Bill Korn
Analyst · HC Wainwright. Please go ahead
Thank you, Hadi. Revenues for third quarter 2018 were $17 million, an increase of 127% or $9.5 million compared to $7.5 million in the same period last year and an increase of 96% compared to the second quarter. Not only was this a new record, but it was the largest percent increase in any quarter in MTBC’s history fueled by the Orion acquisition. In addition to doubling the company’s size, the Orion acquisition added several additional service offerings to MTBC’s portfolio. During the third quarter, we generated $3.3 million of revenue from practice management services. We now manage pediatric practices in Ohio and Illinois, through multi-decade management service agreements. We employ nurses, medical assistants, receptionists, practice managers and other practice personnel in five locations. We share patient revenue with physicians in these practices, and exclude the physicians’ portion from the revenue we report. We also now manage a group purchasing organization, enabling 4000 physicians across the country to purchase vaccines through leading pharmaceutical companies at discounted rates. During the quarter we generated $477,000 of revenue from this GPO. Physicians purchase vaccines directly from Merck and Sanofi Pasteur, and we receive rebate checks from the pharmaceutical manufacturers. Physicians can learn more about our GPO and enroll for free to start saving up to 20% on vaccine purchases at www.mtbc.com/gpo. Third quarter 2018 GAAP net loss was $1.8 million, compared to a net loss of $980,000 in the same period last year. Similar to our previous acquisitions, from an accounting perspective, a large portion of the purchase price will be attributed to intangible assets, most of which we will amortize over the next few years. This means that our non-cash amortization expense has increased, which always happens within acquisition. Amortization is excluded from non-GAAP financial measures, but because of it we expect to report a GAAP net loss for the next few quarters before returning positive as we were during the first and second quarter of this year. The GAAP net loss for third quarter was $0.25 per share as lower loss than expected. Calculating the net loss attributable to common shareholders divided by the weighted average number of common shares outstanding. Net loss attributable to common shareholders takes into account the value of the preferred stock dividends declared during the quarter. Our non-GAAP adjusted net income for the quarter was $507,000, an increase of $826,000 compared to third quarter last year, and was the company’s fourth consecutive quarter of positive adjusted net income. Non-GAAP adjusted net income was $0.04 per share, calculated using the end-of-period common shares outstanding. The Orion transaction has helped us to significantly scale our business, enabling us to grow revenues without a corresponding increase in overhead. Adjusted EBITDA for third quarter 2018 was $865,000 or 5.1% of revenue, compared to adjusted EBITDA of $609,000 in the same period last year. This represents an important achievement for MTBC, since we were able to grow quarterly adjusted EBITDA year-over-year, notwithstanding the investments we made in integrating Orion, such as temporary operational redundancies to support a smooth transition. Three factors made this possible. First, our core business remain profitable. Second, Orion’s practice management business and group purchasing organization were both contributing to profitability. Third, our team moved quickly and effectively with Orion’s revenue cycle management business, replacing subcontractors and reducing costs. Our overall adjusted EBITDA was a remarkable $865,000 for the quarter. Cash flow from operations for the quarter was $2.8 million, in part reflecting the advantageous terms of the Orion acquisition, where we were able to retain accounts receivable, but did not assume most accounts payable. Since MTBC had sufficient cash to complete the Orion acquisition, doubling our company’s size without additioning – without issuing any additional common stock or incurring any debt, and we immediately generated positive cash from operations, this transaction was accretive for our shareholders from day one. This was an exceptional transaction. Turning to the year-to-date results, revenues for the first nine-months of 2018 were $34 million, an increase of 45% or $10.5 million compared to $23.5 million in the same period last year. Revenue for this nine-month period was larger than for any full year in the company’s history. For the first nine months of 2018 the GAAP net loss was $1.6 million, an improvement of $3.8 million from the first nine months of 2017. We were effected at improving profitability from the business we acquired from MediGain in October of 2016. MTBC reported positive GAAP net income and positive GAAP operating income during the first two quarters of 2018, and we have started a similar effort to reduce operating expenses associated with the Orion acquisition. Non-GAAP adjusted net income for the first nine months was $2.5 million, an increase of $3.7 million compared to the same period last year. Non-GAAP adjusted net income was $0.21 per share. Adjusted EBITDA for the first nine months of 2018 was $3.4 million or 10% of revenue compared to adjusted EBITDA of $763,000 or 3.2% of revenue in the same period last year. As of September 30, 2018, the company had $1.3 million in cash and positive working capital of approximately $5.6 million. We have an untapped revolving credit facility with Silicon Valley Bank, where borrowings are based on 200% of repeatable revenue adjusted by an annualized attrition rate. During September, this line of credit was doubled in size to $10 million, the SVB line can be used for future growth initiatives, including acquisitions with SVB’s approval. We also raised net proceeds of $13.4 million from the sale of 600,000 additional shares of our non-convertible Series A Preferred Stock via a public offering during the first two weeks of October. The preferred shares trade on the NASDAQ Capital Market under the ticker MTBC, and pay monthly cash dividends at the rate of 11% per year. From our CFO or an investors view point our preferred stock gives us a tremendous advantage. Is it not dilute common stockholders had no restrictive covenants like those which you’ve got a lot of industry participants into trouble. And it’s perpetual, and has no mandatory redemption, although we have the right to redeem shares at $25.00 per share starting in November 2020 if we choose to. How many other forms of financing do you know of where you have the flexibility to redeem it whenever you want or tap or easily tap into it further as we have over the last two years without any convertibility or dilution. October was our largest offering of our Series A Preferred Stock, and as with previous offerings in 2017 and 2018, demand was so large that the offering was oversubscribed. Because the MTBC already had $5.6 million of working capital, $10 million untapped line of credit and positive cash flows, this additional capital was solely to position us to be ready to take advantage of the opportunities we see for consolidation in the market. With revenues of $34.0 million for the first nine months of 2018, we are happy to reaffirm our guidance for full year 2018 revenue up $49 million to $50 million 50%, which represents growth of approximately 50% over 2017 revenue. We are also reaffirming that our adjusted EBITDA to be $4 million to $5 million for full year, after achieving $3.4 million of adjusted EBITDA during the first nine months. Now that we’re confident we can achieve 50% growth in revenue and 100% growth in adjusted EBITDA in 2018 in far due to a great acquisition, we set our sights on doing something similar in 2019. At the start of this year, we never could have predicted that we would be able to double our revenues without selling a single additional share of common stock or taking on $1 of debt. We can’t predict what the next 14 months we’ll bring, the rest assured is – the Management team owns 50% of our shares, we are just as focused on growth and profitability as we were when we done MediGain at Orion. I’ll now turn the floor over to Mahmud for his concluding comments.