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CareCloud Delivers Growth and Strong Cash Flow in Q1 2025, Advances AI and Acquisition Strategy

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CareCloud (CCLD) reported strong Q1 2025 financial results with revenue of $27.6M (up 6% YoY) and GAAP net income of $1.9M (vs. loss of $241K in Q1 2024). The company achieved Adjusted EBITDA of $5.6M (52% increase) and adjusted net income of $2.3M. Key developments include launching an AI Center of Excellence with plans to scale to 500 AI specialists, completing Series A preferred stock conversion reducing annual dividend commitment by $7.7M, resuming preferred dividends, and completing two strategic acquisitions. CareCloud reaffirmed its 2025 guidance with expected revenue of $111-114M, Adjusted EBITDA of $26-28M, and EPS of $0.10-0.13.

CareCloud (CCLD) ha riportato solidi risultati finanziari nel primo trimestre 2025 con ricavi di 27,6 milioni di dollari (in aumento del 6% su base annua) e utile netto GAAP di 1,9 milioni di dollari (rispetto a una perdita di 241 mila dollari nel Q1 2024). L'azienda ha raggiunto un EBITDA rettificato di 5,6 milioni di dollari (incremento del 52%) e un utile netto rettificato di 2,3 milioni di dollari. Tra gli sviluppi principali si segnalano il lancio di un Centro di Eccellenza per l'Intelligenza Artificiale con l'obiettivo di arrivare a 500 specialisti AI, il completamento della conversione delle azioni privilegiate di Serie A che ha ridotto l'impegno annuale sui dividendi di 7,7 milioni di dollari, la ripresa del pagamento dei dividendi privilegiati e il completamento di due acquisizioni strategiche. CareCloud ha confermato le previsioni per il 2025 con ricavi attesi tra 111 e 114 milioni di dollari, EBITDA rettificato tra 26 e 28 milioni di dollari e un utile per azione (EPS) compreso tra 0,10 e 0,13 dollari.
CareCloud (CCLD) reportó sólidos resultados financieros en el primer trimestre de 2025 con ingresos de 27,6 millones de dólares (un aumento del 6% interanual) y ingreso neto GAAP de 1,9 millones de dólares (frente a una pérdida de 241 mil dólares en el Q1 2024). La compañía alcanzó un EBITDA ajustado de 5,6 millones de dólares (incremento del 52%) y un ingreso neto ajustado de 2,3 millones de dólares. Entre los desarrollos clave se incluyen el lanzamiento de un Centro de Excelencia en IA con planes para expandirse a 500 especialistas en IA, la finalización de la conversión de acciones preferentes Serie A que redujo el compromiso anual de dividendos en 7,7 millones de dólares, la reanudación de los dividendos preferentes y la finalización de dos adquisiciones estratégicas. CareCloud reafirmó su guía para 2025 con ingresos esperados entre 111 y 114 millones de dólares, EBITDA ajustado entre 26 y 28 millones de dólares y ganancias por acción (EPS) de 0,10 a 0,13 dólares.
CareCloud(CCLD)는 2025년 1분기에 매출 2,760만 달러(전년 대비 6% 증가)와 GAAP 순이익 190만 달러(2024년 1분기 24만 1천 달러 손실 대비)를 기록하며 강력한 재무 실적을 보고했습니다. 회사는 조정 EBITDA 560만 달러(52% 증가)와 조정 순이익 230만 달러를 달성했습니다. 주요 발전 사항으로는 AI 전문가 500명 규모로 확대할 계획인 AI 우수 센터 출범, 연간 배당금 부담을 770만 달러 줄인 시리즈 A 우선주 전환 완료, 우선주 배당 재개, 두 건의 전략적 인수 완료가 포함됩니다. CareCloud는 2025년 매출 1억 1,100만~1억 1,400만 달러, 조정 EBITDA 2,600만~2,800만 달러, 주당순이익(EPS) 0.10~0.13달러의 가이던스를 재확인했습니다.
CareCloud (CCLD) a annoncé de solides résultats financiers pour le premier trimestre 2025 avec un chiffre d'affaires de 27,6 millions de dollars (en hausse de 6 % en glissement annuel) et un résultat net GAAP de 1,9 million de dollars (contre une perte de 241 000 dollars au T1 2024). La société a atteint un EBITDA ajusté de 5,6 millions de dollars (augmentation de 52 %) et un résultat net ajusté de 2,3 millions de dollars. Parmi les développements clés figurent le lancement d'un Centre d'Excellence en IA avec un objectif d'extension à 500 spécialistes en IA, la conversion des actions privilégiées de série A réduisant l'engagement annuel en dividendes de 7,7 millions de dollars, la reprise des dividendes privilégiés, ainsi que la réalisation de deux acquisitions stratégiques. CareCloud a confirmé ses prévisions pour 2025 avec un chiffre d'affaires attendu entre 111 et 114 millions de dollars, un EBITDA ajusté entre 26 et 28 millions de dollars et un BPA (bénéfice par action) de 0,10 à 0,13 dollar.
CareCloud (CCLD) meldete starke Finanzergebnisse für das erste Quartal 2025 mit Umsatz von 27,6 Mio. USD (plus 6 % im Jahresvergleich) und GAAP-Nettogewinn von 1,9 Mio. USD (gegenüber einem Verlust von 241.000 USD im Q1 2024). Das Unternehmen erzielte ein bereinigtes EBITDA von 5,6 Mio. USD (Steigerung um 52 %) und einen bereinigten Nettogewinn von 2,3 Mio. USD. Zu den wichtigen Entwicklungen gehören die Gründung eines AI Center of Excellence mit dem Ziel, auf 500 AI-Spezialisten zu skalieren, der Abschluss der Umwandlung der Series-A-Vorzugsaktien, wodurch die jährliche Dividendenverpflichtung um 7,7 Mio. USD gesenkt wurde, die Wiederaufnahme der Vorzugsdividenden und der Abschluss von zwei strategischen Übernahmen. CareCloud bestätigte seine Prognose für 2025 mit erwarteten Umsätzen von 111 bis 114 Mio. USD, bereinigtem EBITDA von 26 bis 28 Mio. USD und einem Gewinn je Aktie (EPS) von 0,10 bis 0,13 USD.
Positive
  • Revenue increased 6% year-over-year to $27.6M
  • Turned $241K loss into $1.9M GAAP net income YoY
  • Adjusted EBITDA grew 52% to $5.6M
  • Series A preferred stock conversion reduced annual dividend commitment by $7.7M
  • Successfully completed two strategic acquisitions
  • Resumed preferred dividend payments
  • Launched AI Center of Excellence with plans for 500 AI specialists
Negative
  • Significant dilution from conversion of 3.5M Series A preferred shares into 26M common shares
  • Still maintaining high dividend rates of 8.75% on remaining preferred stock

Insights

CareCloud's Q1 shows strong turnaround with 52% EBITDA growth, improved capital structure, and resumed dividends while funding AI expansion.

CareCloud's Q1 2025 results signal a remarkable financial turnaround. While the 6% revenue growth to $27.6 million appears modest, the profit trajectory tells a compelling story. The company has shifted from a $241,000 net loss in Q1 2024 to a positive GAAP net income of $1.9 million this quarter - marking its fourth consecutive profitable quarter.

Most impressive is the 52% year-over-year increase in Adjusted EBITDA to $5.6 million, reflecting substantial operational efficiency improvements. The company's strategic conversion of 3.5 million Series A preferred shares into 26 million common shares represents a savvy financial maneuver, reducing annual dividend commitments by approximately $7.7 million and directly strengthening cash flow.

The resumption of preferred dividends in February 2025 signals management's confidence in sustainable cash generation. With $6.8 million in cash and $11.7 million in net working capital, CareCloud has established a financial foundation to execute its dual strategy of AI development and acquisitions.

The reaffirmed 2025 guidance of $111-114 million in annual revenue with $26-28 million in Adjusted EBITDA and EPS of $0.10-$0.13 suggests management expects this positive momentum to continue throughout the year.

CareCloud's launch of AI Center of Excellence with 500 specialists planned by Q4 represents major strategic pivot in healthcare tech.

CareCloud's establishment of a dedicated AI Center of Excellence represents a significant strategic pivot toward technological differentiation in the healthcare sector. The company has already onboarded 50 AI professionals with ambitious plans to scale to 500 specialists by Q4 2025 - a considerable commitment for a company of CareCloud's size.

Particularly noteworthy is the company's approach to funding this AI initiative entirely through operating cash flows rather than external capital. This self-funding strategy demonstrates both financial discipline and confidence in the ROI potential of their AI investments. The focus on practical applications - automating clinical workflows, optimizing revenue cycle management, and improving patient outcomes - suggests a pragmatic approach rather than pursuing speculative projects.

The AI initiative, combined with the two recently completed acquisitions in March and April 2025, points to a comprehensive transformation strategy balancing organic technological innovation with inorganic growth. This dual approach could potentially accelerate CareCloud's market position in the evolving healthcare technology landscape.

The scale of CareCloud's AI ambitions is particularly striking in the healthcare sector, where adoption of advanced AI has traditionally moved cautiously. By making such a substantial investment in AI talent, the company is positioning itself to potentially develop proprietary solutions that could differentiate its offerings in a competitive market.

SOMERSET, N.J., May 06, 2025 (GLOBE NEWSWIRE) -- CareCloud, Inc. (Nasdaq: CCLD, CCLDO), a leader in healthcare technology and generative AI solutions, today announced strong financial results for the three months ended March 31, 2025. CareCloud’s strategic execution, AI-driven innovation, and disciplined financial management have fueled a transformational turnaround, positioning the Company for sustained profitability and long-term growth. Management will discuss these results and the Company’s 2025 growth strategies in a live conference call today at 8:30 a.m. ET.

First Quarter 2025 Financial Highlights:

  • Revenue of $27.6 million, compared to $26.0 million in Q1 2024, an increase of 6% year-over-year
  • GAAP net income of $1.9 million, compared to a net loss of $241,000 in Q1 2024
  • Adjusted EBITDA of $5.6 million, compared to $3.7 million in Q1 2024, an increase of 52%
  • Adjusted net income of $2.3 million, or $0.05 per share
  • Cash balance of $6.8 million and net working capital of $11.7 million as of March 31, 2025

Recent Strategic Updates

  • AI Center of Excellence Launched: CareCloud launched its dedicated AI Center of Excellence, onboarding the first wave of over 50 AI professionals and aiming to scale to 500 AI specialists by fourth quarter 2025. The initiative is fully self-funded through operating cash flows.
  • Series A Preferred Stock Conversion Completed: Successfully converted 3.5 million Series A preferred shares into 26 million common shares, reducing the annual dividend commitment by approximately $7.7 million and strengthening cash flow and the capital structure.
  • Resumption of Preferred Dividends: Payments of preferred dividends resumed in February 2025.
  • Acquisition Strategy Reignited: Completed two strategic acquisitions in March and April 2025, with additional acquisition opportunities actively under evaluation.

Management Commentary:

"The launch of our AI Center of Excellence marks a pivotal moment in CareCloud’s evolution," said A. Hadi Chaudhry, Co-CEO of CareCloud. "By building one of the largest dedicated healthcare AI teams globally, we believe we are creating real-world solutions to automate clinical workflows, optimize revenue cycle management, and improve patient outcomes. This initiative is intended to accelerate our operational efficiency as well as positioning CareCloud at the forefront of intelligent healthcare transformation — driving sustainable profitability and long-term growth for ourselves and the healthcare providers who use our services."

“After record profits and a successful turnaround in 2024, we are excited to announce continued momentum and strength as we enter 2025,” said Co-CEO Stephen Snyder. “With two recent acquisitions and the launch of our AI Center of Excellence, CareCloud is not just responding to the market shift — we are intending to lead it.”

“We are pleased to announce our fourth consecutive quarter of positive GAAP net income and an increase in revenue and adjusted EBITDA year over year,” said Norman Roth, Interim CFO and Corporate Controller of CareCloud. “We have resumed paying our Preferred Stock dividends monthly out of internally-generated free cash flow, while generating additional profits and cash flow to reinvest for future growth. To date we have declared six months of Preferred Stock dividends.”

Capital

On March 31, 2025, the Company had 984,530 shares of Series A Preferred Stock and 1,511,372 shares of non-convertible Series B Preferred Stock outstanding. As of March 31, 2025, the Series A and B shares both accrued dividends at the rate of 8.75% per annum, based on the $25.00 per share liquidation preference (equivalent to $2.1875 annually per share), and they are redeemable at the Company’s option once the preferred stock dividends are brought current.

2025 Guidance: Poised for Growth

CareCloud is reconfirming its earnings guidance for 2025, expecting:

For the Fiscal Year Ending December 31, 2025
Forward-Looking Guidance
Revenue$111$114 million
Adjusted EBITDA$26$28 million
Net Income Per Share (EPS)$0.10 - $0.13


The Company continues to anticipate full year 2025 revenue of approximately $111 to $114 million. Revenue guidance is based on management’s expectations regarding revenue from existing clients, organic growth in new client additions and anticipated number of small tuck-in acquisitions.

Adjusted EBITDA is expected to be $26 to $28 million for full year 2025 and reflects improvements from the Company’s cost reduction efforts. EPS is expected to be $0.10 to $0.13 for full year 2025.

Conference Call Information

CareCloud management will host a conference call today at 8:30 a.m. Eastern Time to discuss the first three months of 2025 results. The live webcast of the conference call and related presentation slides can be accessed at ir.carecloud.com/events. An audio-only option is available by dialing 201-389-0920 and referencing “CareCloud First Quarter 2025 Results Conference Call.” Investors who opt for audio-only will need to download the related slides at ir.carecloud.com/events.

A replay of the conference call and related presentation slides will be available approximately three hours after conclusion of the call at the same link. An audio-only option can also be accessed by dialing 412-317-6671 and providing the access code 13753440.

Use of Non-GAAP Financial Measures

In our earnings releases, prepared remarks, conference calls, slide presentations, and webcasts, we use and discuss non-GAAP financial measures, as defined by SEC Regulation G. The GAAP financial measure most directly comparable to each non-GAAP financial measure used or discussed, and a reconciliation of the differences between each non-GAAP financial measure and the comparable GAAP financial measure, are included in this press release after the condensed consolidated financial statements. Our earnings press releases containing such non-GAAP reconciliations can be found in the Investor Relations section of our web site at ir.carecloud.com.

Forward-Looking Statements

This press release contains various forward-looking statements within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995. These statements relate to anticipated future events, future results of operations or future financial performance. In some cases, you can identify forward-looking statements by terminology such as “may,” “might,” “will,” “shall,” “should,” “could,” “intends,” “expects,” “plans,” “goals,” “projects,” “anticipates,” “believes,” “seeks,” “estimates,” “forecasts,” “predicts,” “possible,” “potential,” “target,” or “continue” or the negative of these terms or other comparable terminology.

Our operations involve risks and uncertainties, many of which are outside our control, and any one of which, or a combination of which, could materially affect our results of operations and whether the forward-looking statements ultimately prove to be correct. Forward-looking statements in this press release include, without limitation, statements reflecting management's expectations for future financial performance and operating expenditures, expected growth, profitability and business outlook, the impact of pandemics on our financial performance and business activities, and the expected results from the integration of our acquisitions.

These forward-looking statements are neither historical facts nor assurances of future performance. Instead, they are only predictions, are uncertain and involve substantial known and unknown risks, uncertainties and other factors which may cause our (or our industry’s) actual results, levels of activity or performance to be materially different from any future results, levels of activity or performance expressed or implied by these forward-looking statements. New risks and uncertainties emerge from time to time, and it is not possible for us to predict all of the risks and uncertainties that could have an impact on the forward-looking statements, including without limitation, risks and uncertainties relating to the Company’s ability to manage growth, migrate newly acquired customers and retain new and existing customers, maintain cost-effective global operations, increase operational efficiency and reduce operating costs, predict and properly adjust to changes in reimbursement and other industry regulations and trends, retain the services of key personnel, develop new technologies, upgrade and adapt legacy and acquired technologies to work with evolving industry standards, compete with other companies’ products and services competitive with ours, manage and keep our information systems secure and other important risks and uncertainties referenced and discussed under the heading titled “Risk Factors” in the Company’s filings with the Securities and Exchange Commission.

The statements in this press release are made as of the date of this press release, even if subsequently made available by the Company on its website or otherwise. The Company does not assume any obligations to update the forward-looking statements provided to reflect events that occur or circumstances that exist after the date on which they were made.

About CareCloud

CareCloud (Nasdaq: CCLD, CCLDO) brings disciplined innovation and generative AI solutions to the business of healthcare. Our suite of technology-enabled solutions helps clients increase financial and operational performance, streamline clinical workflows and improve the patient experience. More than 40,000 providers count on CareCloud to help them improve patient care while reducing administrative burdens and operating costs. Learn more about our products and services, including revenue cycle management (RCM), practice management (PM), electronic health records (EHR), artificial intelligence (AI), business intelligence (BI), patient experience management (PXM) and digital health, at carecloud.com.

Follow CareCloud on LinkedInX and Facebook.

For additional information, please visit our website at carecloud.com. To listen to video presentations by CareCloud’s management team, read recent press releases and view the latest investor presentation, please visit ir.carecloud.com.

SOURCE CareCloud

Company Contact:
Norman Roth
Interim Chief Financial Officer and Corporate Controller
CareCloud, Inc.
nroth@carecloud.com

Investor Contact:
Stephen Snyder
Co-Chief Executive Officer
CareCloud, Inc.
ir@carecloud.com

CARECLOUD, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
($ in thousands, except share and per share amounts)
       
   March 31,   December 31, 
   2025   2024 
   (Unaudited)     
ASSETS        
Current assets:        
Cash $6,805  $5,145 
Accounts receivable - net  13,887   12,774 
Contract asset  4,457   4,334 
Inventory  609   574 
Current assets - related party  16   16 
Prepaid expenses and other current assets  2,843   1,957 
Total current assets  28,617   24,800 
Property and equipment - net  5,323   5,290 
Operating lease right-of-use assets  3,097   3,133 
Intangible assets - net  16,877   18,698 
Goodwill  19,186   19,186 
Other assets  456   507 
TOTAL ASSETS $73,556  $71,614 
LIABILITIES AND SHAREHOLDERS' EQUITY        
Current liabilities:        
Accounts payable $4,951  $4,565 
Accrued compensation  2,865   1,817 
Accrued expenses  5,002   4,951 
Operating lease liability (current portion)  1,355   1,287 
Deferred revenue (current portion)  1,297   1,212 
Notes payable (current portion)  133   310 
Contingent consideration (current portion)  47   - 
Dividend payable  1,299   5,438 
Total current liabilities  16,949   19,580 
Notes payable  23   26 
Contingent consideration  60   - 
Operating lease liability  1,776   1,847 
Deferred revenue  571   387 
Total liabilities  19,379   21,840 
COMMITMENTS AND CONTINGENCIES        
SHAREHOLDERS' EQUITY:        
Preferred stock, $0.001 par value - authorized 7,000,000 shares. Series A, issued and outstanding 984,530 and 4,526,231 shares at March 31, 2025 and December 31, 2024, respectively. Series B, issued and outstanding 1,511,372 shares at March 31, 2025 and December 31, 2024.  2   6 
Common stock, $0.001 par value - authorized 85,000,000 shares. Issued 43,061,928 and 16,997,035 shares at March 31, 2025 and December 31, 2024, respectively. Outstanding 42,321,129 and 16,256,236 shares at March 31, 2025 and December 31, 2024, respectively  43   17 
Additional paid-in capital  123,537   121,046 
Accumulated deficit  (64,682)  (66,630)
Accumulated other comprehensive loss  (4,061)  (4,003)
Less: 740,799 common shares held in treasury, at cost at March 31, 2025 and December 31, 2024  (662)  (662)
Total shareholders' equity  54,177   49,774 
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY $73,556  $71,614 


CARECLOUD, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)
FOR THE THREE MONTHS ENDED MARCH 31, 2025 AND 2024
($ in thousands, except share and per share amounts)
  Three Months Ended 
  March 31, 
  2025  2024* 
NET REVENUE $27,632  $25,962 
OPERATING EXPENSES:        
Direct operating costs  15,464   15,177 
Selling and marketing  1,131   1,770 
General and administrative  4,332   3,721 
Research and development  1,235   913 
Depreciation and amortization  3,337   3,930 
Restructuring costs  114   322 
Total operating expenses  25,613   25,833 
OPERATING INCOME  2,019   129 
OTHER:        
Interest income  42   27 
Interest expense  (58)  (365)
Other (expense) income - net  (14)  7 
INCOME (LOSS) BEFORE PROVISION FOR INCOME TAXES  1,989   (202)
Income tax provision  41   39 
NET INCOME (LOSS) $1,948  $(241)
         
Preferred stock dividend  2,811   1,312 
NET LOSS ATTRIBUTABLE TO COMMON SHAREHOLDERS $(863) $(1,553)
         
Net loss per common share: basic and diluted $(0.04) $(0.10)
Weighted-average common shares used to compute basic and diluted loss per share  23,813,943   16,014,309 


* Restated to include the preferred stock dividends earned, but not declared, during the three months ended March 31, 2024.

CARECLOUD, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
FOR THE THREE MONTHS ENDED MARCH 31, 2025 AND 2024
($ in thousands)
       
   2025   2024 
OPERATING ACTIVITIES:        
 Net income (loss) $1,948  $(241)
 Adjustments to reconcile net income (loss) to net cash provided by operating activities:        
 Depreciation and amortization  3,407   4,020 
 Lease amortization  480   509 
 Deferred revenue  269   58 
 Provision for expected credit losses  70   37 
 Foreign exchange gain  (1)  (11)
 Interest accretion  107   168 
 Stock-based compensation expense (benefit)  108   (708)
 Changes in operating assets and liabilities:        
Accounts receivable  (1,183)  (111)
Contract asset  (105)  (361)
Inventory  (35)  (15)
Other assets  (908)  - 
Accounts payable and other liabilities  956   721 
 Net cash provided by operating activities  5,113   4,066 
INVESTING ACTIVITIES:        
 Purchases of property and equipment  (624)  (298)
 Capitalized software and other intangible assets  (846)  (1,570)
 Initial payment for acquisition  (40)  - 
 Net cash used in investing activities  (1,510)  (1,868)
FINANCING ACTIVITIES:        
 Preferred stock dividends paid  (1,730)  - 
 Settlement of tax withholding obligations on stock issued to employees  (21)  (151)
 Repayments of notes payable  (181)  (223)
 Repayment of line of credit  -   (1,000)
 Net cash used in financing activities  (1,932)  (1,374)
EFFECT OF EXCHANGE RATE CHANGES ON CASH  (11)  (17)
NET INCREASE IN CASH  1,660   807 
CASH - Beginning of the period  5,145   3,331 
CASH - End of the period $6,805  $4,138 
SUPPLEMENTAL NONCASH INVESTING AND FINANCING ACTIVITIES:        
 Conversion of preferred stock and accrued dividends to common stock $2,435  $- 
 Dividends declared, not paid $1,299  $5 
 Purchase of prepaid insurance with assumption of note $-  $96 
 Reclass of deposits for property and equipment placed in service $-  $296 
SUPPLEMENTAL INFORMATION - Cash paid during the period for:        
Income taxes $15  $6 
Interest $18  $295 


RECONCILIATION OF NON-GAAP FINANCIAL MEASURES
TO COMPARABLE GAAP MEASURES

The following is a reconciliation of the non-GAAP financial measures used by us to describe our financial results determined in accordance with accounting principles generally accepted in the United States of America (“GAAP”). An explanation of these measures is also included below under the heading “Explanation of Non-GAAP Financial Measures.”

While management believes that these non-GAAP financial measures provide useful supplemental information to investors regarding the underlying performance of our business operations, investors are reminded to consider these non-GAAP measures in addition to, and not as a substitute for, financial performance measures prepared in accordance with GAAP. In addition, it should be noted that these non-GAAP financial measures may be different from non-GAAP measures used by other companies, and management may utilize other measures to illustrate performance in the future. Non-GAAP measures have limitations in that they do not reflect all of the amounts associated with our results of operations as determined in accordance with GAAP.

Adjusted EBITDA to GAAP Net Income (Loss)

Set forth below is a reconciliation of our “adjusted EBITDA” to our GAAP net income (loss).

  Three Months Ended March 31, 
  2025  2024 
  ($ in thousands) 
Net revenue $27,632  $25,962 
         
GAAP net income (loss)  1,948   (241)
         
Provision for income taxes  41   39 
Net interest expense  16   338 
Foreign exchange loss (gain) / other expense  19   (5)
Stock-based compensation expense (benefit)  108   (708)
Depreciation and amortization  3,337   3,930 
Transaction and integration costs  12   12 
Restructuring costs  114   322 
Adjusted EBITDA $5,595  $3,687 


Non-GAAP Adjusted Operating Income to GAAP Operating Income

Set forth below is a reconciliation of our non-GAAP “adjusted operating income” and non-GAAP “adjusted operating margin” to our GAAP operating income and GAAP operating margin.

  Three Months Ended March 31, 
  2025  2024 
  ($ in thousands) 
Net revenue $27,632  $25,962 
         
GAAP net income (loss)  1,948   (241)
Provision for income taxes  41   39 
Net interest expense  16   338 
Other expense (income) - net  14   (7)
GAAP operating income  2,019   129 
GAAP operating margin  7.3%  0.5%
         
Stock-based compensation expense (benefit)  108   (708)
Amortization of purchased intangible assets  89   840 
Transaction and integration costs  12   12 
Restructuring costs  114   322 
Non-GAAP adjusted operating income $2,342  $595 
Non-GAAP adjusted operating margin  8.5%  2.3%


Non-GAAP Adjusted Net Income to GAAP Net Income (Loss)

Set forth below is a reconciliation of our non-GAAP “adjusted net income” and non-GAAP “adjusted net income per share” to our GAAP net income (loss) and GAAP net loss per share.

  Three Months Ended March 31, 
  2025  2024 
  ($ in thousands) 
GAAP net income (loss) $1,948  $(241)
         
Foreign exchange loss (gain) / other expense  19   (5)
Stock-based compensation expense (benefit)  108   (708)
Amortization of purchased intangible assets  89   840 
Transaction and integration costs  12   12 
Restructuring costs  114   322 
Non-GAAP adjusted net income $2,290  $220 
         
End-of-period common shares  42,321,129   16,118,492 
         
Non-GAAP adjusted net income per share $0.05  $0.01 


For purposes of determining non-GAAP adjusted net income per share, we used the number of common shares outstanding as of March 31, 2025 and 2024.

  Three Months Ended March 31, 
  2025  2024 
GAAP net loss attributable to common shareholders, per share $(0.04) $(0.10)
Impact of preferred stock dividend  0.09   0.08 
Net income (loss) per end-of-period share  0.05   (0.02)
         
Foreign exchange loss (gain) / other expense  0.00   0.00 
Stock-based compensation expense (benefit)  0.00   (0.04)
Amortization of purchased intangible assets  0.00   0.05 
Transaction and integration costs  0.00   0.00 
Restructuring costs  0.00   0.02 
Non-GAAP adjusted earnings per share $0.05  $0.01 


Net cash provided by operating activities to free cash flow

Set forth below is a reconciliation of our non-GAAP “free cash flow” to our GAAP net cash provided by operating activities.

  Three Months Ended March 31, 
  2025  2024 
  ($ in thousands) 
Net cash provided by operating activities $5,113  $4,066 
         
Purchases of property and equipment  (624)  (298)
Capitalized software and other intangible assets  (846)  (1,570)
Free cash flow $3,643  $2,198 
         
Net cash used in investing activities 1 $(1,510) $(1,868)
Net cash used in financing activities $(1,932) $(1,374)
         
1 Net cash used in investing activities includes purchases of property and equipment and capitalized software and other intangible assets, which are also included in our computation of free cash flow. 
  

Explanation of Non-GAAP Financial Measures

We report our financial results in accordance with accounting principles generally accepted in the United States of America, or GAAP. However, management believes that, in order to properly understand our short-term and long-term financial and operational trends, investors may wish to consider the impact of certain non-cash or non-recurring items, when used as a supplement to financial performance measures in accordance with GAAP. These items result from facts and circumstances that vary in frequency and impact on continuing operations. Management also uses results of operations before such items to evaluate the operating performance of CareCloud and compare it against past periods, make operating decisions, and serve as a basis for strategic planning. These non-GAAP financial measures provide management with additional means to understand and evaluate the operating results and trends in our ongoing business by eliminating certain non-cash expenses and other items that management believes might otherwise make comparisons of our ongoing business with prior periods more difficult, obscure trends in ongoing operations, or reduce management’s ability to make useful forecasts. Management believes that these non-GAAP financial measures provide additional means of evaluating period-over-period operating performance. In addition, management understands that some investors and financial analysts find this information helpful in analyzing our financial and operational performance and comparing this performance to our peers and competitors.

Management uses adjusted EBITDA, adjusted operating income, adjusted operating margin, and non-GAAP adjusted net income to provide an understanding of aspects of operating results before the impact of investing and financing charges and income taxes. Adjusted EBITDA may be useful to an investor in evaluating our operating performance and liquidity because this measure excludes non-cash expenses as well as expenses pertaining to investing or financing transactions. Management defines “adjusted EBITDA” as the sum of GAAP net income (loss) before provision for income taxes, net interest expense, foreign exchange loss (gain) / other expense, stock-based compensation expense (benefit), depreciation and amortization, transaction and integration costs, and restructuring costs.

Management defines “non-GAAP adjusted operating income” as the sum of GAAP operating income before stock-based compensation expense (benefit), amortization of purchased intangible assets, transaction and integration costs, and restructuring costs, and “non-GAAP adjusted operating margin” as non-GAAP adjusted operating income divided by net revenue.

Management defines “non-GAAP adjusted net income” as the sum of GAAP net income (loss) before foreign exchange loss (gain) / other expense, stock-based compensation expense (benefit), amortization of purchased intangible assets, transaction and integration costs, and restructuring costs, and “non-GAAP adjusted net income per share” as non-GAAP adjusted net income divided by common shares outstanding at the end of the period.

Management defines “free cash flow” as the sum of net cash provided by operating activities less cash used for purchases of property and equipment and cash used to develop capitalized software and other intangible assets.

Management considers all of these non-GAAP financial measures to be important indicators of our operational strength and performance of our business and a good measure of our historical operating trends, in particular the extent to which ongoing operations impact our overall financial performance.

In addition to items routinely excluded from non-GAAP EBITDA, management excludes or adjusts each of the items identified below from the applicable non-GAAP financial measure referenced above for the reasons set forth with respect to that excluded item:

Foreign exchange loss (gain) / other expense. Other expense is excluded because foreign currency gains and losses and other non-operating expenses are expenditures that management does not consider part of ongoing operating results when assessing the performance of our business, and also because the total amount of the expense is partially outside of our control. Foreign currency gains and losses are based on global market factors which are unrelated to our performance during the period in which the gains and losses are recorded.

Stock-based compensation expense (benefit). Stock-based compensation expense (benefit) is excluded because this is primarily a non-cash expenditure that management does not consider part of ongoing operating results when assessing the performance of our business, and also because the total amount of the expenditure is partially outside of our control because it is based on factors such as stock price, volatility, and interest rates, which may be unrelated to our performance during the period in which the expenses are incurred. Stock-based compensation expense includes cash-settled awards based on changes in the stock price.

Amortization of purchased intangible assets. Purchased intangible assets are amortized over their estimated useful lives and generally cannot be changed or influenced by management after the acquisition. Accordingly, this item is not considered by management in making operating decisions. Management does not believe such charges accurately reflect the performance of our ongoing operations for the period in which such charges are recorded.

Transaction costs. Transaction costs are upfront costs related to acquisitions and related transactions, such as brokerage fees, pre-acquisition accounting costs and legal fees, and other upfront costs related to specific transactions. Management believes that such expenses do not have a direct correlation to future business operations, and therefore, these costs are not considered by management in making operating decisions. Management does not believe such charges accurately reflect the performance of our ongoing operations for the period in which such charges are incurred.

Integration costs. Integration costs are severance payments for certain employees relating to our acquisitions and exit costs related to terminating leases and other contractual agreements. Accordingly, management believes that such expenses do not have a direct correlation to future business operations, and therefore, these costs are not considered by management in making operating decisions. Management does not believe such charges accurately reflect the performance of our ongoing operations for the period in which such charges are incurred.

Restructuring costs. Restructuring costs primarily consist of severance and separation costs associated with the optimization of the Company’s operations and profitability improvements. Management believes that such expenses do not have a direct correlation to future business operations, and therefore, these costs are not considered by management in making operating decisions. Management does not believe such charges accurately reflect the performance of our ongoing operations for the period in which such charges are incurred.

Free cash flow. Management believes that free cash flow, which measures our ability to generate additional cash from our business operations, is an important financial measure for use in evaluating the Company's financial performance. Free cash flow should be considered in addition to, rather than as a substitute for, consolidated net operating results as a measure of our performance and net cash provided by operating activities as a measure of our liquidity. Additionally, the Company's definition of free cash flow is limited, in that it does not represent residual cash flows available for discretionary expenditures, due to the fact that the measure does not deduct the payments required for debt service and other contractual obligations or payments made for business acquisitions. Therefore, we believe it is important to view free cash flow as a measure that provides supplemental information to our condensed consolidated statements of cash flows.


FAQ

What were CareCloud's (CCLD) Q1 2025 earnings results?

CareCloud reported Q1 2025 revenue of $27.6M (up 6% YoY), GAAP net income of $1.9M, and Adjusted EBITDA of $5.6M (up 52% YoY). The company achieved adjusted net income of $2.3M or $0.05 per share.

What is CareCloud's (CCLD) revenue guidance for 2025?

CareCloud reaffirmed its 2025 guidance with expected revenue of $111-114 million, Adjusted EBITDA of $26-28 million, and EPS of $0.10-0.13.

What is CareCloud's AI Center of Excellence initiative?

CareCloud launched an AI Center of Excellence, onboarding over 50 AI professionals initially with plans to scale to 500 AI specialists by Q4 2025. The initiative is self-funded through operating cash flows.

How did CareCloud's preferred stock conversion affect the company?

CareCloud converted 3.5 million Series A preferred shares into 26 million common shares, reducing annual dividend commitment by approximately $7.7 million and strengthening cash flow and capital structure.

Has CareCloud resumed paying dividends in 2025?

Yes, CareCloud resumed paying preferred dividends in February 2025, with six months of Preferred Stock dividends declared to date.
Carecloud Inc

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