Exhibit 99.4

 

Supplemental Information

 

For WMB and Orion, we identified revenue from customers who cancelled their contracts prior to MTBC’s acquisition of such customers’ contracts. Such revenue is included in the pro forma condensed combined statement of operations, even though MTBC will not generate revenues from those customers.

 

Estimated revenue from customers who cancelled prior to our acquisition

 

   WMB   Orion   Total 
             
Year ended December 31, 2017  $154   $6,406   $6,560 
Six months ended June 30, 2018   -    2,308    2,308 

 

To provide investors with additional insight and allow for a more comprehensive understanding of the information used by management in its financial and operational decision-making surrounding pro forma operations, we supplement our consolidated financial statements presented on a basis consistent with GAAP, with Adjusted EBITDA, a non-GAAP financial measure of earnings. Adjusted EBITDA represents the sum of GAAP net income (loss) before provision for (benefit from) income taxes, net interest expense, other expense (income), stock-based compensation expense, depreciation and amortization, integration and transaction and restructuring costs, and changes in contingent consideration. Our management uses Adjusted EBITDA as a financial measure to evaluate the profitability and efficiency of our business model. We use this non-GAAP financial measure to assess the strength of the underlying operations of our business. These adjustments, and the non-GAAP financial measure that is derived from them, provide supplemental information to analyze our operations between periods and over time. We find this especially useful when reviewing pro forma results of operations which include large non-cash amortization of intangibles assets from acquisitions. Investors should consider this non-GAAP financial measure in addition to, and not as a substitute for, financial measures prepared in accordance with GAAP.

 

The following tables contain a reconciliation of GAAP net (loss) income to Adjusted EBITDA for the year ended December 31, 2017 and the six months ended June 30, 2018:

 

Reconciliation of GAAP net (loss) income for the year ended

December 31, 2017 to Adjusted EBITDA

($000)

 

           MTBC +             
           Previously             
           Acquired       Pro Forma   Pro Forma 
   MTBC   WMB   Subtotal   Orion   Adjustments   Combined 
   (in thousands) 
Net revenue  $31,811   $518   $32,329   $42,462   $-   $74,791 
                               
GAAP net (loss) income  $(5,565)  $42   $(5,523)  $(18,574)  $2,798   $(21,299)
                               
Provision (benefit) for income taxes   68    -    68    34    -    102 
Net interest expense   1,307    -    1,307    -    -    1,307 
Foreign exchange / other expense   (249)   -    (249)   47    -    (202)
Stock-based compensation expense   1,487    -    1,487    -    -    1,487 
Depreciation and amortization   4,300    -    4,300    4,620    (2,741)   6,179 
Integration, transaction and restructuring costs (1)   791    -    791    -    (57)   734 
Impairment charges   -    -    -    14,106    -    14,106 
Change in contingent consideration   151    -    151    (936)   -    (785)
Adjusted EBITDA  $2,290   $42   $2,332   $(703)  $-   $1,629 

 

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Reconciliation of GAAP net income (loss) for the six months ended

June 30, 2018 to Adjusted EBITDA

($000)

 

               Pro Forma 
   MTBC   Orion   Adjustments   Combined 
   (in thousands) 
Net revenue  $16,990   $19,079   $-   $36,069 
                     
GAAP net income (loss)  $270   $(2,712)   1,666   $(776)
                     
Provision for income taxes   98    11    -    109 
Net interest expense   113    -    -    113 
Foreign exchange / other expense   (332)   -    -    (332)
Stock-based compensation expense   537    -    -    537 
Depreciation and amortization   1,150    2,166    (1,484)   1,832 
Integration, transaction and restructuring costs (1)   651    -    (182)   469 
Change in contingent consideration   43    -    -    43 
Adjusted EBITDA  $2,530   $(535)  $-   $1,995 

 

(1) The integration and transactions costs for MTBC include severance amounts paid to employees from acquired businesses, transactions costs, such as brokerage fees, pre-acquisition accounting costs and legal fees, exit costs related to terminating leases and other contractual agreements and other costs related to specific transactions and restructuring charges arising from discontinued facilities and operations. For Orion, such amounts represent fees for an outside party who were appointed to operate the business and serve as the bankruptcy trustee during the period before the transaction.

 

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