming, in each case, (1) a conversion price equal to $1.80 per share and (2) any accrued interest thereon is paid in cash); (vi) an aggregate of 38,499,996 Shares underlying the Demand Warrants issued to Acuitas in connection with the purchase of Demand Notes (after giving effect to adjustments reducing the exercise prices thereof to $0.60 per Share, and proportionately increasing the warrant shares thereunder, as described below in Item 4); and (vii) an aggregate of 7,527,784 Shares underlying the Conversion Warrants issuable to Acuitas Capital (or its designee) (assuming, in each case, (1) a conversion price equal to $1.80 per share and (2) any accrued interest thereon is paid in cash), in each case, as described further in Item 5 below.


SCHEDULE 13D


ACUITAS GROUP HOLDINGS, LLC
Signature:/s/ Terren S. Peizer
Name/Title:TERREN S. PEIZER, CHAIRMAN
Date:06/30/2025
ACUITAS CAPITAL LLC
Signature:/s/ Terren S. Peizer
Name/Title:TERREN S. PEIZER, CHAIRMAN
Date:06/30/2025
HUMANITARIO CAPITAL LLC
Signature:/s/ Terren S. Peizer
Name/Title:TERREN S. PEIZER, SOLE MEMBER
Date:06/30/2025
TERREN S. PEIZER
Signature:/s/ Terren S. Peizer
Name/Title:TERREN S. PEIZER
Date:06/30/2025

FAQ

How much of Ontrak (OTRK) does Terren S. Peizer now control?

Approximately 146.6 million shares, or 96.9 % of the shares deemed outstanding.

What new financing did Ontrak secure in the Seventh Amendment?

Acuitas Capital committed to purchase up to $8.45 million in Demand Notes, with optional additional notes thereafter.

At what price were Ontrak’s warrants reset under the June 2025 Agreement?

The exercise price of Keep Well, Demand and Private Placement Warrants was reduced to $0.60 per share.

Does the Seventh Amendment require shareholder approval?

Yes, Nasdaq rules mandate stockholder approval before shares can be issued on note conversion or warrant exercise.

What are the conversion terms for the new Demand Notes?

Each note converts at the lower of $0.9726 or a floor tied to market price but not below $0.3242.

What legal development involving Terren Peizer is disclosed?

On 23 June 2025, Peizer was sentenced to 42 months imprisonment and three years’ supervised release; an appeal was filed.
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