Dianalitics
Paysign, Inc.
PAYS · v1 · 2026-10-01
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70OpportunityDD: Oct 01, 2026Analyst: 76
paidPrice at analysis date
USD 13.4 (01/10/2026)
domainMkt cap
$757.7M
pie_chartShares
56.46M
candlestick_chart52W
$3.08-$14.43
trending_downShort interest
10.93%
INFONASDAQHealth Care
Verdict: Moderately Attractive - momentum quality, valuation already anticipates execution

PAYS screens as a small-cap MOMENTUM candidate: Q2 2026 EPS beat consensus by roughly 83%, revenue grew 48%, adjusted EBITDA grew 113%, guidance was raised, and the stock is trading close to its 52-week high. The due diligence is deliberately stricter than the screen: the business quality is improving fast, but a 37x forward P/E and 20x forward EBITDA leave only measured base-case upside.

DIANALITICS RESEARCH INDEX
Score /100 - updated 2026-10-01
76
Paysign, Inc.
Healthcare fintech: patient affordability + plasma donor payments
The operating trajectory is excellent: revenue, margin and cash conversion are all improving. The score is capped by valuation, share dilution, customer/regulatory concentration and insider selling.
Fin. strength
16
/20 pts
EBITDA/FCF
12
/15 pts
Debt/leverage
14
/15 pts
Stage/business
12
/15 pts
Catalysts
7
/10 pts
Reg. risk
5
/8 pts
Risk/reward
4
/7 pts
Management
3
/5 pts
Sector/macro
2
/3 pts
Compliance
1
/2 pts
MOMENTUMBEAT & RAISEHIGH MULTIPLEDILUTION WATCH
Fair value base case
Fair value base case
USD 14.8
Range: USD 9.50-USD 19.5
Price at analysis date: USD 13.4 (01/10/2026)
Base upside/downside: +10%

Factor weights follow MOMENTUM mode: 35% bull / 40% base / 25% bear. The factor changes scenario weights, not the valuation multiple. Base FV is close to public targets, so the report's conclusion is favorable but not aggressive. Not investment advice.

ComponentAssumptionUSD/share
FY2026 EBITDA enterprise value$36.5M FY2026E adj. EBITDA midpoint x 21.0x EV/EBITDA / 56.46M shares+13.58
Net cash / debt bridge($27.37M cash - $5.71M debt) / 56.46M shares+0.38
Growth option value25% probability x $120M value for pharma programs compounding beyond FY2026 / 56.46M shares+0.53
Dilution reserve-5.0% dilution haircut x $13.42 current price due to +10.93% YoY shares-0.67
Regulatory/customer concentration reserve-$18.9M reserve for copay-rule and program-concentration risk / 56.46M shares-0.33
FCF conversion credit10% probability x $71M TTM FCF-quality upside / 56.46M shares+1.26
FV base caseExplicit sum of components above$14.75
Bull
$18-$20
Probability: 35%
Patient affordability keeps compounding, FY2027 revenue grows above 25%, EBITDA margin holds near 32%, and the market pays 24x-26x forward EBITDA.
Base
$14-$15.50
Probability: 40%
FY2026 guidance is met, revenue growth moderates into FY2027, and the current premium multiple is sustained but not expanded.
Bear
$9-$10
Probability: 25%
Copay-program growth slows, dilution continues, or regulatory/client concentration risk compresses the multiple toward low-teens EBITDA.
Methodology: Factor weights follow MOMENTUM mode: 35% bull / 40% base / 25% bear. The factor changes scenario weights, not the valuation multiple. Base FV is close to public targets, so the report's conclusion is favorable but not aggressive. Not investment advice. Not investment advice.
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Factor setup
PAYS was selected in FATTORIALE mode with dominant factor [MOMENTUM]. The selection factor is only a screen: the fair value below is derived independently from forward revenue, adjusted EBITDA, peer multiples and dilution.
Command applied for Step 2: analizza PAYS in inglese.
Capital Structure - Short Interest - Buyback & Dilution
Short Interest
N/D
A fresh free-source short-interest percentage was not found with a reliable date. Treat short interest as a monitor item, not a core thesis input.
Share dilution (1Y)
+10.93%
Shares outstanding rose to 56.46M. This is the clearest capital-structure offset to strong operating momentum.
Buyback
$0
No active repurchase program found in checked sources; capital is being retained for growth and platform investment.
Short Interest - context
PAYS - N/D
N/D

Insider check: recent Form 4 aggregators show CEO Mark Newcomer sold about $1.78M on Aug 7, 2026 and Joan Herman sold more than $500K on Jul 16 and Jun 30, 2026. Litigation/governance searches did not surface an active PAYS securities class action, short-seller report, SEC investigation or going-concern warning in the last 12 months.

$Financial analysis - FY
Q2 2026 revenue
$28.25M
+48.1% YoY
Q2 adjusted EBITDA
$9.61M
+113.0% YoY
FY2026 revenue guide
$114-$117M
Raised in Q2
Cash / debt
$27.4M / $5.7M
Net cash
ItemFY2023FY2024FY2025FY2026EGuidance / note
Total revenue~$47.4M~$58.5M$82.0M$114-$117MQ2 2026 guide raised
Net income$6.46M$3.82M$7.55M$21.5-$23.0MFY2026 guide after Q2 raise
Adjusted EBITDA$6.71M$9.62M$19.94M$35-$38MMidpoint +83% vs FY2025
Diluted EPS$0.12$0.07$0.13$0.35-$0.37Guidance materially above pre-Q2 consensus
Cash / debtN/DN/D$21.1M / $6.0M$27.4M / $5.7MQ2 2026 balance sheet
Quarterly dynamics - last 5 quarters
MetricQ2 2025Q3 2025Q4 2025Q1 2026Q2 2026
Revenue ($M)19.0821.6022.8028.0428.25
Gross margin %61.6%N/DN/DN/D63.3%
Net income ($M)1.39N/DN/D5.446.76
Cash EOP ($M)N/DN/D21.1N/D27.37
Growth quality
High
Valuation risk
High
Dilution pressure
Material
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Business model - healthcare payments with operating leverage

Patient affordability is now the growth engine
Paysign operates payment and program-management rails for life-sciences use cases: plasma donor compensation, pharma patient affordability, and engagement/payment processing technology. Q2 2026 showed a decisive mix shift: patient affordability revenue rose 88.9% YoY and overtook plasma as the larger segment, while gross and EBITDA margins expanded.

Pharma patient affordability $30.33M H1 2026, +85.2% YoY ramping Largest growth engine; 148 active programs at Q2 exit after 51 net additions over 12 months. Plasma donor payments $24.79M H1 2026, +23.0% YoY stable Mature payment rail with 561 centers at Q2 exit; still important, but no longer the sole thesis. Other / platform services $1.17M H1 2026, +2.0% YoY small Small residual category; value comes from platform extensibility rather than current revenue size.

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Legal, regulatory and risk analysis

Valuation multiple
High
At roughly 37x forward EPS and 20x FY2026E adjusted EBITDA, execution has to stay clean.
Copay regulation
High
Patient affordability economics can be affected by accumulator/maximizer rules and pharma reimbursement policy.
Dilution
High
Shares outstanding increased 10.93% YoY, partly offsetting operating leverage.
Operating momentum
Positive
Two consecutive quarters exceeded company guidance, and FY2026 guide was raised after Q2.
Insider selling
Moderate
Recent CEO and director/officer sales above $500K deserve monitoring after a major share-price run.
Balance sheet
Positive
$27.37M cash against $5.71M debt gives flexibility without an immediate financing need.
Customer concentration
Medium
Program wins and pharma/plasma client retention are central; a lost large program would hit growth credibility.
Compliance checks
Low
Searches found no current securities class action, SEC investigation, short-seller report or going-concern warning.
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SWOT analysis

Strengths
  • +Revenue growth near 50% with gross margin above 63%.
  • +Patient affordability gives PAYS a higher-growth second engine beyond plasma.
  • +Net-cash balance sheet and strong cash conversion.
Weaknesses
  • −The stock already prices in a lot of execution success.
  • −Share dilution is running faster than ideal for a profitable small cap.
  • −Short-interest data was not reliably found in free sources.
Opportunities
  • →More pharma program launches can keep FY2027 growth above mature processor peers.
  • →Operating leverage can move EBITDA margin higher if SG&A scales slowly.
  • →A clean Q3 print can pull analyst targets above the current $15 area.
Threats
  • !Copay-rule changes or pharma budget tightening can slow the strongest segment.
  • !A single weak guide could compress the premium multiple quickly.
  • !Continued insider selling can cap sentiment after the rerating.
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Summary by assessment area

Momentum - Strong
  • Q2 beat, guidance raise and near-high price action justify the factor screen.
  • Growth is fundamental, not just multiple expansion.
Valuation - Tight
  • Base FV is only about 10% above the analysis price.
  • The stock needs FY2027 growth visibility for a higher target.
Watchlist - Clear
  • Track Q3 revenue, program count, dilution and insider sales.
  • Regulatory risk is the main non-financial variable.
Sources & Disclaimer

Sources: Paysign Q2 2026 earnings release filed Aug 5, 2026; Paysign Q2 2026 Form 10-Q; Paysign Q2 2026 transcript; Paysign FY2025 results release and 2025 10-K; StockAnalysis PAYS statistics and valuation; Investing.com PAYS earnings page; Webull PAYS quote snapshot; Yahoo Finance PAYS quote snippet; PriceTargets/Barrington Research target snippet; InsiderFlow and Levi & Korsinsky insider transaction snippets; peer valuation snippets from StockAnalysis, Yahoo Finance, MarketScreener and FinanceCharts. Market data - last verified analysis price Sep 30, 2026: PAYS ~$13.42, market cap ~$757.7M, 52W range $3.08-$14.43, 56.46M shares outstanding. Short interest: N/D from reliable free dated source. This document is for informational purposes only and does not constitute financial or investment advice.