Form10-Q Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the SecuritiesExchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submittedpursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smallerreporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period forcomplying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.☐ Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes☐No☒ At April 30, 2025,theregistrant had42,321,129sharesof common stock, par value $0.001per share, outstanding. INDEX Forward-Looking Statements PART I. FINANCIAL INFORMATION PART II. OTHER INFORMATION Item 1.Legal Proceedings37Item 1A.Risk Factors37 Forward-Looking Statements Certain statements that we make from time to time, including statements contained in this Quarterly Report on Form 10-Q, constitute“forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, or the Securities Act, andSection 21E of the Securities Exchange Act of 1934, as amended, or the Exchange Act. All statements other than statements ofhistorical fact contained in this Quarterly Report on Form 10-Q are forward-looking statements. These statements relate toanticipated future events, future results of operations or future financial performance. In some cases, you can identify forward-lookingstatements by terminology such as “may,” “might,” “will,” “shall,” “should,” “could,” “intends,” “expects,” “plans,” “goals,”“projects,”“anticipates,”“believes,”“seeks,”“estimates,”“forecasts,”“predicts,”“possible,”“potential,”“target,”or“continue” or the negative of these terms or other comparable terminology. Our operations involve risks and uncertainties, many of Forward-looking statements are only predictions, are uncertain and involve substantial known and unknown risks, uncertainties, andother factors that may cause our (or our industry’s) actual results, levels of activity or performance to be materially different from anyfuture results, levels of activity or performance expressed or implied by these forward-looking statements. These factors include,among other things, the unknown risks and uncertainties that we believe could cause actual results to differ from these forward-looking statements as set forth under the heading “Risk Factors” in our Annual Report on Form 10-K/A filed with the SEC on April 3, ●our ability to manage our growth, including acquiring, partnering with, and effectively integrating acquired businesses intoour infrastructure and avoiding legal exposure and liabilities associated with acquired companies and assets; ●our ability to retain our clients and revenue levels, including effectively migrating new clients and maintaining or growing the ●our ability to maintain operations in Pakistan, Azad Jammu and Kashmir, and Sri Lanka (together, the “Offshore Offices”) ina manner that continues to enable us to offer competitively priced products and services; ●our ability to keep pace with a rapidly changing healthcare industry; ●our ability to consistently achieve and maintain compliance with a myriad of federal, state, foreign, local, payor and industryrequirements, regulations, rules, laws and contracts; ●our ability to maintain and protect the privacy of confidential and protected Company, client and patient information; ●our ability to develop new technologies, upgrade and adapt legacy and acquired technologies to work with evolving industrystandards and third-party software platforms and technologies, and protect and enforce all of these and other intellectual ●our ability to attract and retain key officers and employees, and the continued involvement of Mahmud Haq as ExecutiveChairman and A. Hadi Chaudhry and Stephen Snyder as Co-Chief Executive Officers, all of which are critical to our ongoing ●our ability to realize the expected cost savings and benefits from our restructuring activities and structural cost reductions; ●our ability to comply with covenants contained in our credit agreement with our senior secured lender, Silicon Valley Bank, adivision of First Citizens Bank, and other future debt facilities; ●our ability to continue to pay our monthly dividends which were suspended in December 2023 and