CareCloud (MTBC) Q4 2025 earnings summary

Executive summary

• Achieved strong financial growth in 2025 with revenue up 8.7% to $120.5M and net income up 37.5% to $10.8M, surpassing guidance and marking the first full-year positive GAAP EPS since IPO.

• Strategic acquisitions, including Medsphere and MAP App, expanded the platform into the inpatient hospital market and were fully funded by free cash flow, with no year-end debt or shareholder dilution.

• Launched an AI Center of Excellence and deployed production-grade AI across the platform, automating up to 75% of inbound calls and driving early adoption.

• Recurring revenue streams and AI integration provided predictability and positioned the company for continued momentum entering 2026.

• Fully repaid credit line and paid 13 consecutive monthly preferred dividends from free cash flow.

Financial highlights

• Full year 2025 revenue reached $120.5M, up 8.7% year-over-year; Q4 revenue was $34.4M, up 21.9%.

• GAAP net income for 2025 was $10.8M, a 37.5% increase year-over-year; Q4 net income was $2.9M.

• Adjusted EBITDA for 2025 was $27.5M (23% margin), up 14.5% year-over-year; Q4 adjusted EBITDA was $7.7M.

• Free cash flow for 2025 was $20.5M, up 55% from 2024 and over 400% from 2022.

• First full year of positive GAAP EPS ($0.10); Q4 EPS was $0.04.

Outlook and guidance

• 2026 revenue guidance: $128M–$132M; adjusted EBITDA: $29M–$31M, reflecting margin expansion.

• GAAP EPS expected at $0.20–$0.23, more than doubling 2025 results.

• Guidance does not include any unannounced material acquisitions.

• CapEx and capitalized software spending expected to be flat or slightly lower than 2025.

• Four strategic priorities for 2026: expand AI suite, execute cross-sell, build AI infrastructure, and drive client outcomes.