Good day, and welcome to the MTBC Fourth Quarter 2017 Earnings Conference Call and Webcast. All participants will be in listen-only mode. [Operator Instructions] After today's presentation, there will be an opportunity to ask questions. [Operator Instructions] Please note today's event is being recorded. I would now like to turn the conference over to Shruti Patel, General Counsel. Please go ahead.

Good morning, thank you. Good morning, everyone. Welcome to the MTBC 2017 Fourth Quarter Conference Call. On today's call are Mahmud Haq, our Founder and Executive Chairman; Stephen Snyder, our Chief Executive Officer and a Director; A. Hadi Chaudhry, our President; and Bill Korn, our Chief Financial Officer. Before we begin, I would like to remind you that certain statements made during this conference call are forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 as amended, and Section 21E of the Securities Exchange Act of 1934 as amended. All statements, other than statements of historical fact, made during this conference call are forward-looking statements, including without limitation statements regarding our expectations and guidance for future financial and operational performance, expected growth, and business outlook. Forward-looking statements may sometimes be identified with words such as will, may, expect, plan, anticipate, upcoming, believe, estimate, or similar terminology and the negative of these terms. Forward-looking statements are not promises or guarantees of future performance and are subject to a variety of risks and uncertainties, many of which are beyond our control, which could cause actual results to differ materially from those contemplated in these forward-looking statements. These statements reflect our opinions only as of the date of this presentation and we undertake no obligation to revise these forward-looking statements in light of new information or future events. Please refer to our press release and our reports filed with the Securities and Exchange Commission, where you will find a more comprehensive discussion of our performance and factors that could cause actual results to differ materially from these forward-looking statements. Finally, on today's call we may refer to certain non-GAAP financial measures. Please refer to today's press release announcing our fourth quarter and full year 2017 results for a reconciliation of these non-GAAP performance measures to our GAAP financial results. With that said, I'll now turn the call over to the Chief Executive Officer of MTBC, Stephen Snyder. Steve?

Thank you, Shruti. And thank you everyone for joining us on our fourth quarter 2017 earnings call. 2017 was a landmark year for MTBC on all fronts. I am very pleased to report a strong finish to the year, with revenue up $31.8 million, representing growth of 30% over full year of 2016. We are also reporting record adjusted EBITDA for the fourth quarter of $1.5 million, with total adjusted EBITDA for full year 2017 of $2.3 million. We achieved the high-end of our guidance range for both revenue and adjusted EBITDA. In addition to significant revenue growth and profit improvement, we are generating positive cash from operations and ended the year with our strongest balance sheet ever. During 2017, we fully repaid our $10 million credit facility with Opus Bank, two years ahead of schedule. We’re also paying the entire $5 million balance of the consideration for our MediGain transaction. We ended 2017 with $4.4 million in cash and a completely untapped $5 million credit facility with Silicon Valley Bank, positioning us for another strong year of growth during this year. Our growth and improved profitability were driven by the success of our organic growth strategy together with the integration of operations from our last major acquisition, which allowed us to dramatically reduce costs and begin generating positive cash flow. While our financial metrics are continuing to demonstrate proof of concept, our deepest enthusiasm actually centers around the significant opportunities that we see for the year ahead and our belief that we are properly position to succeed, as we pursue these opportunities. First the newest additions to our Software-as-a-Service offering are continuing to gain traction. As you may recall, we've launched two major new products during 2017, Enrollment Plus and talkEHR. I'll first talk about Enrollment Plus. Enrollment Plus…

Thank you, Steve and thank you everyone for joining us on our fourth quarter 2017 call. As Steve mentioned, we are excited about the progress we are making on talkEHR. Our experience tells us that small physician practices need an easy to use cost efficient clinical solution that is fully integrated with the revenue cycle and practice management solution. talkEHR will address this need in the market. And while building and refining a leading EHR, of course takes a great deal of work and time, we believe that we are right on track to deliver a top tier product in time for a late second quarter full launch of talkEHR. From a broader product development perspective, our team of more than 200 developers and technologists will continue to lead the way during 2018. In addition to talkEHR advancements, our team is leveraging block chain technology to develop the next generation of solutions to support health information exchange between our provider clients and their colleagues and patients. We believe that our block chain solution will allow physicians to share protected health information in highly efficient and secure manner. We also intent to further build out our national network of direct connections that payers and interfaces with other leading software solutions. While launching enhanced version of our mobile apps and cloud based practice management system. On operational front, I'm pleased to report that we have recently achieved various important operational milestones. First, we have completed the integration phase of our MediGain business unit, adding rationalized cost and retained revenues in accordance with our plan. Second, we are now handling the entire contracted universe of claims for our new 1,000 provider group and have already been able to help them increase collections. We have also integrated key components of our platform into their workflow and are ahead of schedule in developing customized solutions to support their unique workflow. We believe that it our proof-of-concept with this client will support the signing of additional large groups. I will now turn the floor over to our Chief Financial Officer, Bill Korn. Bill?

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…

Thank you, Bill. 2017 was a record year for us and leaves us well positioned to build on our success as we've begin 2018 on a strong footing. We look forward to giving you future updates on our progress as we move forward. We appreciate the support of our shareholders and extend our thanks to all of our team members for their hard work and great results. Finally, we thank our healthcare provider customers for trusting us to help manage their practices. We will now open the call to questions. Operator?

Thank you. We will now begin the question-and-answer-session. [Operator Instructions] And today's first question comes from Kevin Dede of HCW. Please go ahead.

Good morning gentlemen and congratulations on the nice results. Steve, I think everybody touched on partnerships as a leg for growth, but it’s not crystal clear for me how you see that progressing. So if you wouldn’t mind could you talk a little bit about the different dimensions of the partnerships you seek to pursue and maybe give us a couple of examples of ones that you forged?

Sure I’d be happy to Kevin. And I think as we look at it we kind of step back for a minute, we believe that 2017 was truly a watershed year for us in which we transitioned to the second phase of our growth as a public company. We’ve now kind of built out a team and the proprietary platform, the processes that allow us to effectively and efficiently achieve organic growth, but also to identify and acquire and integrate company’s competitors in our space, in this highly fragmented market. And again as we look at 2017 we think the revenue growth -- 30% revenue growth, turning cash flow positive and the significant EBITDA growth and margin growth demonstrates a proof-of-concept. And to your point as we continue to move forward from an organic growth perspective we believe much of the organic growth during this year and future years will continue to come through partnerships. With regard to the existing partnerships we today have partnerships with groups like the Healthcare Compliance Network and Mabry Healthcare, some smaller EHRs and when we look at and reflect on the 2017 organic growth the majority of our organic growth came from those partnerships. Other players in our industry who are focused on the same target market, who are providing and addressing different needs of that same market, but see the opportunity for MTBC to really add value to those relationships that they have by helping to increase collections of those practices and also to provide a technology platform that rounds out those relationships. So we continue to actively move forward with those partnerships from a cross referral perspective and even developing some integrated solutions with those partners. And we’re also working on developing additional partnerships, four of our team members are spending this…

Well, yes, thank you for touching on that topic of EHR and RCM integration. I appreciate that. But the -- maybe there is a flip side opportunity too, as these EHRs find that their business model might not be as compressed or not viable, is there a chance that they go into the M&A pipeline, could you talk to that a little bit?

Absolutely, yes. The answer to that is absolutely, yes. And from the perspective of the EHRs that again no longer have in our estimation at least in the long-term a viable business model that they are simply providing an EHR solution, we do believe that some of those EHRs could very well be good acquisition targets as we move forward. Our primary focus right now continues to be on revenue cycle management solutions, but we are also actively looking at the possibility of some acquisitions in the EHR space, where the strategy there is really to acquiring that customer relationship, we have already built out our technology. And then when we acquired EHR depending upon the quality and the strength of that EHR we’d either leverage our 200 plus IT R&D team members to take that acquired product and to help us reach new heights or depending upon the strength of that product either migrate, perhaps migrate those customers to our EHR. Again that’s down the road, we’re not announcing any of those acquisitions today, but for sure as we think about acquisition opportunities that certainly is one of the areas that we are focusing on.

Okay. So congrats too on the Enrollment Plus progress. You spoke to your first main customer as being fully signed up, I am wondering if you can speak to sort of the revenue trajectory there? And then maybe a little bit more insight on where your second customer is? Because I think on the last -- third quarter conference call, you spoke to perhaps a longer sales cycle for that solution. And it seems, I mean the color that you have offered thus far seems to offer the impression that things are moving perhaps a little bit quicker than you had expected.

Thanks, Kevin. In terms of Enrollment Plus, as we think about the revenue for this year, we still believe the Enrollment Plus as a percentage of our overall revenue will still be less than 10%. So in terms of the overall revenue mix, even for this year we still think it will represent a minority of the overall revenue. We think it’s however an example of the opportunity that’s there, an innovative approach that we’re taking where we are really taking the expertise that we’ve gained and we’ve developed in the healthcare IT space and with regard to our clearinghouse, and repurposing that same approach in a different part of the healthcare industry -- different part of the insurance industry rather. So as we move forward, we still continue to see that revenue this year being less than 10%, the smaller group that signed is very similar to the first albeit much smaller. The other opportunities that we are pursuing are larger opportunities that are more similar to the first client that we signed the top 10 insurer that we signed during the last year. So I would say, we are right on track with regard to our belief in terms of how Enrollment Plus will grow.

Okay, fair enough, thanks for that. Just switching gears a little house keeping items. Bill, I think DNA for the quarter was just about $700,000 as you spoke to, stock comp, I get my numbers work to 1.15, I think you rounded to 1.2, fair enough. I am wondering, how you think we should look at those figures going forward? Given double declining balance and the MediGain acquisition being amortized more fully?

Thanks, Kevin. So I'm happy to give you a little bit of view there. So, first in terms of the depreciation and amortization, you’re right that it’s down significantly. And yes, we do use double declining balanced, which means that in general you'll see some small reductions in depreciation and amortization. In large part, MediGain sort of crossed the point in the amortization where you are always talking doubled and then you switch to the straight line for the remaining term. So you won't see as bigger decrease and again a not only as a decrease that you saw in the middle of 2017 was the amortization from the three companies we bought on the day of the IPO. And at that time we were using straight line. So those three continue through straight-line they’re fully amortized. So, you should expect to see the depreciation and amortization, slowly go down until or unless we do a major acquisition. Obviously when we buy companies, what happens is you really buying asset, but there is not a lot of tangible assets, we're not buying brick and mortars, we're not buying factory and land and inventory. So, therefore it pretty much all gets attributed to intangibles which we then amortized quickly. So, until we do something major, I wouldn't expect to see any increase in the amortization. In terms of stock-based comp, in some respects it's a little bit harder to predict, because the amount that you taking as stock-base comp, is based on the value of our common stock on days that stock were its best. So, there are restricted stock units that were granted some time ago to management, key employees, Board members, those best on particular dates. If the stock is at $4 on a day that they invest, you book a $4 expense that the stock is twice that or four times that, then that's what's you going to book. So, it's kind of hard for us to predict exactly what that number is going to look like. Again, from one perspective as the CFO, that's an accounting entry, but is not a cash entry, I'm not writing a check. So, it may effect by GAAP reported numbers, but we remove it from our non-GAAP metrics.

Okay. Last question for me, just based on sort of my rough numbers, I'm looking at general administration costs in the quarter of about $3.5 million, was that about right?

I think that's just exactly on the money.

Yes, okay. The question I have is sort of how do you see that, I mean, given that it was up almost $1 million sequentially, I'm just kind of curious on how you might suggest we think about that one going through the balance of this year?

Sure, so the previous quarter was just a little under $2.5 million. In Q4, there was $1.1 million of stock-based compensation expense that hit G&A. So, with that $1.1 million the total was $3.5 million. From a cash perspective, the number would have been more like $2.4 million.

Okay, fair enough. All right, that makes sense. Thanks, Bill. Thanks very much gentlemen for handling my questions. Appreciate it. Congrats on the results.

Thank you.

Thank you, Kevin and thanks for visiting our facility overseas. Everybody out there was really excited to see you and the questions you asked illustrated that you really done a lot of homework on the company and the industry. So, thanks for doing that.

[Operator Instructions] Showing no further questions, I'll just turn the conference back over to the management team for any final remarks.

Thank you. This is Mahmud. I just want to touch on the last point that Kevin raised guys that the reason that we are not giving guidance for 2018 is because we see amazing things happening in 2018. This is the first time as a company that we have this much cash available whether it is acquisition, whether it is organic growth, channel partnership we see significant improvement in our numbers. So the guidance will be at this point will be all we can say that our 2018 numbers will be significantly better than 2017. As we go through the year, we'll be giving you updated information on our progress.

Great, we thank everybody for joining. And at this time we'll adjourn our call. Thanks everybody.

Thank you, everyone.

Today's conference has now concluded. We thank you all for attending today's presentation. You may now disconnect your lines. And have a wonderful day.