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Ontrak Schedule 13D: Peizer’s control nears 97 % amid fresh financing

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SCHEDULE 13D/A

Rhea-AI Filing Summary

Ontrak, Inc. (OTRK) – Schedule 13D/A (Amendment 32) filed 23-Jun-2025

The filing updates the equity positions of insider Terren S. Peizer and his affiliated entities following a new capital infusion on 18-Jun-2025. Through Acuitas Group Holdings, Acuitas Capital, and Humanitario Capital, Peizer now beneficially owns 68.0 million common shares, or 96.8 % of OTRK’s outstanding stock, effectively giving him unilateral control of voting and dispositive decisions.

Key ownership blocks after warrant and note adjustments:

  • Acuitas Group Holdings: 44.8 m shares (91.6 % of a 48.9 m share base).
  • Acuitas Capital: 15.1 m shares (78.1 % of a 19.3 m share base).
  • Humanitario Capital: 23.2 m shares (90.6 % of a 25.6 m share base).

The increase stems from the Sixth Amendment to the Keep Well Agreement, under which Acuitas Capital purchased an additional $250,000 Demand Note and received a Demand Warrant for 359,712 shares at an initial exercise price of $1.39. Concurrently, previously issued New Keep Well, Private Placement and Demand Warrants experienced a May 2025 downward exercise-price reset to $1.553, enlarging the underlying share counts.

Overall, the filing signals continued insider financing but also highlights substantial dilution risk and an extremely limited public float, with Peizer’s aggregate stake approaching 97 %.

Positive

  • $250,000 capital injection via new Demand Note provides short-term liquidity.
  • Exercise-price reset to $1.553–$1.39 could incentivize insider warrant exercise, potentially supplying additional capital if converted.

Negative

  • Peizer now controls ~96.8 % of shares, effectively eliminating minority influence.
  • Downward warrant repricing and additional 359,712 warrants materially increase dilution.
  • Extremely low public float heightens liquidity risk and price volatility.
  • Multi-layered insider financing arrangements raise governance and conflict-of-interest concerns.

Insights

TL;DR: Insider funds OTRK again; Peizer’s stake nears 97 %, lowering float and increasing dilution risk.

The $250k Demand Note is small in absolute terms but material for a cash-strained micro-cap. In exchange, Acuitas receives another 359,712 warrant shares priced at $1.39, below market, and enjoys lower exercise prices across prior warrants due to the May 2025 reset to $1.553. These adjustments boost the fully-diluted share count and cement Peizer’s control. Investors should weigh the immediate liquidity benefit against ongoing dilution and governance concentration. Market impact is modest given the tiny trading float, but further conversions could pressure share price.

TL;DR: Filing confirms near-total insider control, raising minority-shareholder and take-private concerns.

With 96.8 % beneficial ownership, Terren Peizer can dictate corporate actions without minority approval, including potential reverse splits, charter amendments, or a going-private transaction. The Keep Well structure provides bridge financing yet repeatedly exchanges insider cash for deeply discounted equity, transferring value from public holders. Governance red flags include multi-entity reporting complexity and extensive cross-share voting powers. While the company gains operational runway, minority investors face amplified agency risk and limited exit liquidity.






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 48,925,508 Shares deemed outstanding pursuant to Rule 13d-3(d)(1), calculated as the sum of: (i) 4,217,848 Shares issued and outstanding as of May 31, 2025, as disclosed by the Company in the Registration Statement on Form S-1 filed with the SEC on June 17, 2025 ("June 17 Form S-1"); (ii) an aggregate of 14,644,619 Shares underlying the New Keep Well Warrants previously issued to Acuitas in June 2024 (as adjusted); (iii) 1,111,112 Shares issuable to Acuitas Capital (or its designee) upon the conversion of the Surviving Note previously issued to Acuitas Capital in November 2023 (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 the 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 15,007,473 Shares underlying the Demand Warrants issued to Acuitas in connection with the purchase of Demand Notes pursuant to the Sixth Amendment (as adjusted); 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 19,273,416 Shares deemed outstanding pursuant to Rule 13d-3(d)(1), calculated as the sum of: (i) 4,217,848 Shares issued and outstanding as of May 31, 2025, as disclosed by the Company in the June 17 Form S-1; (ii) 1,111,112 Shares issuable to Acuitas Capital (or its designee) upon the conversion of the Surviving Note previously issued to Acuitas Capital in November 2023 (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 the 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 25,586,107 Shares deemed outstanding pursuant to Rule 13d-3(d)(1), calculated as the sum of: (i) 4,217,848 Shares issued and outstanding as of May 31, 2025, as disclosed by the Company in the June 17 Form S-1; and (ii) an aggregate of 21,368,259 Shares underlying the Private Placement Securities previously issued to Humanitario in November 2023 (as adjusted), in each case, as described further below in Item 5.


SCHEDULE 13D




Comment for Type of Reporting Person:
Based on 70,293,767 Shares deemed outstanding pursuant to Rule 13d-3(d)(1), calculated as the sum of: (i) 4,217,848 Shares issued and outstanding as of May 31, 2025, as disclosed by the Company in the June 17 Form S-1; (ii) an aggregate of 14,644,619 Shares underlying the New Keep Well Warrants previously issued to Acuitas in June 2024 (as adjusted); (iii) an aggregate of 21,368,259 Shares underlying the Private Placement Securities previously issued to Humanitario in November 2023 (as adjusted); (iv) 1,111,112 Shares issuable to Acuitas Capital (or its designee) upon the conversion of the Surviving Note previously issued to Acuitas Capital in November 2023 (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 the 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 15,007,473 Shares underlying the Demand Warrants issued to Acuitas in connection with the purchase of Demand Notes pursuant to the Sixth Amendment (as adjusted); 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:06/23/2025
ACUITAS CAPITAL LLC
Signature:/s/ Terren S. Peizer
Name/Title:TERREN S. PEIZER, CHAIRMAN
Date:06/23/2025
HUMANITARIO CAPITAL LLC
Signature:/s/ Terren S. Peizer
Name/Title:TERREN S. PEIZER, SOLE MEMBER
Date:06/23/2025
TERREN S. PEIZER
Signature:/s/ Terren S. Peizer
Name/Title:TERREN S. PEIZER
Date:06/23/2025

FAQ

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

According to Amendment 32, Peizer beneficially owns 68,013,532 shares, or 96.8 % of OTRK’s common stock.

What new securities were issued on 18-Jun-2025?

OTRK issued a $250,000 Demand Note and a Demand Warrant for 359,712 shares at an exercise price of $1.39 to Acuitas Capital.

Why did warrant share counts increase in May 2025?

A May 2025 Warrant Adjustment lowered exercise prices to $1.553, automatically increasing the number of shares underlying existing New Keep Well, Private Placement and Demand Warrants.

What percentage of shares does Acuitas Group Holdings control?

Acuitas Group Holdings holds 44,839,793 shares, representing 91.6 % of its calculated outstanding share base.

Does the filing impact Ontrak’s public float?

Yes. With Peizer’s group holding nearly 97 %, the effective public float is minimal, which may impair liquidity and heighten volatility.
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