Paysign Q1 2025 Earnings Report

Paysign EPS Results

• Actual EPS: $0.05
• Consensus EPS: $0.04
• Beat/Miss: Beat by +$0.01
• One Year Ago EPS: N/A

Paysign Revenue Results

• Actual Revenue: $18.60 million
• Expected Revenue: $17.49 million
• Beat/Miss: Beat by +$1.11 million
• YoY Revenue Growth: N/A

Paysign Announcement Details

• Quarter: Q1 2025
• Date: 5/8/2025
• Time: After Market Closes
• Conference Call Date: Thursday, May 8, 2025
• Conference Call Time: 5:00PM ET

Paysign (NASDAQ:PAYS) is a financial technology company that provides payment and financial services primarily to the healthcare and pharmaceutical industries. Its platform supports prepaid card programs, digital payments and other disbursement solutions designed to help organizations distribute funds to individuals efficiently and securely.

The company’s services include patient assistance programs that help eligible patients receive financial support for prescription medications and other healthcare costs. Paysign also provides payment solutions for plasma collection centers, including compensation cards used to pay plasma donors. In addition, its platform can support corporate incentive, rebate and other specialized payment programs.

Paysign was formerly known as 3PEA International, Inc. and adopted the Paysign name as it expanded its focus on healthcare-related payment services. The company is headquartered in Henderson, Nevada, and primarily serves organizations and users in the United States. Its leadership includes President and Chief Executive Officer Mark Newcomer.

Paysign Q1 2025 Earnings Call Transcript

Key Takeaways

• Record Q1 financials: Revenue rose 41% year-over-year to $18.6 M, net income surged 737% to $2.6 M, adjusted EBITDA jumped 193% to $4.9 M, and gross margin expanded over 10 points to 62.9%.
• Patient Affordability revenue grew 261% to $8.6 M with over 160% more claims processed and 14 new programs added, and the segment is expected to more than double revenue again in 2025.
• Plasma donor compensation revenue declined 9.2% to $9.4 M due to industry supply surpluses and efficiency gains, a headwind expected to continue through the year.
• The Gamma Innovation acquisition is projected to generate $4 M–$5 M in annual cash flow efficiencies and enable integrated donor engagement and CRM solutions, positioning PaySign to expand into broader healthcare markets.
• For full-year 2025, PaySign raised guidance to $72 M–$74 M in revenue (25% growth), with pharma revenue expected to jump over 135% and adjusted EBITDA of $16 M–$17 M.

Presentation

[Operator]

Good afternoon. My name is Chelsea, and I will be your conference operator today. At this time, I would like to welcome everyone to the Paysign Inc First Quarter 2025 Earnings Conference Call. After the speakers are marked, there will be a question-and-answer session. If you would like to ask a question at that time, please press star one on your telephone keypad. To remove your question, you may press star two. As a reminder, this conference is being recorded. The comments on today's call regarding Paysign's financial results will be on a GAAP basis unless otherwise noted. Paysign's earnings release was disseminated to the SEC earlier today and can be found on the investor relations section of our website, paysign.com, which includes reconciliations of non-GAAP measures to GAAP reported amounts.

[Operator]

Additionally, as set forth in more detail in our earnings release, I would like to remind everyone that today's call will include forward-looking statements regarding Paysign's future performance. Actual performance could differ materially from these forward-looking statements. Information about the factors that could affect future performance is summarized at the end of Paysign's earnings release and in our recent SEC filings. Lastly, a replay of this call will be available until August 8, 2025. Please see Paysign's First Quarter 2025 earnings call announcement for details on how to access the replay. It is now my pleasure to turn the call over to Mr. Mark Newcomer, CEO. Please go ahead.

[Mark Newcomer, President and CEO at Paysign Inc]

Thank you, Chelsea, and good afternoon, everyone. We appreciate you joining us today to go over our First Quarter 2025 results. I'm Mark Newcomer, President and Chief Executive Officer, and I'm joined by our CFO, Jeff Baker. Also with us for the Q&A portion are Matt Turner, President of Patient Affordability, and Matt Lanford, our Chief Payments Officer. Earlier today, we released our Q1 results, and I'm pleased to say it was another record-setting quarter for Paysign. We are continuing to see strong momentum across the board. Revenue, operating income, and adjusted EBITDA all hit new highs, and the fundamentals of our business remain exceptionally healthy. Let's dive into the Q1 numbers. Revenue grew 41% year-over-year to $18.6 million, up from $13.2 million in Q1 of last year. Net income surged to $2.59 million. That's a 737% increase over Q1 2024.

[Mark Newcomer, President and CEO at Paysign Inc]

Adjusted EBITDA jumped 193% to $4.9 million, and we saw a major boost in gross margin, which expanded over 10 percentage points to 62.9%. That's not just growth; it's efficient, high-quality growth. Our Patient Affordability Business continued to outperform expectations. Revenues rose 261% year-over-year to $8.6 million. Claims processed grew by more than 160%, and we added 14 new programs this quarter, already outpacing the 10 new programs we added in the same period last year. We now support 90 active programs spanning retail and specialty therapies, including pharmacy and medical benefit designs across a wide range of therapeutic areas. This is a real vote of confidence for the demand for our solutions and in the value we bring with our Dynamic Business Rules technology. In 2024, Dynamic Business Rules saved our clients more than $100 million by mitigating the impact of copay maximizers.

[Mark Newcomer, President and CEO at Paysign Inc]

As of today, we've already topped last year's savings total, which speaks volumes about the tangible return on investments our platform delivers to pharmaceutical manufacturers. At the end of April, our team attended the Assembly Summit 2025 here in Las Vegas. It's a flagship event for our industry, bringing together pharmaceutical manufacturers, hub service providers, specialty pharmacies, payers, and technology vendors. We brought a full cross-functional team to engage with current and prospective clients. We hosted more than 40 meetings and events that provided direct access to key decision-makers, and the response to our solutions was extremely positive. Thanks to this engagement and the strong execution of our sales teams, our sales cycle continues to be efficient, typically ranging between 90 and 120 days. Based on what we are seeing in the pipeline and results from this quarter, we believe patient affordability revenue will more than double again in 2025.

[Mark Newcomer, President and CEO at Paysign Inc]

Now let's touch on the plasma donor compensation. Revenue in this segment came in at $9.4 million, down 9.2% from $10.3 million in Q1 2024. We ended the quarter with 484 centers, adding four new centers during the period, and we expect to onboard 5-10 more during the remainder of this year. As we've mentioned before, this segment is facing headwinds due to continued source plasma supply surpluses and improved collection efficiencies at the center level. We expect these conditions to persist throughout the rest of the year. That said, we're investing in innovation here too. In late March, we acquired Gamma Innovation, a move that strengthens our tech stack and positions us to offer a full front-end engagement platform integrated with our core payment solutions, starting with the plasma industry.

[Mark Newcomer, President and CEO at Paysign Inc]

This includes a Donor Engagement App, a Plasma-specific CRM, and a Donor Management System, all seamlessly integrated with our existing payments infrastructure. The industry response has been enthusiastic. We will be showcasing these solutions at the International Plasma Protein Congress later this month. This is a key and strategic opportunity to expand our presence in the plasma market and introduce new capabilities to both existing and prospective clients. We believe this enhanced offering positions us to unlock additional revenue streams, expand our total addressable market, and strengthen our competitive differentiation in the plasma space. We see the opportunity to take this integrated model beyond plasma and into the broader pharmaceutical and healthcare sectors, where engagement, patient adherence, and retention is mission-critical for drug manufacturers, providers, and payers alike. Operationally, the Gamma acquisition is already paying off.

[Mark Newcomer, President and CEO at Paysign Inc]

We're implementing a set of efficiency measures that, once fully realized, are expected to add $4 million-$5 million in annual cash flow. To wrap up, Q1 was a strong start to the year. We're scaling efficiently, solving real-world problems for our customers, and executing with discipline. I'm incredibly proud of the team and excited about what lies ahead. We're confident in our growth trajectory and committed to delivering long-term value to our shareholders. With that, I'll hand it over to Jeff to walk you through the financials in more detail.

[Jeff Baker, CFO at Paysign Inc]

Thank you, Mark. Good afternoon, everyone. As Mark said, we had a solid first quarter driven by momentum we're experiencing with our Patient Affordability Business. Our results for the quarter exceeded our expectations despite weakness in our plasma business related to excess industry-wide inventory levels, as we discussed on our last conference call. Our plasma business declined 9.2% to $9.4 million, and our revenue per plasma center declined to $6,517. We added four net plasma centers, exiting the quarter with 484 centers. Gross dollars loaded to cards decreased 4.5%, total number of loads decreased 9.3%, and gross spend volume decreased 9.4%. Moving to our Patient Affordability Business, first-quarter pharma revenues of $8.6 million was up 260.8% and accounted for 46.3% of quarterly revenues. This is a significant increase from the 18.1% of revenues that pharma represented during the same period last year.

[Jeff Baker, CFO at Paysign Inc]

We added 14 net programs, exiting the quarter with 90 pharma patient affordability programs. Early operating efficiencies from our Gamma acquisition are very promising as we look to reduce the reliance of third-party professional services that have historically been capitalized as part of our platform development costs. By the end of our second quarter, we expect to be on an annual run rate for cash cost savings of $4 million-$5 million. As in previous calls, with all the details we provided in the press release and that will be available in our 10-K filing tomorrow morning, I will simply hit the financial highlights for the first quarter of 2025 versus the same period last year. First quarter 2025 total revenues of $18.6 million increased $5.4 million, or 41%. Gross profit margin for the quarter was 62.9% versus 52.6% during the same period last year.

[Jeff Baker, CFO at Paysign Inc]

SG&A for the quarter, excluding depreciation and amortization and stock-based compensation, increased 28.2% to $6.7 million, with total operating expenses increasing 27.8% to $9.2 million. We have made significant investments in IT and employees over the past year to support the continued growth of our businesses, exiting the quarter with 190 employees versus 132 employees during the same period last year. For the quarter, we posted a net income of $2.6 million, or $0.05 per fully diluted share, versus $300,000, or $0.01 per fully diluted share for the same period last year. First quarter adjusted EBITDA, which is a non-GAAP measure that adds back stock compensation to EBITDA, was $5 million, or $0.09 per diluted share, versus $1.7 million, or $0.03 per diluted share for the same period last year.

[Jeff Baker, CFO at Paysign Inc]

The fully diluted share count for the quarters used in calculating the per-share amounts was $55.1 million and $54.8 million, respectively. Regarding the health of our company, we exited the quarter with $6.9 million in unrestricted cash and zero debt. The first quarter is typically our highest usage of cash as we pay accrued liabilities from the previous year. This year also included a $2 million cash payment for our Gamma acquisition and the repurchase of 100,000 shares of stock for approximately $376,000. Now, turning your attention to our revised guidance for 2025, which now incorporates Q1 actuals and the substantially completed purchase price allocation related to the Gamma acquisition. We expect total revenues to be in the range of $72 million-$74 million, reflecting year-over-year growth of 25% at the midpoint.

[Jeff Baker, CFO at Paysign Inc]

Plasma is estimated to make up approximately 57% of total revenue, representing a year-over-year decline of 8-10%, while pharma revenue is expected to make up approximately 43% of total revenue, representing year-over-year growth of over 135%. Given the seasonality we see with our Patient Affordability Business and trends in our Pharma Business, we continue to forecast revenue to be slightly higher in the first half of the year compared to the second half of the year, with a corresponding impact on operating income. Full-year gross profit margins are expected to be between 62%-64%, reflecting stable margins in our plasma business and increased revenue contribution from our higher-margin pharma Patient Affordability Business. Operating expenses are being revised lower due to operational synergies driven by the Gamma Innovation acquisition, as well as revisions to stock compensation and amortization following the purchase price allocation for Gamma Innovation.

[Jeff Baker, CFO at Paysign Inc]

Operating expenses are now expected to be between $41 million and $43 million, with depreciation and amortization expense of approximately $8 million and stock-based compensation of approximately $3.8 million. Interest income is expected to be approximately $2.9 million. Taking all of the factors above into consideration, we now expect net income to be between $6 million and $7 million for the year, or $0.10-$0.12 per fully diluted share. Adjusted EBITDA is expected to be in the range of $16 million-$17 million, or $0.28-$0.30 per fully diluted share. The diluted share count for the year is estimated to be around 56 million shares. For the second quarter of 2025, we expect total revenue to be in the range of $18.5 million-$19 million, reflecting continued strength from our Patient Affordability Business, offset by weakness with our plasma business.

[Jeff Baker, CFO at Paysign Inc]

We expect plasma revenues to be approximately 54-55% of revenue, and patient affordability to be approximately 41-42% of revenue. Gross profit margins are expected to be 63-64%. Operating expenses are expected to be between $10 million and $11 million, of which depreciation and amortization will be approximately $2 million, and stock-based compensation will be approximately $1 million. Adjusted EBITDA is expected to be in the range of $4.5-$5 million, or approximately 25.5% of revenue. With that, I would like to turn the call back over to Chelsea for questions and answers.

[Operator]

Thank you. At this time, if you would like to ask a question, please press the Star and One keys on your telephone keypad. You may remove yourself from the queue at any time by pressing Star 2. Once again, that is Star 1 to ask a question, and we will pause for a moment to allow questions to queue. All right. We have no questions in the queue at this time. Ladies and gentlemen, I would like to thank you for your participation. This does conclude today's program, and you may disconnect your line at any time.

Participants

Executives

• Jeff Baker, CFO
• Mark Newcomer, President and CEO