Pacific Health Care Organization Inc
pacifichealthcareorganization.comWhat Do They Do?
Provides workers’ compensation cost-containment services, including provider networks, treatment reviews and medical case management, for employers, insurers and claims administrators.
10-K for FY2025, filed Mar 18, 2026We are workers’ compensation cost containment specialists providing a range of services principally to California employers and claims…View ↗
Our services include providing customers access to our HCOs and MPNs. We also provide medical bill review, medical case management…View ↗
Our customers include self-administered employers, insurers, third party administrators, municipalities, and others. Our principal…View ↗
How Do They Make Money?
Customers pay fees for network access and administration, medical bill and treatment reviews, and medical case management. Depending on the service, they are billed monthly after service or annually in advance, with payment due within 30 days.
10-K for FY2025, filed Mar 18, 2026We derive revenue from fees charged for HCO notifications, HCO/MPN program administration, HCO/MPN custom networks, HCO/MPN claim network…View ↗
Revenues are generated as services are provided to the customer based on the agreed upon sales price in accordance with customers’…View ↗
The Company offers multiple services under its workers’ compensation cost containment specialty service lines. The Company typically…View ↗
The Company derives its HCO and MPN revenue from fees charged for various aspects of these programs. Monthly and annual HCO/MPN program…View ↗
The Company derives its medical bill review revenue from fees generated and delivered at a point in time and invoiced upon completion of…View ↗
The Company derives its utilization review revenue from fees generated and delivered at a point in time and invoiced upon completion of the…View ↗
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10-K for FY2025, filed Mar 18, 2026
FY2025 revenue by product or service ↗
$6.7M
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10-K for FY2025, filed Mar 18, 2026
$6.7M ↗
| Segment | Share | Revenue | How money arrives |
|---|---|---|---|
|
HCO
Mix
10-K for FY2025, filed Mar 18, 2026 |
18%
FY2022: 26%
|
HCO, FY2025
$1.2M Sources
|
Mix |
|
MPN
Mix
10-K for FY2025, filed Mar 18, 2026 |
9.9%
FY2022: 9.3%
|
MPN, FY2025
$663.5K Sources
|
Mix |
|
Medical Bill Review
Sold outright
|
6.0%
FY2022: 7.2%
|
Medical Bill Review, FY2025
$403.3K Sources
|
Sold outright |
|
Utilization Review
Usage-based
10-K for FY2025, filed Mar 18, 2026 |
32%
FY2022: 28%
|
Utilization Review, FY2025
$2.2M Sources
|
Usage-based |
|
Medical Case Management
|
33%
FY2022: 26%
|
Medical Case Management, FY2025
$2.2M Sources
|
|
|
Other
|
0.7%
FY2022: 2.6%
|
Other, FY2025
$45.3K Sources
|
Who Are Their Customers?
The company serves employers and public agencies, insurers, and claims administrators, mainly in California. Account managers reach customers through referrals, conference presentations and requests for proposals.
10-K for FY2025, filed Mar 18, 2026Our customers include self-administered employers, insurers, third party administrators, municipalities, and others. Our principal…View ↗
We provide services to virtually any size employer in the state of California as well as insurers, third party administrators…View ↗
Our marketing and sales efforts focus primarily on customer referrals, conference presentations and responding to requests for proposals.…View ↗
Do Revenues Turn Into Profits?
Yes. It kept 21 cents of every revenue dollar as net income in FY2025 and turned 17 cents into free cash flow.
10-K for FY2025, filed Mar 18, 2026
$1MView ↗
10-K for FY2025, filed Mar 18, 2026
$1.4MView ↗
10-K for FY2025, filed Mar 18, 2026
$1.1MView ↗
How Are They Changing?
10-Q for Q2 FY2026, filed Aug 4, 2026
Open tableView ↗
Growing. Revenue grew 24% in 4 years, from $5.4M in FY2021 to $6.7M in FY2025, about 6% a year.
Dropped lien representation
The older report lists lien representation among its services; the latest report says the company discontinued it because demand was lacking.
10-K for FY2022, filed Mar 31, 2023 10-K for FY2025, filed Mar 18, 2026We are workers’ compensation cost containment specialists providing a range of services principally to California employers and claims…View ↗
Our services include providing customers access to our HCOs and MPNs. We also provide medical case management, medical bill review…View ↗
Lien RepresentationView ↗
We are workers’ compensation cost containment specialists providing a range of services principally to California employers and claims…View ↗
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