CareCloud (MTBC) 15th Annual LD Micro Invitational 2025 summary

Business overview and strategy

• Operates a fully integrated, end-to-end technology platform for healthcare providers, serving about 40,000 providers in the U.S., with a focus on both organic growth and acquisitions.

• Competitive advantages include proprietary technology and a global business model that enables significant labor cost savings compared to onshore competitors.

• Growth strategy combines traditional organic expansion with acquiring customer portfolios from other medical billing companies at a discount to organic customer acquisition costs.

• Platform includes cloud-based electronic health records (EHR), digital health applications, and connectivity with industry partners.

• Majority of clients are small to medium-sized practices, with 20% in hospital settings.

Technology and AI innovation

• Transitioned from a traditional billing company to a healthcare technology provider, now on its fourth and fifth generation platform.

• Leverages a large, diverse clinical and financial data set to develop AI-based products for operational optimization, such as automated appeals for denied insurance claims.

• Recently launched an AI-powered ambient listening app that creates comprehensive patient charts from doctor-patient conversations and recommends next steps, including financial coverage insights.

• AI tools also include call center auditing with sentiment analysis and RPA bots for business intelligence and workflow automation.

Financial performance and outlook

• Reduced annualized dividend obligations from over $15 million to $5.5 million and eliminated $10 million in debt last year.

• Achieved record free cash flow of over $13 million last year, a 240%+ year-over-year increase, and reduced operating expenses by $25 million.

• Guidance for the current year includes $111–$114 million in revenue, $26–$28 million adjusted EBITDA, and positive EPS of $0.10–$0.13, marking the first positive EPS since going public.

• Resumed accretive acquisition strategy after a three-year pause due to high valuations, acquiring two companies in the past 45 days.