CareCloud
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CareCloud (MTBC) investor relations material

CareCloud Q1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q1 2026 earnings summary7 May, 2026

Executive summary

  • Q1 2026 revenue grew 13% year-over-year to $31.3 million, driven by AI expansion, product portfolio growth, and recent acquisitions.

  • Adjusted EBITDA was $5.4 million, slightly down from $5.6 million in Q1 2025; adjusted EPS remained steady at $0.05.

  • GAAP net income was $922,000, down from $1.9 million year-over-year, due to higher amortization, integration, and R&D costs.

  • Major capital structure simplification executed post-quarter, including a $50 million credit facility and full redemption of Series B preferred stock.

  • AI platform is now a commercial product line, with stratusAI Desk Agent automating up to 75% of inbound calls and new AI products in development.

Financial highlights

  • Q1 2026 revenue: $31.3 million, up from $27.6 million in Q1 2025; recurring revenue rose to 74% of total.

  • GAAP net income: $922,000, down from $1.9 million year-over-year.

  • Adjusted EBITDA: $5.4 million (17% margin), slightly down from $5.6 million last year.

  • Free cash flow: $2.4 million, compared to $3.6 million in Q1 2025.

  • Operating expenses rose 18% to $30.3 million, with R&D up 96% and G&A up 27%.

Outlook and guidance

  • 2026 revenue expected at $128–$132 million; adjusted EBITDA at $29–$31 million; GAAP EPS guidance of $0.20–$0.23, more than doubling 2025 EPS.

  • Margin expansion expected as integration costs decline and AI-driven efficiencies scale.

  • Free cash flow projected to exceed $2 million per month in the back half of 2026.

  • Management expects sufficient liquidity for the next twelve months.

stratusAI Desk Agent impact on margin expansion
Series B redemption impact on common EPS
Medsphere transition costs and margin recovery
Net cash flow benefit from Series B redemption
Timeline for AI Prior Authorization rollout
Lead indicators for Zero-Touch Claims progress
Impact of Series B redemption on cash flow
Cross-selling synergies within Medsphere base
Progress of the 3-track AI implementation
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