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CareCloud, Inc.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 7 May 2026: press release. Guidance figures: 3 kept. The quarter’s numbers.

Key takeaways

  • Revenue rose 13% year over year: Net revenue was $31.3 million in Q1 2026 against $27.6 million in Q1 2025, an increase of about 13%. Source
  • Adjusted EBITDA slightly lower year over year: Adjusted EBITDA was $5.4 million against $5.6 million in Q1 2025. Source
  • Medsphere transition costs depressed EBITDA: Management said Medsphere transition costs were largely eliminated by the end of Q1, and their effect is expected to decline in later quarters. Source
  • Inpatient software market entered: The company said the expanded portfolio broadens its total addressable market, and cited a #1 Black Book ranked EDIS platform. Source
  • AI Center of Excellence launched: Company said its newly launched AI Center is shipping new agentic capabilities at an accelerating pace. Source
  • Series B preferred redemption announced: The company announced redemption of 100% of its Series B Preferred Stock, scheduled for May 15, 2026. Source
  • Revenue guidance rests on existing clients: Management said revenue guidance is based on expected contributions from existing clients, cross-selling, and organic and inorganic growth. Source
  • Margin expansion expected to resume: Management expects margin expansion to resume through 2026, consistent with the reaffirmed full-year guidance. Source

“Q1 2026 marks the start of an exciting new chapter for CareCloud.”

Stephen Snyder, Chief Executive Officer, CareCloud

Guidance

AreaPeriodFigureAgainst last quarter
Revenue SourceFull year 2026 (fiscal year ending December 31, 2026)$128 - $132 millionKept
Adjusted EBITDA SourceFull year 2026 (fiscal year ending December 31, 2026)$29 - $31 millionKept
GAAP net income per share (EPS) SourceFull year 2026 (fiscal year ending December 31, 2026)$0.20 - $0.23Kept

What changed from last quarter

  • Guidance kept: Company reaffirmed its previously issued financial guidance for 2026. Source
  • New: Company closed a $50 million credit facility and announced redemption of 100% of its Series B Preferred Stock. Source
  • New: Company added inpatient EHR, RCM and analytics products to its portfolio. Source
  • New: AI Center of Excellence launched, with stratusAI Desk Agent and stratusAI Voice Audit. Source

Results and growth drivers

  • Revenue rose 13% year over year: Net revenue was $31.3 million in Q1 2026 against $27.6 million in Q1 2025, an increase of about 13%. Source
  • Adjusted EBITDA slightly lower year over year: Adjusted EBITDA was $5.4 million against $5.6 million in Q1 2025. Source
  • GAAP net income and EPS declined: GAAP net income was $922,000 against $1.9 million a year earlier. GAAP EPS was ($0.01) against ($0.04). Source
  • Eighth straight quarter of GAAP profit: The company reported its eighth consecutive quarter of positive GAAP net income. Source

Costs, margins and integration

  • Operating expenses rose across lines: Direct operating costs were $16.9 million against $15.5 million. G&A was $5.5 million against $4.3 million. R&D was $2.4 million against $1.2 million. Source
  • Operating margin fell year over year: GAAP operating margin was 3.2% against 7.3%. Non-GAAP adjusted operating margin was 7.1% against 8.5%. Source
  • Acquired-intangible amortization increased sharply: Amortization of purchased intangible assets was $928,000 against $89,000 in Q1 2025. Source
  • Medsphere transition costs depressed EBITDA: Management said Medsphere transition costs were largely eliminated by the end of Q1, and their effect is expected to decline in later quarters. Source
  • Integration items called non-recurring: Management described these items as non-recurring and integration-related, expected to subside as the integrations are completed. Source

“We are reaffirming our 2026 guidance based on our confidence for the year.”

Norman Roth, Interim Chief Financial Officer and Corporate Controller, CareCloud

Products and AI launches

  • Inpatient software market entered: The company said the expanded portfolio broadens its total addressable market, and cited a #1 Black Book ranked EDIS platform. Source
  • AI Center of Excellence launched: Company said its newly launched AI Center is shipping new agentic capabilities at an accelerating pace. Source
  • Desk Agent automates most inbound calls: The company said stratusAI Desk Agent resolves about 75% of inbound patient calls autonomously. Source
  • Chief Strategy Officer on AI progress: Chief Strategy Officer A. Hadi Chaudhry described the quarter as the point when the AI strategy moved from promise to performance. Source

Capital structure and preferred stock

  • Series B preferred redemption announced: The company announced redemption of 100% of its Series B Preferred Stock, scheduled for May 15, 2026. Source
  • $50 million credit facility closed: The company closed a new $50 million credit facility during the period, as stated in the release. Source
  • Preferred dividends paid rose: Preferred stock dividends paid were $1.9 million against $1.7 million. Dividends payable were $944,000 against $668,000 at year-end. Source
  • Preferred dividend lowered loss to common: Preferred stock dividend was $1.4 million against $2.8 million. Net loss attributable to common shareholders was $443,000 against $863,000. Source

“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.”

Norman Roth, Interim Chief Financial Officer and Corporate Controller, CareCloud

Cash flow and balance sheet

  • Operating cash flow declined: Net cash provided by operating activities was $3.6 million against $5.1 million. Source
  • Free cash flow declined: Free cash flow was $2.4 million against $3.6 million. Purchases of property and equipment were $412,000 and capitalized software was $820,000. Source
  • Cash balance rose modestly: Cash was $3.4 million against $3.1 million at December 31, 2025. Restricted cash was $500,000 at both dates. Source
  • Intangibles declined with amortization: Intangible assets net were $16.5 million against $19.0 million at year-end. Shareholders’ equity was $58.3 million against $59.5 million. Source

2026 guidance and margin path

  • Revenue guidance rests on existing clients: Management said revenue guidance is based on expected contributions from existing clients, cross-selling, and organic and inorganic growth. Source
  • Adjusted EBITDA guidance above 2025: Adjusted EBITDA guidance of $29 million to $31 million compares with $27.5 million for 2025. Source
  • Margin expansion expected to resume: Management expects margin expansion to resume through 2026, consistent with the reaffirmed full-year guidance. Source

Leadership commentary

  • Interim CFO also serves as Controller: Norman Roth is Interim Chief Financial Officer and Corporate Controller, and is the company contact for the release. Source
  • CEO frames quarter as new chapter: CEO Stephen Snyder said Q1 2026 began a new chapter, citing revenue growth, AI expansion, and capital structure steps. Source

Coming up, as management said on 7 May 2026

  • Series B redemption on May 15: The company plans to redeem all Series B Preferred Stock for cash on May 15, 2026. Source
  • Medsphere costs to fade: Company said Medsphere transition costs will have a decreasing impact in future quarters. Source
  • Margin expansion expected through 2026: Management expects margin expansion to resume as the year proceeds. Source

Figures management reported

FigureReported
Customer counts SourceMore than 45,000 providers

Risks management discussed

  • Financial: Elevated amortization of acquired intangibles and one-time integration costs weighed on Q1 2026 GAAP net income. Management described the effect as temporary. Source
  • Operational: Integration of Medsphere and other 2025 acquisitions is not yet complete for all items. Management expects these costs to subside as integrations finish. Source

Earlier plans management reported on

  • Not stated: Interim CFO said the company is reaffirming 2026 guidance based on confidence for the year. Source
  • Not stated: Management said transition costs have largely been eliminated by the end of Q1. Source
  • Not stated: Management said the Medsphere integration impacted earnings as anticipated in the quarter. Source
  • Not stated: Interim CFO said the company looks forward to redeeming Series B Preferred Stock for cash on May 15. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.