Exhibit
99.1
NASDAQ:
CCLD | CCLDO
CareCloud
Reports Q1 2026 Results
Reaffirms
Guidance Following Capital Structure Simplification; Revenue Grows 13% Year-Over-Year
SOMERSET,
N.J., May 7, 2026 (GLOBE NEWSWIRE)—CareCloud, Inc. (Nasdaq: CCLD, CCLDO) (“CareCloud” or the “Company”),
a leader in AI-powered healthcare technology and revenue cycle management solutions for medical practices and health systems nationwide,
today announced financial results for the quarter ended March 31, 2026. The Company reaffirmed its previously issued financial guidance
following the successful closing of a $50 million credit facility, the announced redemption of 100% of its Series B Preferred Stock,
and AI product launches. Together, these milestones mark a pivotal step in CareCloud’s ongoing growth trajectory—positioning
the Company to scale its AI-driven revenue and expand margins, reporting its eighth consecutive quarter of positive GAAP net income with
a meaningfully simpler capital structure for the future.
First
Quarter 2026 Financial Highlights:
| ● | Revenue
of $31.3 million, compared to $27.6 million in Q1 2025 |
| ● | GAAP
net income of $922,000, compared to a net income of $1.9 million in Q1 2025 |
| ● | Adjusted
EBITDA of $5.4 million, compared to $5.6 million in Q1 2025 |
| ● | GAAP
EPS of ($0.01), compared to ($0.04) per share in Q1 2025 |
Recent
Accomplishments
| ● | Full
Scheduled Redemption of Series B Preferred Stock: Redemption scheduled for May 15, 2026 |
| ● | Inpatient
Software Market Entry: Expanded product portfolio includes inpatient EHR, RCM and analytics.
#1 Black Book ranked EDIS platform— significantly broadening the total addressable
market |
| ● | AI
Center of Excellence Live: Launched stratusAI Desk Agent (~75% of inbound calls automated)
and stratusAI Voice Audit |
Management
Commentary
“Q1
2026 marks the start of an exciting new chapter for CareCloud. We delivered 13% year-over-year revenue growth, expanded our AI offering
and our addressable market into the inpatient segment, and took decisive action to simplify our capital structure with the announced
full redemption of our Series B Preferred Stock and the closing of a new $50 million credit facility. With the Medsphere integration
substantially complete, a stronger balance sheet, and our 2026 guidance reaffirmed, we believe CareCloud is uniquely positioned to translate
this momentum into accelerating, durable shareholder value through the balance of 2026 and beyond.”
—
Stephen Snyder, Chief Executive Officer, CareCloud
“This
was the quarter our AI strategy moved from promise to performance. stratusAI Desk Agent is now resolving approximately 75% of inbound
patient calls autonomously, stratusAI Voice Audit is surfacing revenue and compliance opportunities in real time, and our newly launched
AI Center of Excellence is shipping new agentic capabilities at an accelerating pace. By layering these AI services on top of our expanded
ambulatory and inpatient platform—including our #1 Black Book–ranked EDIS—we are building a differentiated, full-stack
healthcare technology offering that scales with every customer we serve and creates a durable, technology-led competitive advantage.”
—
A. Hadi Chaudhry, Chief Strategy Officer, CareCloud
“We
are reaffirming our 2026 guidance based on our confidence for the year. The integration of our Medsphere acquisition impacted our earnings
as anticipated this quarter and is now substantially complete, positioning us to deliver improving margins through the balance of 2026.
We look forward to redeeming all of our Series B Preferred Stock for cash on May 15.”
—
Norman Roth, Interim Chief Financial Officer and Corporate Controller, CareCloud
2026
Outlook
CareCloud
entered 2026 with significant operating momentum and is reaffirming its guidance for calendar year 2026.
For
the Fiscal Year Ending December 31, 2026 | |
Full
Year 2026 Guidance |
| Revenue | |
$128
– $132 million |
| Adjusted
EBITDA | |
$29
– $31 million |
| GAAP
Net Income Per Share (EPS) | |
$0.20
– $0.23 |
Revenue
guidance is based on management’s expectations for contributions from existing clients, together with cross-selling and other organic
and inorganic growth. EPS guidance of $0.20–$0.23 represents a 100-130% increase from the $0.10 achieved in full year 2025. Adjusted
EBITDA guidance is $29–$31 million compared to the 2025 amount of $27.5 million.
As
anticipated, Q1 2026 GAAP net income reflects a temporary, near-term impact from elevated amortization of acquired intangible assets
and one-time integration costs tied to the Medsphere acquisition (which closed August 2025) and our other 2025 acquisitions. Q1 2026
adjusted EBITDA was depressed due to transition costs from Medsphere which have largely been eliminated by the end of Q1, so they
will have a decreasing impact in future quarters. These items are non-recurring and integration-related, are expected to subside as the
integrations are completed, and are not indicative of the underlying earnings power of the business. Management expects margin expansion
to resume as we move through 2026, consistent with the full-year guidance reaffirmed above.
Conference
Call Information
CareCloud
management will host a live conference call today, May 7, 2026, at 8:30 a.m. Eastern Time to discuss first quarter 2026 results
and the Company’s 2026 strategy.
Webcast:
ir.carecloud.com/events
Dial-in
(Audio Only): 646-307-1865 | Reference: “CareCloud, Inc. First Quarter 2026 Results Conference Call.”
Replay
Dial-in: 412-317-6671 | Access Code: 1116667 (available approximately 3 hours after the call).
About
CareCloud
CareCloud
brings disciplined innovation to the business of healthcare. Our suite of AI and technology-enabled solutions helps clients increase
financial and operational performance, streamline clinical workflows and improve the patient experience. More than 45,000 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), business intelligence,
patient experience management (PXM) and digital health, at carecloud.com.
Follow
CareCloud on LinkedIn, X 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.
Contacts
Company
Contact:
Norman
Roth
Interim
Chief Financial Officer and Corporate Controller
CareCloud,
Inc.
nroth@carecloud.com |
|
Investor
Contact:
Stephen
Snyder
Chief
Executive Officer
CareCloud,
Inc.
ir@carecloud.com |
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, 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.
CARECLOUD,
INC.
CONDENSED
CONSOLIDATED BALANCE SHEETS
AS
OF MARCH 31, 2026 AND DECEMBER 31, 2025
($
in thousands, except share and per share amounts)
| | |
March 31, | | |
December 31, | |
| | |
2026 | | |
2025 | |
| | |
(Unaudited) | | |
| |
| ASSETS | |
| | | |
| | |
| Current
assets: | |
| | | |
| | |
| Cash | |
$ | 3,354 | | |
$ | 3,117 | |
| Restricted
cash | |
| 500 | | |
| 500 | |
| Accounts
receivable - net | |
| 15,236 | | |
| 15,062 | |
| Contract
asset | |
| 3,502 | | |
| 3,664 | |
| Inventory | |
| 432 | | |
| 507 | |
| Current
assets - related party | |
| 16 | | |
| 16 | |
| Prepaid
expenses and other current assets | |
| 3,048 | | |
| 2,872 | |
| Total
current assets | |
| 26,088 | | |
| 25,738 | |
| Property
and equipment - net | |
| 7,461 | | |
| 7,775 | |
| Operating
lease right-of-use assets | |
| 4,662 | | |
| 3,106 | |
| Intangible
assets - net | |
| 16,500 | | |
| 18,968 | |
| Goodwill | |
| 31,435 | | |
| 31,442 | |
| Other
assets | |
| 573 | | |
| 569 | |
| TOTAL
ASSETS | |
$ | 86,719 | | |
$ | 87,598 | |
| LIABILITIES
AND SHAREHOLDERS’ EQUITY | |
| | | |
| | |
| Current
liabilities: | |
| | | |
| | |
| Accounts
payable | |
$ | 5,508 | | |
$ | 6,937 | |
| Accrued
compensation | |
| 3,476 | | |
| 4,136 | |
| Accrued
expenses | |
| 5,951 | | |
| 5,970 | |
| Operating
lease liability (current portion) | |
| 1,358 | | |
| 927 | |
| Deferred
revenue (current portion) | |
| 4,748 | | |
| 4,148 | |
| Notes
payable (current portion) | |
| 742 | | |
| 728 | |
| Contingent
consideration (current portion) | |
| 734 | | |
| 909 | |
| Dividend
payable | |
| 944 | | |
| 668 | |
| Total
current liabilities | |
| 23,461 | | |
| 24,423 | |
| Notes
payable | |
| 250 | | |
| 441 | |
| Contingent
consideration | |
| 400 | | |
| 232 | |
| Operating
lease liability | |
| 3,390 | | |
| 2,187 | |
| Deferred
revenue | |
| 891 | | |
| 809 | |
| Total
liabilities | |
| 28,392 | | |
| 28,092 | |
| COMMITMENTS
AND CONTINGENCIES | |
| | | |
| | |
| SHAREHOLDERS’
EQUITY: | |
| | | |
| | |
| Preferred
stock, $0.001 par value - authorized 7,000,000 shares. Series A, issued and outstanding 984,530 shares at March 31, 2026 and December
31, 2025. Series B, issued and outstanding 1,511,372 shares at March 31, 2026 and December 31, 2025. | |
| 2 | | |
| 2 | |
| Common
stock, $0.001 par value - authorized 85,000,000 shares. Issued 43,233,748 and 43,178,748 shares at March 31, 2026 and December 31,
2025, respectively. Outstanding 42,492,949 and 42,437,949 shares at March 31, 2026 and December 31, 2025, respectively. | |
| 43 | | |
| 43 | |
| Additional
paid-in capital | |
| 117,807 | | |
| 119,936 | |
| Accumulated
deficit | |
| (54,910 | ) | |
| (55,832 | ) |
| Accumulated
other comprehensive loss | |
| (3,953 | ) | |
| (3,981 | ) |
| Less:
740,799 common shares held in treasury, at cost at March 31, 2026 and December 31, 2025 | |
| (662 | ) | |
| (662 | ) |
| Total
shareholders’ equity | |
| 58,327 | | |
| 59,506 | |
| TOTAL
LIABILITIES AND SHAREHOLDERS’ EQUITY | |
$ | 86,719 | | |
$ | 87,598 | |
CARECLOUD,
INC.
CONDENSED
CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)
FOR
THE THREE MONTHS ENDED MARCH 31, 2026 AND 2025
($
in thousands, except share and per share amounts)
| | |
Three Months
Ended | |
| | |
March
31, | |
| | |
2026 | | |
2025 | |
| NET
REVENUE | |
$ | 31,270 | | |
$ | 27,632 | |
| OPERATING
EXPENSES: | |
| | | |
| | |
| Direct
operating costs | |
| 16,850 | | |
| 15,464 | |
| Selling
and marketing | |
| 1,414 | | |
| 1,131 | |
| General
and administrative | |
| 5,496 | | |
| 4,332 | |
| Research
and development | |
| 2,416 | | |
| 1,235 | |
| Change
in contingent consideration | |
| 57 | | |
| - | |
| Depreciation
and amortization | |
| 4,037 | | |
| 3,337 | |
| Restructuring
costs | |
| - | | |
| 114 | |
| Total
operating expenses | |
| 30,270 | | |
| 25,613 | |
| OPERATING
INCOME | |
| 1,000 | | |
| 2,019 | |
| OTHER: | |
| | | |
| | |
| Interest
income | |
| 10 | | |
| 42 | |
| Interest
expense | |
| (58 | ) | |
| (58 | ) |
| Other
income (expense) - net | |
| 22 | | |
| (14 | ) |
| INCOME
BEFORE PROVISION FOR INCOME TAXES | |
| 974 | | |
| 1,989 | |
| Income
tax provision | |
| 52 | | |
| 41 | |
| NET
INCOME | |
$ | 922 | | |
$ | 1,948 | |
| | |
| | | |
| | |
| Preferred
stock dividend | |
| 1,365 | | |
| 2,811 | |
| NET
LOSS ATTRIBUTABLE TO COMMON SHAREHOLDERS | |
$ | (443 | ) | |
$ | (863 | ) |
| | |
| | | |
| | |
| Net loss
per common share: basic and diluted | |
$ | (0.01 | ) | |
$ | (0.04 | ) |
| Weighted-average
common shares used to compute basic and diluted loss per share | |
| 42,471,949 | | |
| 23,813,943 | |
CARECLOUD,
INC.
CONDENSED
CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
FOR
THE THREE MONTHS ENDED MARCH 31, 2026 AND 2025
($
in thousands)
| | |
2026 | | |
2025 | |
| OPERATING
ACTIVITIES: | |
| | | |
| | |
| Net
income | |
$ | 922 | | |
$ | 1,948 | |
| Adjustments
to reconcile net income to net cash provided by operating activities: | |
| | | |
| | |
| Depreciation
and amortization | |
| 4,085 | | |
| 3,407 | |
| Lease
amortization | |
| 463 | | |
| 480 | |
| Provision
for expected credit losses | |
| 106 | | |
| 70 | |
| Foreign
exchange loss (gain) | |
| 11 | | |
| (1 | ) |
| Interest
accretion | |
| 87 | | |
| 107 | |
| Change
in contingent consideration | |
| 57 | | |
| - | |
| Stock-based
compensation expense | |
| 64 | | |
| 108 | |
| Changes
in operating assets and liabilities: | |
| | | |
| | |
| Accounts
receivable | |
| (280 | ) | |
| (1,183 | ) |
| Contract
asset | |
| 162 | | |
| (105 | ) |
| Inventory | |
| 75 | | |
| (35 | ) |
| Other
assets | |
| (228 | ) | |
| (908 | ) |
| Accounts
payable and other liabilities | |
| (2,595 | ) | |
| 956 | |
| Deferred
revenue | |
| 682 | | |
| 269 | |
| Net
cash provided by operating activities | |
| 3,611 | | |
| 5,113 | |
| INVESTING
ACTIVITIES: | |
| | | |
| | |
| Purchases
of property and equipment | |
| (412 | ) | |
| (624 | ) |
| Capitalized
software and other intangible assets | |
| (820 | ) | |
| (846 | ) |
| Initial
payment for acquisition | |
| - | | |
| (40 | ) |
| Net
cash used in investing activities | |
| (1,232 | ) | |
| (1,510 | ) |
| FINANCING
ACTIVITIES: | |
| | | |
| | |
| Preferred
stock dividends paid | |
| (1,916 | ) | |
| (1,730 | ) |
| Payment
of contingent consideration | |
| (57 | ) | |
| - | |
| Payment
of tax withholding on stock issued to employees | |
| - | | |
| (21 | ) |
| Repayments
of notes payable | |
| (177 | ) | |
| (181 | ) |
| Net
cash used in financing activities | |
| (2,150 | ) | |
| (1,932 | ) |
| EFFECT
OF EXCHANGE RATE CHANGES ON CASH AND RESTRICTED CASH | |
| 8 | | |
| (11 | ) |
| NET INCREASE
IN CASH AND RESTRICTED CASH | |
| 237 | | |
| 1,660 | |
| CASH
AND RESTRICTED CASH - Beginning of the period | |
| 3,617 | | |
| 5,145 | |
| CASH
AND RESTRICTED CASH - End of the period | |
$ | 3,854 | | |
$ | 6,805 | |
| SUPPLEMENTAL
NONCASH INVESTING AND FINANCING ACTIVITIES: | |
| | | |
| | |
| Conversion
of preferred stock and accrued dividends to common stock | |
$ | - | | |
$ | 2,435 | |
| Dividends
declared, not paid | |
$ | 944 | | |
$ | 1,299 | |
| SUPPLEMENTAL
INFORMATION - Cash paid during the period for: | |
| | | |
| | |
| Income
taxes | |
$ | 14 | | |
$ | 15 | |
| Interest | |
$ | 21 | | |
$ | 18 | |
RECONCILIATION
OF NON-GAAP FINANCIAL MEASURES
TO
COMPARABLE GAAP MEASURES (UNAUDITED)
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
Set
forth below is a reconciliation of our “adjusted EBITDA” to our GAAP net income.
| | |
Three
Months Ended March 31, | |
| | |
2026 | | |
2025 | |
| | |
($ in thousands) | |
| Net
revenue | |
$ | 31,270 | | |
$ | 27,632 | |
| | |
| | | |
| | |
| GAAP
net income | |
| 922 | | |
| 1,948 | |
| | |
| | | |
| | |
| Provision
for income taxes | |
| 52 | | |
| 41 | |
| Net interest
expense | |
| 48 | | |
| 16 | |
| Foreign
exchange loss / other expense | |
| 32 | | |
| 19 | |
| Stock-based
compensation expense | |
| 64 | | |
| 108 | |
| Depreciation
and amortization | |
| 4,037 | | |
| 3,337 | |
| Change
in contingent consideration | |
| 57 | | |
| - | |
| Transaction
and integration costs | |
| 158 | | |
| 12 | |
| Restructuring
costs | |
| - | | |
| 114 | |
| Adjusted
EBITDA | |
$ | 5,370 | | |
$ | 5,595 | |
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, | |
| | |
2026 | | |
2025 | |
| | |
($ in thousands) | |
| Net
revenue | |
$ | 31,270 | | |
$ | 27,632 | |
| | |
| | | |
| | |
| GAAP
net income | |
| 922 | | |
| 1,948 | |
| Provision
for income taxes | |
| 52 | | |
| 41 | |
| Net interest
expense | |
| 48 | | |
| 16 | |
| Other
(income) expense - net | |
| (22 | ) | |
| 14 | |
| GAAP operating
income | |
| 1,000 | | |
| 2,019 | |
| GAAP
operating margin | |
| 3.2 | % | |
| 7.3 | % |
| | |
| | | |
| | |
| Stock-based
compensation expense | |
| 64 | | |
| 108 | |
| Amortization
of purchased intangible assets | |
| 928 | | |
| 89 | |
| Transaction
and integration costs | |
| 158 | | |
| 12 | |
| Change
in contingent consideration | |
| 57 | | |
| - | |
| Restructuring
costs | |
| - | | |
| 114 | |
| Non-GAAP
adjusted operating income | |
$ | 2,207 | | |
$ | 2,342 | |
| Non-GAAP
adjusted operating margin | |
| 7.1 | % | |
| 8.5 | % |
Non-GAAP
Adjusted Net Income to GAAP Net Income
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 and GAAP net income per share.
| | |
Three
Months Ended March 31, | |
| | |
2026 | | |
2025 | |
| | |
($
in thousands ) | |
| GAAP
net income | |
$ | 922 | | |
$ | 1,948 | |
| | |
| | | |
| | |
| Foreign
exchange loss / other expense | |
| 32 | | |
| 19 | |
| Stock-based
compensation expense | |
| 64 | | |
| 108 | |
| Amortization
of purchased intangible assets | |
| 928 | | |
| 89 | |
| Transaction
and integration costs | |
| 158 | | |
| 12 | |
| Change
in contingent consideration | |
| 57 | | |
| - | |
| Restructuring
costs | |
| - | | |
| 114 | |
| Non-GAAP
adjusted net income | |
$ | 2,161 | | |
$ | 2,290 | |
| | |
Three
Months Ended March 31, | |
| | |
2026 | | |
2025 | |
| GAAP
net loss attributable to common shareholders, per share | |
$ | (0.01 | ) | |
$ | (0.04 | ) |
| Impact
of preferred stock dividend | |
| 0.03 | | |
| 0.09 | |
| Net income per end-of-period
share | |
| 0.02 | | |
| 0.05 | |
| | |
| | | |
| | |
| Foreign
exchange loss / other expense | |
| 0.00 | | |
| 0.00 | |
| Stock-based
compensation expense | |
| 0.00 | | |
| 0.00 | |
| Amortization
of purchased intangible assets | |
| 0.02 | | |
| 0.00 | |
| Change
in contingent consideration | |
| 0.00 | | |
| - | |
| Transaction
and integration costs | |
| 0.01 | | |
| 0.00 | |
| Restructuring
costs | |
| - | | |
| 0.00 | |
| Non-GAAP
adjusted earnings per share | |
$ | 0.05 | | |
$ | 0.05 | |
| | |
| | | |
| | |
| End-of-period
common shares | |
| 42,492,949 | | |
| 42,321,129 | |
For
purposes of determining non-GAAP adjusted earnings per share, the Company used the number of common shares outstanding as of March 31,
2026 and 2025. Non-GAAP adjusted earnings per share does not take into account dividends declared or earned on preferred stock.
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, | |
| | |
2026 | | |
2025 | |
| | |
($ in thousands) | |
| Net
cash provided by operating activities | |
$ | 3,611 | | |
$ | 5,113 | |
| | |
| | | |
| | |
| Purchases
of property and equipment | |
| (412 | ) | |
| (624 | ) |
| Capitalized
software and other intangible assets | |
| (820 | ) | |
| (846 | ) |
| Free
cash flow | |
$ | 2,379 | | |
$ | 3,643 | |
| | |
| | | |
| | |
| Net
cash used in investing activities 1 | |
$ | (1,232 | ) | |
$ | (1,510 | ) |
| Net cash
used in financing activities | |
$ | (2,150 | ) | |
$ | (1,932 | ) |
1.
Net cash used in investing activities includes payments for acquisitions, purchases of property and equipment and capitalized software
and other intangible assets. Purchases of property and equipment and capitalized software and other intangible assets are 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 (benefit from) income taxes, net interest expense, other (income) expense, stock-based compensation expense, depreciation
and amortization, integration costs, transaction costs, impairment charges and changes in contingent consideration.
Management
defines “non-GAAP adjusted operating income” as the sum of GAAP operating income (loss) before stock-based compensation expense,
amortization of purchased intangible assets, integration costs, transaction costs, impairment charges and changes in contingent consideration,
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 stock-based compensation expense, amortization
of purchased intangible assets, other (income) expense, integration costs, transaction costs, impairment charges, changes in contingent
consideration, any tax impact related to these preceding items and income tax expense related to goodwill, 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, including
the shares which were issued but are subject to forfeiture and considered contingent consideration.
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/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. Stock-based compensation expense 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.
Contingent
consideration. Contingent consideration represents the portion of consideration payable to the seller of some of our acquisitions,
the amount of which is based on the achievement defined performance measures contained in the purchase agreements. Contingent consideration
is adjusted to fair value at the end of each reporting period. Management does not believe such charges accurately reflect the performance
of our ongoing operations for the period in which such charges are incurred.
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.