CareCloud Reports Q1 2026 Results

Reaffirms Guidance Following Capital Structure Simplification; Revenue Grows 13% Year-Over-Year

SOMERSET, N.J., May 07, 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

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

“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

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

For the Fiscal Year Ending December 31, 2026

GAAP Net Income Per Share (EPS)

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).

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.

Company Contact:
Norman Roth
Interim Chief Financial Officer and Corporate Controller
CareCloud, Inc.
[email protected]

 

Investor Contact:
Stephen Snyder
Chief Executive Officer
CareCloud, Inc.
[email protected]

Company Contact:Norman RothInterim Chief Financial Officer and Corporate ControllerCareCloud, [email protected]

Investor Contact:Stephen SnyderChief Executive OfficerCareCloud, [email protected]

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 SHEETSAS 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

 

Current assets – related party

Prepaid expenses and other current assets

Property and equipment – net

Operating lease right-of-use assets

LIABILITIES AND SHAREHOLDERS’ EQUITY

Operating lease liability (current portion)

Deferred revenue (current portion)

Notes payable (current portion)

Contingent consideration (current portion)

COMMITMENTS AND CONTINGENCIES

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.

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.

Additional paid-in capital

Accumulated other comprehensive loss

Less: 740,799 common shares held in treasury, at cost at March 31, 2026 and December 31, 2025

Total shareholders’ equity

TOTAL LIABILITIES AND SHAREHOLDERS’ EQUITY

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

 

General and administrative

Change in contingent consideration

Depreciation and amortization

Other income (expense) – net

INCOME BEFORE PROVISION FOR INCOME TAXES

NET LOSS ATTRIBUTABLE TO COMMON SHAREHOLDERS

Net loss per common share: basic and diluted

Weighted-average common shares used to compute basic and diluted loss per share

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

 

Adjustments to reconcile net income to net cash provided by operating activities:

Depreciation and amortization

Provision for expected credit losses

Foreign exchange loss (gain)

Change in contingent consideration

Stock-based compensation expense

Changes in operating assets and liabilities:

Accounts payable and other liabilities

Net cash provided by operating activities

Purchases of property and equipment

Capitalized software and other intangible assets

Initial payment for acquisition

Net cash used in investing activities

Preferred stock dividends paid

Payment of contingent consideration

Payment of tax withholding on stock issued to employees

Repayments of notes payable

Net cash used in financing activities

EFFECT OF EXCHANGE RATE CHANGES ON CASH AND RESTRICTED CASH

NET INCREASE IN CASH AND RESTRICTED CASH

CASH AND RESTRICTED CASH – Beginning of the period

CASH AND RESTRICTED CASH – End of the period

SUPPLEMENTAL NONCASH INVESTING AND FINANCING ACTIVITIES:

Conversion of preferred stock and accrued dividends to common stock

Dividends declared, not paid

SUPPLEMENTAL INFORMATION – Cash paid during the period for:

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

 

Three Months Ended March 31,

Provision for income taxes

Foreign exchange loss / other expense

Stock-based compensation expense

Depreciation and amortization

Change in contingent consideration

Transaction and integration costs

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

%

Three Months Ended March 31,

Provision for income taxes

Other (income) expense – net

Stock-based compensation expense

Amortization of purchased intangible assets

Transaction and integration costs

Change in contingent consideration

Non-GAAP adjusted operating income

Non-GAAP adjusted operating margin

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,

Foreign exchange loss / other expense

Stock-based compensation expense

Amortization of purchased intangible assets

Transaction and integration costs

Change in contingent consideration

Non-GAAP adjusted net income

 

 

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

 

Three Months Ended March 31,

GAAP net loss attributable to common shareholders, per share

Impact of preferred stock dividend

Net income per end-of-period share

Foreign exchange loss / other expense

Stock-based compensation expense

Amortization of purchased intangible assets

Change in contingent consideration

Transaction and integration costs

Non-GAAP adjusted earnings per share

End-of-period common shares

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

)

Three Months Ended March 31,

Net cash provided by operating activities

Purchases of property and equipment

Capitalized software and other intangible assets

Net cash used in investing activities 1

Net cash used in financing activities

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.

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