18. SEGMENT REPORTING

 

From January 1, 2023 through April 30, 2024, the Chief Executive Officer (“CEO”) and Executive Chairman served as the Chief Decision Maker (“CODM”), organizing the Company, managing resource allocations and measuring performance among two operating and reportable segments: (i) Healthcare IT and (ii) Medical Practice Management. As of May 1, 2024, the Company’s President, CEO and Executive Chairman served as the CODM. We report our segment information based on the internal reporting used by management for making decisions and assessing performance as the source of our reportable segments.

 

The CODM evaluates the financial performance of the business units on the basis of revenue, certain individual and total operating expenses and operating income (loss) excluding unallocated amounts, which are mainly corporate overhead costs, for assessing operating results and the allocation of resources. Our CODM does not evaluate operating segments using asset or liability information. The CODM uses segment revenue, certain segment operating expenses and segment operating income (loss) to manage the segments, comparing actual results to forecasted amounts and investigating the reasons for significant variances. Currently, a focus is being placed on reducing costs and managing global headcount. The segment revenue and segment operating income (loss) is also used to assess the performance of personnel and in establishing their compensation.

 

The Healthcare IT segment includes technology-assisted revenue cycle management, SaaS solutions and professional and other services. The Medical Practice Management segment includes the management of three medical practices. Each segment is considered a reporting unit. The Company does not have intra-entity sales or asset transfers, however, there are intracompany bank transfers. The accounting policies of the segments are the same as those disclosed in the summary of significant accounting policies. The following tables present revenues, operating expenses and operating income (loss) by reportable segment for the years ended December 31, 2024 and 2023:

 

   Healthcare IT   Medical Practice Management    Total 
   Year Ended December 31, 2024 
   ($ in thousands) 
   Healthcare IT   Medical Practice Management    Total 
Net revenue  $96,405   $14,432  (a)  $110,837 
Operating expenses:                
Direct operating costs   49,945    10,897     60,842 
Selling and marketing   6,201    31     6,232 
General and administrative   9,093    1,911     11,004 
Research and development   3,781    -     3,781 
Depreciation and amortization   13,813    329     14,142 
Lease terminations, unoccupied lease charges and restructuring costs   596    -     596 
Total operating expenses   83,429    13,168     96,597 
Segment operating income  $12,976   $1,264    $14,240 
                 
Reconciliation of profit or loss (segment profit/loss):                
Unallocated corporate expenses             $(5,119)
Net interest expense              (812)
Other expenses              (298)
Income before income taxes             $8,011 

 

(a)This revenue represents fees based on our actual costs plus a percentage of the operating profit.

 

 

   Healthcare IT   Medical Practice Management     Total 
   Year Ended December 31, 2023 
   ($ in thousands) 
   Healthcare IT   Medical Practice Management     Total 
Net revenue  $103,683   $13,376  (a)   $117,059 
Operating expenses:                 
Direct operating costs   60,319    10,498      70,817 
Selling and marketing   9,614    36      9,650 
General and administrative   10,992    1,854      12,846 
Research and development   4,736    -      4,736 
Depreciation and amortization   14,046    356      14,402 
Goodwill impairment charges   42,000    -      42,000 
Lease terminations, unoccupied lease charges and restructuring costs   1,105    -      1,105 
Total operating expenses   142,812    12,744      155,556 
Segment operating (loss) income  $(39,129)  $632     $(38,497)
                  
Reconciliation of profit or loss (segment profit/loss):                 
Unallocated corporate expenses              $(8,618)
Net interest expense               (1,040)
Other expenses               (883)
Loss before income taxes              $(49,038)

 

(a)This revenue represents fees based on our actual costs plus a percentage of the operating profit.

 

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About Segments Disclosures

Segment disclosures break a company into its reportable operating units, revealing revenue, profit, and asset allocation that consolidated financial statements obscure. Under ASC 280, segments must match how the chief operating decision maker views the business, providing a window into internal management structure and resource allocation priorities.

Key signals: compare segment margins to identify which units drive profitability and which destroy value. Watch for changes in the number of reportable segments — segment aggregation or disaggregation often coincides with strategic shifts or attempts to obscure declining performance. Intersegment elimination patterns reveal internal pricing practices. The reconciliation between segment totals and consolidated figures exposes corporate overhead allocation and unallocated items. Geographic revenue concentration highlights regulatory and currency exposure. Compare segment-level capital expenditure against segment revenue to assess where management is investing for future growth versus harvesting existing assets.