Bill Korn
Analyst · HCW. Please go ahead
Thank you, Hadi. Let's start with our full year results. You will be pleased to hear that we achieved everything we set out to do at the start of the year. As Stephen mentioned, in 2017 we generated our highest revenues ever. Revenues for the full year were $31.8 million, an increase of 30% compared to $24.5 million last year. The increase was primarily due to the MediGain transaction. Revenue exceeded the mid-point of our upward adjusted guidance, which was a range of $31 million to $32 million. Our guidance at the start of the year was a range of $30 million to $31 million. For the year our GAAP net loss was $5.6 million, which was largely a result of non-cash amortization and depreciation expense of $4.3 million. This was an improvement of $3.2 million compared to the prior year. We saw a steady improvement in our GAAP net loss during each of the last four quarters as we reduced expenses, which arose from our acquisition of the assets of MediGain in October 2016. The significant cost savings we have achieved included reducing reliance on subcontractors, reducing fees paid to third party software vendors, reducing U.S. facilities and personnel costs, closing offices in Poland and Bangalore, India and improving operating efficiencies. The GAAP net loss for 2017 was $0.69 per share calculated using the net loss attributable to common shareholders divided by the weighted average number of common shares outstanding during the year. Adjusted EBITDA for the full year of 2017 was $2.3 million or 7.2% of revenue an improvement of $2.9 million compared to adjusted EBITDA of negative $605,000 in 2016. Adjusted EBITDA exceeded the midpoint of our guidance, which was a range of $2 million to $2.5 million and represents the highest adjusted EBITDA MTBC has achieved in its 15 year history. Our business now has a scale higher than we did during any prior year, so we are able to spread our fixed expenses over a larger revenue base and generate larger adjusted EBITDA than we have ever done before. The difference of $7.9 million between adjusted EBITDA and the GAAP net loss in 2017 reflects $4.3 million of non-cash amortization and depreciation expense, $1.3 million of net interest expense, $1.5 million of stock-based compensation, $791,000 of integration transaction and restructuring costs related to recent acquisitions and a $68,000 provision for income taxes. Our non-GAAP adjusted net income for 2017 was positive $36,000, which represents zero per share an improvement of $2 million compared to last year. Non-GAAP adjusted net income per share in calculated using the end of period common shares outstanding. Non-GAAP adjusted net income excludes $3.4 million of non-cash amortization of purchased intangible assets, $1.5 million of cash based compensation, $791,000 of integration transaction and restructuring costs and $249,000 of foreign exchange gains. 2017 GAAP operating loss was $4.5 million, which represents an improvement of $3.4 million or 43% for the operating loss in 2016. GAAP operating loss excludes the provision for income taxes, net interest expense and other income and expenses, which were included in the GAAP net loss. Non-GAAP adjusted operating income was $1.3 million or 4.1% of revenue, which represents an improvement of $2.6 million from 2016. This is our third consecutive quarter of positive non-GAAP adjusted operating income, which excludes non-cash expenses such as $3.4 million of purchased intangible assets, $1.5 million of stock-based compensation and $791,000 of integration, transaction and restructuring costs. While 2017 was the year we achieved our best annual results ever our fourth quarter 2017 illustrates the transition that occurred throughout the year as we integrated the business from MediGain and achieved economies of scale. Revenues for fourth quarter 2017 were $8.3 million, compared to $8.8 million in the same period last year. Fourth quarter 2016 revenue included residual revenue from certain MediGain clients who we knew had decided not to continue prior to the closing of our transaction in October 2016. As these clients completed their transition we recognized some one-time revenues in 2016. We were able to turnaround MediGain’s largest client, who prior to our acquisition had given indication that they were prepared to terminate services. Hadi spent considerable time in Kentucky helping them improve processes to increase their insurance reimbursements. They are very pleased with our performance and were largest revenue generating client in 2017. The fourth quarter 2017 GAAP net loss was $184,000 or 2.2% of revenue, an improvement of $3.8 million compared to a net loss of $4 million in fourth quarter 2016. This dramatic reduction in our GAAP net loss was due to a $2 million or 33% reduction in direct operating costs, a $781,000 or 18% reduction in general and administrative expense and a $908,000 reduction in depreciation and amortization expenses compared with fourth quarter 2016. GAAP net loss for fourth quarter 2017 was $0.08 per share calculated using net loss attributable to common shareholders divided by the weighted average number of common share outstanding during the quarter. Adjusted EBITDA for fourth quarter 2017 was $1.5 million or 18% of revenue, compared to adjusted EBITDA of negative $814,000 or negative 9.2% of revenue in the same period last year. Fourth quarter 2017 adjusted EBITDA, represents a $2.3 million improvement from the same period last year, reflecting the significant costs savings we have achieved. Difference of $1.7 million between adjusted EBITDA and the GAAP net loss in the fourth quarter of 2017 reflects $663,000 of non-cash amortization and depreciation expense, $78,000 of net interest expense, $1.2 million of stock-based compensation, $155,000 of integration and transaction costs and a $124,000 benefit for income tax. Non-GAAP adjusted net income for fourth quarter of 2017 was positive $1.3 million, with $0.13 per share, compared to adjusted net income of negative $1.3 million in the same period last year. Non-GAAP adjusted net income per share is calculated using end of period common shares outstanding. This is the company’s best quarter of adjusted net income in our history. The fourth quarter 2017 GAAP operating loss was $454,000, which represents an improvement of $3.3 million for fourth quarter 2016. Non-GAAP adjusted operating income for fourth quarter 2017 was a positive $1.4 million or 16% of revenue. The fourth quarter 2017 adjusted operating income represents an improvement of $1 million from the adjusted operating income in the third quarter of 2017, and an improvement of $2.4 million in the fourth quarter 2016. This is our third consecutive quarter of positive non-GAAP adjusted operating income and reflects the fact that our business is now at a scale where our revenues are consistently exceeding our cash operating expenses quarter-after-quarter. Fourth quarter 2017 cash flow from operations was a positive $1.6 million, which was similar to adjusted EBITDA and for the full year cash flow from operations was a positive $282,000. MTBC started 2017 with $3.5 million of cash, owing $9.3 million to Opus Bank and $5 million to Prudential for MediGain. At December 31, 2017 the company had $4.4 million of cash, virtually no debt and positive working capital of approximately $4.6 million, a $12 million improvement from the working capital efficiency at the end of 2016. The company raised net proceeds of $16.5 million from the sale of approximately $765,000 of additional shares of its non-convertible Series A Preferred Stock, via six small public offerings from June through December 2017. As well as net proceeds of $2 million from a registered direct sale of 1 million shares of common stock in May 2017. The preferred shares trade on the NASDAQ Capital Market under the ticker MTBCP and paid monthly cash dividends at the rate of 11% per year. This allowed us to repay our debts with minimum dilution to our shareholders. The cash cost of our dividends on our preferred stock is far less than what most businesses pay for term debt, which is typically repaid over three or four years. Typically 25% or 33% of the value of debt is spent annually to repay principle on top of the interest rate. Our Series A Preferred Stock is perpetual, has no mandatory redemption, is not convertible and although the company can choose to whether to redeem shares at $25 per share at starting in November 2020, we have no obligation to do so. So our 11% cost is lower than the typical cash outlay, which could be 30% per year or more. Company used a portion of net proceeds of these preferred stock offerings to repay in full its term loans and line of credit with Opus, which totaled approximately $9.3 billion as of December 31, 2016. In addition, we paid Prudential approximately $5.2 million, which covered the remainder of the purchase price related to the MediGain transaction plus interest. During early October, the company entered into a new revolving credit facility with Silicon Valley Bank and repaid and terminated its previous revolving credit facility with Opus. The SVB credit facility is a $5 billion secured revolving line of credit, where borrowings are based on a formula of 200% of repeatable revenue adjusted by the annualized attrition rate as defined in the agreement. While there was nothing drawn on the SVB credit facility at year-end 2017 and nothing as of today, the SVB line can be used for future growth initiatives including acquisitions with SVB's approval. Based on MTBC's financial position at the end of fourth quarter 2017, with net losses significantly lower than last year, adjusted net income and adjusted EBITDA that are positive, cash flow from operations that is positive, we were able to remove the growing concern disclosure that was in last year's 10-K. We now have a rock-solid financial foundation, which leaves the company well positioned for growth. We have more capital available now than at any time in the company's history and see exciting opportunities to profit for the continued consolidation of the industry. In 2017, we have three paths for continued growth including organic growth, partnership opportunities, and the potential for an accretive acquisition, which might be material. We are pursuing all three of these in parallel. Unlike past years, today we can point to our recent results, rather than simply giving expectations for the future. We anticipate spending more on sales and marketing in 2018 than the 3.5% of revenue we spent in 2017. But we are confident that we'll be able to report significant growth in our adjusted EBITDA in 2018. Other metrics may change and the exact revenue and quarterly numbers will depend on the actual opportunities we close and the timing. As a result, the company has decided not to provide detailed forward-looking guidance at this time. I'll now turn the floor over to Mahmud Haq, our Executive Chairman for his concluding remarks.