Paysign, Inc.

Good afternoon, my name is Shamali and I will be your conference operator today. At this time, I would like to welcome everyone to the PaySign Inc. Third Quarter 2025 earnings conference call. After the speaker's remarks, there will be a question and answer session. If you'd like to ask a question to join the queue, you may press star one on your telephone keypad. As a reminder, this conference call 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. Additionally, as set forth in more detail in the earnings release, I would like to remind everyone that today's call will include four linking statements regarding Paysign's future performance, Actual performance could differ materially from these four linking statements. Information about the factors that could affect future performance is summarized at the end of PaySign's earnings release and in its recent SEC filings. Lastly, a replay of this call will be available until February 12th, 2026. Please see PaySign's third 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, President and CEO. Please go ahead.

Thank you and good afternoon, everyone. I appreciate you joining us as we review our third quarter 2025 results. I'm Mark Newcomer, President and CEO of PaySign. Joining me today is our CFO, Jeff Baker. Also on the call are Matt Turner, President of Patient Affordability, and Matt Lamford, our Chief Payments Officer, both of whom will be available for Q&A following our prepared remarks. I'm pleased to report another outstanding quarter of growth for PaySign. Earlier today, we announced record revenue of $21.6 million, up 41.6% year over year. Adjusted EBITDA reached a record $5 million. an increase of 78%, and net income rose 54% to $2.2 million, or 4 cents per fully diluted share. Alongside these financial results, we achieved meaningful operational efficiencies that Jeff will discuss in more detail shortly. Our patient affordability business continues its exceptional growth trajectory, generating $7.9 million in revenue, up 142% from the prior year's quarter. We ended the quarter with 105 active programs and expect to add 20 to 30 more by year end, including 13 launched in October. This would bring us to 125 to 135 active programs by the end of the year, compared to 76 at the end of 2024, a clear indicator of our sustained momentum and future growth potential. During the quarter, we announced the opening of our new 30,000 square foot patient support center. a major milestone for PaySign. This expansion quadruples our support capacity, enabling us to meet growing demand and deliver an exceptional service experience for our clients, patients, and providers. This facility also supports a growing high-value offering, dedicated patient support representatives, which has become increasingly popular across our client base. Our growth is driven by comprehensive product offerings, best-in-class service, transparent pricing, and our proprietary dynamic business rules technology. By integrating dynamic business rules into the traditional commoditized pharmacy claims process, our pharmaceutical clients save hundreds of millions of dollars while unlocking new revenue streams across the patient affordability ecosystem. Our success in specialty pharmaceutical programs continues to open doors in the retail pharmaceutical space where higher claims volumes and multi-product manufacturer engagements present significant opportunities. Expanding our presence in this area remains a top priority of our sales teams. Our pipeline remains robust, fueled by both new and existing clients across retail and specialty. We anticipate activity from new drug launches and transition programs already in the queue, with sales cycle holding steady at roughly 90 days, a strong signal of consistent execution and demand. Our mission extends well beyond payments. We're redefining how financial support is delivered across healthcare, removing cost barriers to treatment and generating measurable savings for patients and our pharmaceutical partners alike. The continued strength of our patient affordability business underscores the power and scalability of our model. Turning to our plasma donor compensation business, revenue grew 12.4% year-over-year to a record $12.9 million, despite a net loss of 12 centers, leaving us with a total of 595 active centers at quarter end. As we have previously discussed, the plasma industry continues to face an oversupply of source plasma, which we expect to normalize in the first half of 2026. Encouragingly, average donor compensation per donation increased during the quarter, and that trend is carried into Q4. Combined with positive client discussions, we see potential for organic growth at the center level sooner than previously anticipated. We are executing on our strategy to expand our role in the blood and plasma ecosystem, evolving from a trusted payments provider to a technology partner. Our software as a service engagement platform, which includes a donor app, plasma-specific CRM, and a donor management system, also known as a blood establishment computer system, or BECCS, continues to generate strong interest both domestically and internationally. As we await FDA 510K clearance for the BECCS We are actively showcasing the platform to the blood and plasma industry who are eager to find efficient, user-friendly, cost-effective alternatives to the current offerings. The reception has been overwhelmingly positive, reinforcing our confidence in the long-term opportunity for this business line. In summary, Q3 was a stellar quarter of strong execution and innovation. We're scaling efficiently, expanding into new markets, and delivering transformative value across both patient affordability and plasma, two sectors where we're redefining expectations and disrupting the status quo. I'm incredibly proud of our team's continued focus and discipline. Their dedication to delivering results with purpose continues to drive our momentum. Looking ahead, we remain confident in our growth trajectory and firmly committed to building long-term value for our shareholders. With that, I'll turn it over to Jeff for a closer look at the financials.

Thank you, Mark. Good afternoon, everyone. As Mark said, we had another strong quarter as we continue to build momentum heading into 2026. We had some nice wins in our patient affordability business from both new relationships bringing us multiple programs to existing customers bringing us additional programs. Our plasma business posted year-over-year growth during the quarter with the additions of the new centers we won in the second quarter. We exited the quarter with 595 active plasma centers and 105 active patient affordability programs. More importantly, we ended October with 118 active patient affordability programs with additional programs being added weekly. Our consolidated gross profit margins continue to improve on a year-over-year basis despite the new plasma centers weighing on the margin due to their lack of maturity. We expect improvement from these levels as the new centers mature over the next six to nine months. We also expect improvement in our consolidated gross profit margins as we ramp up our new customer service contact center that we opened in September. As our business continues to grow and we continue to make the necessary investments in people and infrastructure to ensure the success of our growing business, we expect our operating margins and adjusted EBITDA margins to continue to expand on a year-over-year basis, demonstrating the operating leverage inherent in our business. In summary, we could not be more excited about the prospects of our business for the remainder of this year and throughout 2026. I encourage everyone to read our 10-Q for more details about our financial results, which is expected to be filed tomorrow morning before the market opens. Now turning your attention to the results for the third quarter. Revenue in adjusted EBITDA results exceeded the guidance we provided last quarter. Third quarter 2025 total revenues of $21.6 million increased $6.3 million or 41.6%. And adjusted EBITDA of $5 million increased $2.2 million or 78.1%. Plasma revenue increased 12.4% to $12.9 million while our revenue per plasma center declined to $7,122 as the new plasma centers added in the second quarter have not reached full maturity and our legacy centers continue to be impacted by the industry-wide oversupply of plasma. Gross dollars loaded to cards increased 21%, total number of loads increased 19.3%, and gross spend volume increased 19.2%. due mainly to the new centers added in the second quarter. Patient affordability revenues increased 142% to $7.9 million and accounted for 36.7% of quarterly revenues. This is a significant increase from the 21.5% of revenue that pharma represented just during the same period last year. We added eight net programs exiting the quarter with 105 Pharma patient affordability programs, and grew the number of claims processed by over 60% versus the same period last year. Gross profit margin for the quarter improved 72 basis points to 56.3%. SG&A, excluding depreciation and amortization and stock-based compensation, improved by 410 basis points to 32.9% of revenue, while total operating expenses improved by 210 basis points to 48.9% of revenue. Having made significant investments in our employee base over the past year to support the continued growth in our businesses, compensation and benefits increased 20.3% to $7.2 million. We exited this quarter with 222 employees versus 162 during the same period last year. Stock compensation increased 32% to $1.3 million related to the issuance of additional restricted stock units for new hires and employee retention. Depreciation and amortization expense increased 39.9% to $2.2 million due primarily to the amortization of continued enhancements in our technology platform. Net income for the quarter was $2.2 million, or 4 cents per fully diluted share, versus $1.4 million or 3 cents per fully diluted share for the same period last year. Positively impacting net income was a lower income tax provision resulting mainly from the recent changes in tax code offset by lower net interest income mainly related to the implied interest expense of future cash payments for the gamma acquisition. Third quarter adjusted EBITDA, which is a non-GAAP measure that adds back stock compensation to EBITDA, was $5 million or $0.08 per diluted share versus $2.8 million or $0.05 per diluted share for the same period last year. The fully diluted share count for the quarters used in calculating the per share amounts was $61.8 million and $56.1 million, respectfully, an increase of 5.7 million shares. Regarding the health of our company, we exited the quarter with an adjusted unrestricted cash balance of $16.9 million and zero debt as we generated strong operating cash flow and continue to experience operational benefits of our gamma acquisition. Just a reminder, the adjustment to our unrestricted cash balances reflects the short-term impact of our account receivable and account payable balances related to our pharma patient affordability business. Now turning your attention to our revised guidance for 2025, which now incorporates Q3 actuals. We are raising our revenue guidance to a range of $80.5 million to $81.5 million, reflecting year-over-year growth of 38.7% at the midpoint. Plasma is estimated to make up approximately 57% of total revenue, representing a modest year-over-year growth, while pharma patient affordability revenue is expected to make up approximately 41% of total revenue, representing year-over-year growth of over 155%. Full-year gross profit margins are expected to be approximately 60%. We expect operating expenses to be between $41.5 million and $42.5 million with depreciation and amortization expense of approximately $8.4 million and stock-based compensation of approximately $4.3 million. We expect interest income to be approximately $2.6 million, our full year tax rate to be 18.7% and our fully diluted share count to be 59.76 million shares. Taking all the factors above into consideration, We have raised our net income estimates to be between $7 million and $8 million for the year or $0.12 to $0.13 per diluted share. Adjusted EBITDA is now expected to be in the range of $19 million to $20 million or $0.32 to $0.34 per diluted share. With that, I would like to turn the call back over to the moderator for questions and answers.

Thank you. We will now be conducting a question and answer session. If you would like to ask a question, please press star 1 on your telephone keypad. A confirmation tone will indicate your line is in the question queue. You may press star 2 to remove yourself from the queue. For participants using speaker equipment, it may be necessary to pick up the handset before pressing the star keys. Our first question comes from the line of Jacob Stephan with Lake Street Capital Markets. Please proceed with your question.

Hey, guys, appreciate you taking the questions. Congrats on a nice quarter here. Maybe just first, you know, wondering if you could help us think through some of the comments Mark made on, you know, retail versus specialty pharmacy. Do you have a current mix number you maybe could give us? Or I mean, maybe you could talk through pipeline mix a little bit as well between the two?

Hi, this is Matt Turner. I don't have that information in front of me. Jeff can follow back up with you on that. And we'd probably want to give more of maybe a percentage there. But we do have a decent mix right now of retail versus specialty. As you look at the pipeline moving into next year, there is the addition of more retail programs. I don't know the exact number. If you were to look at overall program count but it's a higher percentage moving into next year in the pipeline, and that would kind of be all stages of the pipeline. That would have a retail versus a specialty component.

Okay, got it. Maybe, so it sounds like this is a little bit bigger opportunity, maybe, you know, higher claims volumes on the retail side. Maybe you could just kind of elaborate on that a little bit.

Yes, so retail products, due to their cost and the propensity are to be prescribed, you know, because they're dealing with a lot more what I would call generic types of ailments. You tend to see just a higher percentage of people be prescribed those drugs. Sometimes it's for acute issues. Sometimes it's for chronic issues. If you were to look at the retail programs right now that we have, we have some in the pulmonary space, so some inhalers, things like that. There's a component of people who will be written an inhaler because they have asthma, and they're going to have an inhaler every day for the rest of their life, and then you'll have people that come down with bronchitis, and they'll use it for a month or two, and then they're off of it. So the mix. that you see of utilization tends to be a little bit higher, so you get a higher patient count inside of those programs, whereas a specialty drug, a lot of times the number of people that are taking that drug is obviously lower because it's a specialty product, and you don't typically get an acute indication for a specialty drug that we would represent or that would have a program with us. So just the ability to onboard more patients in the programs tend to be higher with retail products than it does with specialty. So that's why you'll see the increased claim volumes as well as the offer value on a retail product is going to be substantially different. So patients will not necessarily burn through their out-of-pocket max on a retail product like they would on a specialty product. A specialty product is $25,000. and a patient has, you know, a $7,000 out-of-pocket max, they can get through their entire out-of-pocket maximum, you know, in a couple of fills. Whereas with a retail product where the offer value is, say, $200 or $300, they could use that 12 times a year. So instead of only getting two or three claims for that patient in a specialty space, we would get 12 in a retail space.

Okay, got it. That's very helpful. Maybe a second one. Jeff, you kind of talked a little bit about gross profit margins expanding as, you know, the patient success center continues to ramp. I'm wondering if you could kind of help us think through, you know, current capacity utilized and maybe, you know, where you expect to be with these 22-ish new centers online in the second half or in the last quarter here.

Well, I think you're kind of mixing. The centers, we didn't say there would be 22. We were saying in the second half of the year on the patient affordability pharma side where we would add between 20 and 30. The centers, we don't really, we're going into the end of the year, don't really expect those to change too much, plus or minus a couple here or there. But the comment about the maturity of those relates to those centers coming up to the average of our core base. So there are fees that typically don't kick in for 90-plus days afterwards where we start to see the benefit of a fully mature center. The centers have been open for quite some time, but from our revenue opportunity, it just takes time for it to come through. For example, inactivity fees and things of that nature. as those become more mature as we see also see a return to growth etc i expect the gross profit margins uh in the plasma business to um to to improve uh from where they were this quarter okay got it um and then maybe just last one um

You know, I think when you kind of run the numbers as you look at Q4 here and what you're communicating with pharma revenue growth, you know, it implies a sequential step down in average quarterly revenue per program. Maybe you could kind of help us think through, you know, what the difference is between last year when it was actually a sequential step up from Q3 to Q4 and maybe contrast that with what you see this year.

Yeah, I mean last year we had more newer programs with fewer claims. Now this year we have a lot more programs with claims and the claims will fall off in the second half of the, you know, year. It's a seasonal business, as Matt alluded to earlier, when everything resets. So that's the difference. You know, we just have – we have more – it's a mix issue where the mix is more geared towards claims versus, you know, initial launch fees.

Okay. Okay. Understood. I appreciate all the color. Nice work.

Thank you. And the other thing I will say, Jacob, is you can't look, but I appreciate you calling us out. You cannot look sequentially at these numbers. You have to look on a year-over-year basis. So last year, we did $56,700 in the fourth quarter revenue per program. that will be up year over year versus last year. This year we did in the third quarter 75,434. Last year we did, you know, just under 50,000. So you have to look at this business on a year over year basis. Sequential numbers are absolutely meaningless. Okay. Very helpful. Thank you.

Thank you. Our next question comes from the line of Gary Prestapino with Barrington Research. Please proceed with your question.

Hi, everyone. Is there, well, first of all, could you kind of tell us what a mature program would do in an average revenue basis versus, you know, you say $75,000 now, but you've obviously got some programs that are just coming into the mix or have just come into the mix, what does a mature program do per quarter?

Gary, it really depends. I don't mean to skip or overlook the question, but we have programs that do $2,000 a month and we have programs that do 20x that. It really depends on the program. When it's mature... I mean, we see it coming into the numbers, and there are things that a drug may do, it may get another indication, which causes the claims to go up on a year-over-year basis. Some of the programs, it's just pretty much flat year-over-year once it becomes mature. It's really hard to say, but to say what a mature program is, it's too variable.

Well, how about this? Is there a difference between a specialty versus just a regular retail program in terms of the average revenues?

Yeah. Hi, Gary. This is Matt. So, when you look at the different product suites that those programs would use, you know, we would typically value a specialty program as being worth more money, provided it has the appropriate indications. Again, it's all in the mix. I could name off 20 drugs right now that you've never once heard of. You've never heard of these drugs. Then I could name off five that you've heard of and you'd be like, oh, if you have that drug because I've seen 500 TV ads for it, you've got to be making a ton of money with that drug. That could be right or it could be wrong. It depends on the patient population of that drug. How old are they? Are they mostly on Medicare? Are they mostly on Medicaid? It's a very complex thing to look at this and say, okay, well, I've heard of, insert name of giant drug, you know, and you think of golf, you know, the golf people talking about their psoriatic arthritis. And you think, oh, well, that's a great drug. Yeah, that could be because that's not impacting, you know, the lion's share of the patients taking that drug aren't 70 years old and on Medicare. So that could be a good one. But then I could bring up other drugs that you've heard about that are cancer therapies. or for Alzheimer's, and even though those are huge drugs for their companies, for the manufacturer, they're not going to make us any money. So you really have to look at how big a program is going to be based on what's the patient population, what's the cohort of the patient population that can utilize our products, and then what other additional pieces can we stack on top of that. Mark talked about dynamic business rules. That's in the specialty space. We currently don't have that active on any of our retail programs. So a specialty program utilizing dynamic business rules is gonna be far more profitable to us and have higher top line revenue numbers than a retail program that could be doing 10 times the claim volume. So you really have to understand the drugs specifically, their patient populations, and the cohorts of those patients that would potentially utilize copay inside of the overall eco, or even the overall numbers of the patients.

Okay. I mean, that's helpful in that you can't really, you know, peg a drug to, or it's hard for us to ascertain what's going to add where. You just want to, on a drug basis or program basis or retail versus specialty, as Jeff said, just look at the average revenue per per program quarter over quarter, right?

Yeah, and I think, look, if we were able to, if our clients would let us just come out and tell you, we won this brand, I think you guys would be in a much better situation, right? Because you'd say, oh, hey, seen that on TV, and the people that take that drug are, you know, most of them are going to be under 65. So, hey, you know, PaySign's probably going to do really well with that. Or, hey, this is an oncology product and it's tiered towards breast cancer. So in that instance, hey, we're probably going to do really well with that program. And you can also look at the information coming out of the manufacturers as far as how big is that drug? How much revenue are they generating from it? Unfortunately, we can't do that. Almost every one of our master services agreements requires us to not disclose who our clients are and the brands that we represent. And it's certainly not for trying on our part to get them to allow us to talk about those brands. And I think if you look back at previous earnings calls where we've been able to discuss specific brands or discuss specific clients, if you kind of chat GPT some questions out there, you might be able to get a better indication of the types of programs that we have running right now.

Okay. And then just Mark, you mentioned something about this BEX, which I hadn't heard of that at all. So maybe you could go into that and how that is going to help you going forward.

Yeah, that is what we refer to as a blood establishment computer system or a BEX. It's really a donor management system, and it allows us to place into the plasma blood space We have a suite of products that we have built out as a software as a service that is, you know, we're dealing with a donor app, a plasma-specific CRM, and the donor management system. And so what that allows us to do is gain really an additional business line that is going to allow us, once approved with the FDA, it is going to allow us to start running down that path. Okay. Thank you.

Thank you. Our next question comes from the line of Peter Heckman with DA Davidson. Please proceed with your question.

Hey, good afternoon. Thanks for taking the question. I'm just curious in the plasma business, it's probably hard to disaggregate, but I guess have you sensed any uptick in plasma Donors given some of the issues around withholding SNAP benefits As part of the government shutdown and and then conversely What type of headwind are you feeling in terms of just the increased? ice activity with detaining immigrants and deporting immigrants in terms of donors and On a net basis, do you think those offset each other, or could you just comment on any dynamics you're seeing?

Pete, on the latter question, I can tell you we haven't seen any change. Remember, when you give plasma, you have to present an ID so they can track you and do everything else. So people that are here illegally in the states, without the proper identification are given plasma. So there's been zero impact related to the change of our immigration population. As for the other, with the shutdown, the shutdown's only been around a couple of weeks. I haven't seen, maybe Mark's seen, but we really haven't seen any change in the donors on that. Mark, what have you seen, anything?

No, we haven't seen it. Okay, I haven't seen it yet. All right. No. And not really expecting to at this point. You know, obviously we've seen in the past, you know, we've seen kind of – it looks like it's starting to loosen up a little bit coming into the fourth quarter, and we expect it to loosen up probably the second half of the year, and that is around the donor – That is around the donor, what we're doing with the donors in regards to payments. So we're seeing the payments that we're sending out are starting to go up, and we would expect that to continue for probably the next six to 12 months.

Okay, I see. And then just on that latter question on the donor management CRM engagement platform, I guess any insights into the timing for when that approval might come through? And then in terms of like just sizing that opportunity, is that something where there's, you know, hundreds of customers and each system could be, you know, hundreds of thousands of dollars? Or how should we be thinking about that in terms of the potential benefits?

Yeah, I mean, we were expecting to get through the FDA approval sometime in fourth quarter. Going into first quarter, we obviously didn't expect the shutdown, and we certainly didn't expect it to last as long as it has. Obviously, that will push us back probably first quarter, second quarter, hopefully the earlier. And regarding how to think about it, no, there's not – You know, in the U.S. market, you can, you know, it's a readily available number of how many clients are out there. I wouldn't call it hundreds of clients in the U.S. market. However, there are, you know, there is, it's on a center-by-center basis that we would license, but it's early days, and I don't really want to get into the model by which we're going to go out at this point in time.

All right. Well, just stay tuned. Appreciate it.

Yep.

You're welcome. Thank you. And as a reminder, if there are any additional questions, you may press star 1 on your telephone keypad to join the queue. And we have reached the end of the question and answer session. I'd like to turn the floor back to Mark Newcomer for closing remarks.

Thank you. Obviously, we're proud of our progress, optimistic about the future, dedicated to delivering substantial growth and long-term shareholder value, and we look forward to updating you again next quarter. Thank you.

Thank you. This concludes today's conference, and you may disconnect your lines at this time. Thank you for your participation.