Top-Line Growth
Full-year 2025 revenue of $120.5M, up ~9% year-over-year; Q4 2025 revenue $34.4M, up ~22% year-over-year; management raised revenue guidance twice during 2025 and still exceeded the final target.
Profitability Milestone and EPS
GAAP net income for 2025 of $10.8M, an increase of >37% year-over-year; full-year GAAP EPS $0.10 — the company's first positive full-year EPS since its 2014 IPO; Q4 GAAP EPS $0.04.
Improved Adjusted EBITDA and Margins
Adjusted EBITDA expanded to $27.5M with a 23% margin (management noted a >14% YoY increase); Q4 adjusted EBITDA was $7.7M (22% of revenue), up ~8% year-over-year.
Strong Operating Cash Flow and Free Cash Flow
GAAP operating cash flow for 2025 was $28.6M, up ~38% YoY; Q4 operating cash flow $8.7M, up ~66% YoY. Non-GAAP free cash flow was ~$20.5M in 2025 vs $13.2M in 2024 (a ~55% YoY increase); CEO also highlighted free cash flow up >500% since 2023.
Capital Structure Improvements
Converted ~80% of Series A preferred shares (eliminating >$7M in annual dividend obligations) and fully repaid the Provident Bank credit line, entering 2026 with the credit line undrawn and reduced recurring dividend burden.
Disciplined M&A Execution
Completed 4 acquisitions in 2025 (notably Medsphere and MAP App) at <1x revenue multiples, funded entirely from free cash flow with 0 common-share dilution; Medsphere contributed approximately $7.2M of Q4 revenue and expanded CareCloud into inpatient and ED markets (Wellsoft).
AI Product Launches and Early Traction
Launched stratusAI Front Desk Agent commercially in December 2025 and deployed CirrusAI Notes and Voice Audit; customer example: one practice reports the Front Desk Agent handling ~80% of inbound scheduling calls; management cites a >$4B U.S. addressable market for the front-desk assistant.
2026 Financial Guidance
Management guidance for 2026: revenue $128M–$130M (implying ~6%–8% YoY growth), adjusted EBITDA $29M–$31M (margin expansion), and GAAP EPS $0.20–$0.23 (projected >100% increase vs. 2025 EPS).