Financial Performance - The company reported net revenue of 110.837millionfortheyearendedDecember31,2024,adecreaseof5.2117.059 million in 2023[261] - Adjusted EBITDA for 2024 was 24.057million,significantlyupfrom15.429 million in 2023, representing a year-over-year increase of 55.5%[261] - The company achieved a GAAP net income of 7.851millionin2024,comparedtoanetlossof48.674 million in 2023[261] - Adjusted operating income for 2024 was 11.455million,upfrom5.967 million in 2023, resulting in an adjusted operating margin of 10.3% compared to 5.1% in the previous year[264] - Non-GAAP adjusted net income for 2024 was 10.520million,comparedto4.801 million in 2023, indicating a substantial improvement in profitability[264] - The company reported a non-GAAP adjusted earnings per share of 0.65for2024,anincreasefrom0.30 in 2023[266] - The company’s GAAP operating margin improved to 8.2% in 2024 from a negative 40.2% in 2023[264] - Operating income for 2024 was 9,121,000,comparedtoanoperatinglossof47,115,000 in 2023[267] - Net income for 2024 was 7,851,000,asignificantimprovementfromanetlossof48,674,000 in 2023[267] - Net income attributable to common shareholders was a loss of 4,459,000in2024,animprovementfromalossof64,348,000 in 2023[267] Expenses and Cost Management - The company’s offshore operations accounted for approximately 15% of total expenses in 2024, up from 9% in 2023, with personnel-related costs making up about 75% of these expenses[256] - Total operating expenses decreased to 101,716,000in2024from164,174,000 in 2023, reflecting a reduction of 38%[267] - Direct operating costs represented about 13% of total costs in 2024, compared to 11% in 2023, indicating a slight increase in operational efficiency[282] - General and administrative expenses accounted for approximately 22% of total expenses in 2024, up from 17% in 2023, suggesting increased administrative costs[284] - Selling and marketing expenses decreased by 3.4millionor356.2 million in 2024 from 9.7millionin2023[314]−Generalandadministrativeexpensesdecreasedby5.3 million or 25% to 16.1millionin2024from21.5 million in 2023[315] - Research and development expenses decreased by 955,000or203.8 million in 2024 from 4.7millionin2023[316]−Totaloperatingexpensesfor2024were101.7 million, a decrease of 62.5millionor38164.2 million in 2023[313] Cash Flow and Financial Position - Cash balance increased to 5,145,000in2024from3,331,000 in 2023[268] - Positive cash flow from operations increased to 20.6millionin2024from15.5 million in 2023, representing a 34% increase[331] - Cash used in investing activities decreased to 7.4millionin2024from11.6 million in 2023, a reduction of 4.2million[336]−Cashusedinfinancingactivitieswas11.3 million in 2024, down from 13.3millionin2023,includingthefullrepaymentofa10 million credit line[337] - The company recorded a net increase in cash of 1.8millionin2024,comparedtoadecreaseof8.9 million in 2023, marking a turnaround of 10.8million[331]ClientandRevenueMetrics−Thecompanyservedapproximately40,000providersacrossabout2,600practicesasofDecember31,2024,maintainingastableclientbase[275]−Customerrenewalratesimprovedto9573.7 million in 2024, down from 76.6millionin2023[310]−Professionalservicesrevenuedecreasedby4.8 million in 2024 compared to 2023, primarily due to the winding down of services for two large accounts[311] Goodwill and Impairment - Goodwill impairment charges in 2023 amounted to 42,000,000,reflectingasignificantwrite−downrelatedtotheHealthcareITreportingunit[287]−Goodwillimpairmentofapproximately2 million was recorded in October 2023, with an additional impairment of approximately 40millionrecordedinDecember2023[305]−Goodwillimpairmentchargeof42 million was recorded in 2023, resulting in the reversal of the entire deferred tax liability at December 31, 2023[325] Shareholder Information - The total fully diluted shares increased to 16,498,736 in 2024 from 16,614,000 in 2023[266] - The weighted average common shares outstanding increased to 16,146,975 in 2024 from 15,669,472 in 2023[267] - Shareholders' equity increased to 49,774,000in2024from41,717,000 in 2023[268] Tax and Interest - The income tax provision for 2024 was 160,000,contrastingwithataxbenefitof364,000 in 2023[323] - Interest income decreased by 66,000or4388,000 for the year ended December 31, 2024, compared to 154,000in2023[320]−Interestexpensedecreasedby294,000 or 25% to 900,000fortheyearendedDecember31,2024,from1.2 million in 2023[321] - Other expense - net improved to 298,000in2024from883,000 in 2023, primarily due to a foreign exchange gain of 130,000comparedtoalossof790,000 in 2023[322] Future Outlook - The company plans to continue leveraging its offshore operations to maintain competitive cost advantages in the healthcare IT sector[256] - The company expects to achieve further economies of scale as it grows, potentially reducing direct operating costs as a percentage of revenue[282] - The company has a total federal NOL carry forward of approximately 265million,with187 million expiring between 2031 and 2038[328]