Q4 2023 Paysign Inc Earnings Call

Participants

Mark Newcomer; President & CEO, Chairman, and Co-Founder; Paysign Inc

Jeffery Baker; Chief Financial Officer, Treasurer; Paysign Inc

Matt Turner; President, Patient Affordability Services; Paysign Inc

Peter Heckmann; Analyst; D.A. Davidson & Company

Gary Prestopino; Analyst; Barrington Research Associates, Inc

Jon Hickman; Analyst; Ladenburg Thalmann & Co. Inc.

Presentation

Operator

Good afternoon. My name is Kevin, and I'll be your conference operator today. At this time, I'd like to welcome everyone to the Paisano Fourth Quarter and Full Year 2023 earnings conference call. After the speakers' remarks, there will be a question and answer session. You may be placed in the question queue at any time by pressing star one on your telephone keypad. As a reminder, this conference call is being recorded. For comments on today's call regarding Pason's financial results will be on a GAAP basis unless otherwise noted, COP during the earnings release was disseminated to the SEC earlier today and can be found on the Investor Relations section of our website, cop.com, which includes reconciliations of non-GAAP measures to GAAP reported amounts. Additionally, as set forth in more detail in our earnings release, I'd like to remind everyone that today's call will include forward-looking statements regarding Pason's future performance. Actual performance could differ materially from these forward-looking statements. Information about the factors that could affect future performance are summarized at the end of Pason's earnings release and in our recent SEC filings. Lastly, a replay of this call will be available until June 26th, 2020 for TCP's homes, Fourth Quarter and Full Year Earnings Call announcement for details on how to access the replay is now my pleasure to turn the call over to Mr. Mark Newcomer, CEO. Please go ahead.

Mark Newcomer

Thank you, Jim, and good afternoon, everyone. And thank you for joining our earnings call today. We're thrilled to discuss Pason's performance for the fourth quarter and the full year 2023. I'm Mark Newcomer, President and Chief Executive Officer, and joining me today is Jeff Baker, our Chief Financial Officer. Additionally, Matt Turner, our President of patient affordability, and Matt Langford, our chief Payments Officer, will also be joining us for the Q&A session.
Earlier today, we announced our 2023 fourth quarter and full year financial results. We are extremely pleased with our performance as we continued to grow revenue, net income and adjusted EBITDA, our fourth quarter revenue grew to $13.7 million, a robust 29% increase year over year. For the full year, we saw 24% revenue growth to $47.3 million. Most notably, our net income increased by 528% to $6.5 million or $0.12 per fully diluted share from $1 million or $0.02 per fully diluted share at the prior year.
Full year adjusted EBITDA also saw an increase of 21% from $5.5 million in 2022 to $6.7 million in 2023. Our plasma donor compensation business continued its strong performance, contributing $42 million in 2023 versus $34.7 million in 2022, up 21% from 2022. The fourth quarter alone showed a 14% increase in the average revenue per center from $7,293 in Q4 2022 to $8,297 in Q4 of 2023, and we expect this ongoing expansion of the revenue per center to continue.
In 2023, we expanded our reach to 464 centers. We onboarded 38 centers and lost 18 centers. 14 of the 18 lost centers were closures and the remaining four were sales to non-client plasma collection companies. Following an extended period of rapid growth in new centers. In 2023, our plasma clients began to shift their focus from new center openings to increasing plasma yield per center, concentrating on donor acquisition and retention. As a result, we are expecting 15 to 25 new centers in 2024. The patient affordability segment has emerged as a significant growth engine for the Company as we launch programs for some of the world's largest pharmaceutical manufacturers.
In 2023, we launched 24 net new programs and ended the year with 43 active programs, marking a 126% increase over the prior year. This segment saw 122% rise in claims volume for 2023 with even higher expectations for 2024, fourth quarter, claims volume increased [215%] from the same period the previous year. Our sales cycle remained in the 90 to 120 day range, a marked improvement from prior years, and our pipeline remains extremely robust. Patient Affordability revenue increased 172% year over year. We expect patient affordability revenue to continue to grow at triple digit rates in 2024.
I would like to add some additional context regarding our claim volumes as it is a key performance indicator for our Patient Affordability business. In simple terms, we receive medical and pharmacy claims. Medical claims are typically submitted by a doctor's office practice or hospital and can be for physician administered or infused drugs. Pharmacy claims are dispensed by a pharmacy and include retail claims, which are claims that originate from retail brick and mortar corner, drug stores and specialty claims, which are being filled by mail-order pharmacies that work with high cost drugs such as biologics. A well-rounded portfolio is key to addressing long-term growth as drugs gain approval or lose exclusivity to build a well-diversified revenue model. We pursue programs in all three categories. In 2024, we expect to see an increase in retail claims, helping us diversify the balance of our mix of claims. During the fourth quarter, we onboarded a total of nine net new patient affordability programs. Of note, we successfully transitioned the oncology portfolio of a major pharmaceutical manufacturer consisting of four programs. These are mature programs that deliver claims immediately upon onboarding. We also launched two additional programs for this client, and they have already awarded us three more programs in 2024. It should be noted that transition programs, which is an existing program service by another vendor out numbers, our program launch of new to market drugs. It is very important to call out that transition programs are far more difficult to win. Transitioning a patient affordability program requires a detailed and comprehensive approach with zero margin for error as a seamless transition is of the utmost importance to the program sponsor and the patients that rely on a well-run program. We are pleased that we have been able to provide solutions where the value offered is so compelling that our clients are willing to change mid program.
I want to take a moment to talk about the recent disruptions to the patient affordability sector on February 21st, there was an unprecedented cyber attack on the U.S. health system and the changed healthcare claims and payment infrastructure. This had a substantial impact to consumers providers and many of our competitors leaving their pharmaceutical manufacturer clients scrambling for a solution to the prolonged outage. As a result of the fallout, we were able to secure and launch eight new programs from two manufacturers in less than 10 days, adding substantial revenue and approximately 1 million additional claims to our 2024 claims volume. We are confident that this will lead to additional programs in 2024 from these and other manufacturers as we continue to assist our current partners and field new requests, much like our payment platform, our patient affordability platform has been purpose-built for high availability and utilizes multiple redundant network connections to assure continuity. These multiple processor connections enabled us to quickly move to other processors not impacted by this event to catapult pay signs innovative fintech solutions to the forefront of patient affordability in the health care ecosystem, we made a number of executive changes, which we believe both sharpen our focus on the accelerating growth of our patient affordability segments and better enable us to enter new markets. This year, Matt Turner assumed leadership of the patient affordability segment being promoted to President of patient affordability, we appointed Cosmo can be to the position of Chief Operating Officer, leveraging his 12 years of experience in both the patient affordability and fintech space. Most recently as Director of data science and Vice President of Operations here at pace. Mr. Acambis succeeds Matt landfill, who transitioned to the newly formed position of chief Payments Officer, where he will rely on his 35 years experience in payments to lead our new product and project management office. Mr. Lamb, for its fintech expertise, leadership and guidance will be instrumental in the development of new products and the opening of new markets.
In summary, we are pleased with our 2023 result as we reported another year of strong growth. We are especially pleased with the trajectory of our patient affordability segment as we continue to execute on our mission to bring innovative fintech solutions to the forefront of the patient, affordability and health care ecosystem. We believe we have assembled an excellent team coupled with what we believe to be a truly disruptive product portfolio that continues to gain acceptance in the industry.
Our plasma segment continues to grow at a steady pace, and we believe this will continue for the foreseeable future. We will continue to invest in our people and systems to meet the rapidly growing demand for our services, and I believe we are well positioned to capitalize on the many opportunities that lie ahead of us.
Jeff, over to you for more insight into our financials for the quarter and year end.

Jeffery Baker

Thank you, Mark. Good afternoon, everyone. As Mark said, we closed 2023 with a solid fourth quarter, capping off what was a nice 2023 Avocent's exiting from COVID. Getting our plasma business back to pre-COVID results was the focus of the investment thesis, and that has materialized as expected. We also have been telling investors that we were committed to investing in other attractive vertical markets such as our fast-growing pharma patient affordability business to help diversify the financial concentration we had with our plasma business today, I can tell you that that thesis has also materialized. As expected, our plasma business was 84% of total revenue in the fourth quarter of 2023 versus 91% compared to the same period last year. And we expect that business mix shift to continue in 2024.
Looking more closely at our plasma business, we experienced strong growth in gross dollars loaded to cards, total number of loads, gross spend volume and the average revenue per plasma center for the fourth quarter, gross dollars loaded to cards increased 9% total number of loads increased 14%. Gross spend volume increased 8% and the average revenue per plasma center increased 14% to $8,297.
Fourth quarter Plasma revenues increased 19% to $11.5 million, and we added two net new plasma centers during the quarter, exiting the year with 464 plasma centers. This equates to a 39% US market share at year end. As Martin mentioned, we have seen a strategic shift by our plasma partners from opening new centers to increasing the plasma yield per center as financing rates remain elevated compared to the previous 10 years. The guidance for 2024 that I will provide in just a moment reflects the strategic shift.
Moving to our pharma patient affordability business. You heard Mark talk about the traction we experienced in 2023, which has continued into 2024 fourth quarter pharma patient affordability revenues of $1.7 million or 12% of total revenue versus 5% during the same period last year. We launched 9 net new programs in the fourth quarter, exiting the year with 43 pharma patient affordability programs and have already launched an additional 10 new programs in the first quarter of 2024.
With the hyper growth we have experienced in our pharma patient affordability business. We expect they will continue to make up a greater percentage of total revenue in 2024. As in previous calls, with all of 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 fourth quarter of 2023 versus the same period last year. Fourth quarter 2023 total revenues of $13.7 million increased $3.1 million or 28.9%. Gross profit margin for the quarter was 52.2% versus 51.9% during the same period last year, which marks the first quarter in which we have seen gross profit margin expansion since exiting our pharma prepaid business in 2022. SG&A for the quarter increased 23.2% to $4.6 million, with total operating expenses increasing 25.3% to $6.5 million. We have made significant investments in IT and employees over the past year to support the continued growth of our business exiting this year with 123 employees versus 110 during the same period last year.
For the quarter, we posted a net income of $5.6 million or $0.1 per fully diluted share versus $713,000 or $0.01 per fully diluted share for the same period last year. We recorded a tax benefit of $4.3 million during the quarter as we release the valuation allowance on our deferred tax assets related to both federal and state taxes. Without this benefit, net income would have been $1.4 million or $0.03 per diluted fully diluted share, an increase of over 90% versus the prior year period.
Fourth quarter adjusted EBITDA, which is a non-GAAP measure that add back stock compensation to EBITDA, was $2.5 million, or $0.05 per diluted share versus $1.7 million or $0.03 per diluted share for the same period last year. This equates to a 43% year-over-year growth in our adjusted EBITDA. The fully diluted share count for both quarters used in calculating the per-share amounts was 53.8 million in both periods.
Regarding the health of our company, we exited the year with $17 million in unrestricted cash and zero debt, a $7.3 million increase over year end 2022. We did not complete any share repurchases during the fourth quarter, but we did use $1.1 million to repurchase almost 395,000 shares during the year.
Now turning your attention to our initial guidance for 2024 we expect total revenues to be in the range of $54.5 million to $56.7 million, reflecting year-over-year growth of 15% to 20% with plasma making up between 80% and 85% of total revenue. Pharma revenue is expected to grow at least 100% year over year as we receive a full year benefit for all pharma patient affordability programs added in 2023 and continue to add new pharma patient affordability programs throughout 2024. Full year gross profit margins are expected to be between 52% and 54%, reflecting increased revenue contribution from our pharma patient affordability business and stable plasma gross margins.
Operating expenses are expected to be between $29 million and $31 million as we continue to make investments in people and technology of this amount. Depreciation and amortization are expected to be between $6 million and $6.5 million, while stock-based compensation is expected to be between $2.7 million and $3 million. Given our large unrestricted and restricted cash balances and the current interest rate environment, we expect to generate interest income of $2.6 million to $2.9 million.
Taking all of the factors above into consideration, we expect net income to be in the range of $2 million to $3 million or $0.04 to $0.06 per diluted share and adjusted EBITDA to be in the range of $8 million to $9 million or $0.15 to $0.17 per diluted share. For the first quarter of 2024, we expect total revenue to be in the range of $12 million to $13 million, reflecting the seasonal impact of tax refunds on our plasma business, offset with a strong start to the year with our Patient Affordability business.
Gross profit margins are projected to be between 52% and 53%, driven largely by an increased revenue contribution from our pharma patient affordability business. Operating expenses are expected to be between $7 million to $7.5 million, of which depreciation and amortization will be approximately $1.3 million. This reflects investments largely required to support our pharma patient affordability growth. Adjusted EBITDA is expected to be in the range of $1.2 million and $1.5 million.
With that, I would like to turn the call back over to Kevin for question and answers.

Question and Answer Session

Operator

(Operator Instructions) Peter Heckmann from D.A. Davidson.

Peter Heckmann

Good afternoon, gentlemen. A great results and good to see the strong guidance for 2024.

Matt Turner

Yes.

Peter Heckmann

I want to dig into patient affordability a little bit more and maybe there isn't an average program but could you talk a little bit about it kind of how you would explain to at Investor Day the range of sizes of programs, the average term, how long they last and then then if you could go over that, that statistic you made less competitive takeaways versus new programs and some of the competitive advantages that that allows you to do IP How come?

Jeffery Baker

So that's a long-winded question. So let me start to answer all your points. On number one, the size of the programs can vary all over the board. We have some programs, not many, but we have some programs who have a co-pay program in place just as an insurance policy. And we may not do any claims with them. And we just received monthly management fees. We have some programs that are generating quite the extensive number of claims on that. We get paid every every every month on top of management claims so there is no average. Unfortunately, I wish it was that easy.

Matt Turner

and Jeff, in my opinion, I can give some more color here, too, if you'd like me to.

Jeffery Baker

Yes, go ahead.

Matt Turner

Yes. So on the and I think we've talked about this kind of on previous calls, you know, kind of going back into last year, there isn't as you look at kind of the plasma business. One of the metrics we talk about is how much a plasma center is worth, you know, kind of on average, unfortunately with affordability programs, right it's just like drugs, you have a drug that's a rare orphan drug, and you may have 50 people in the country that have that disease state and need that drug and then you could end up with something like a blockbuster drug, right? Like an Enbrel and Humira, right. Those can do, you know, tens to hundreds of thousands of claims a month so there's not really an example of, hey, here's what an average program. And I think the the when we when we look at the business, we do evaluate kind of what's the long-term profitability of a program versus, you know it with one that is more transactionally based versus one that's more kind of admin fees based. Does that does that kind of help there?

Peter Heckmann

Yes, it does.

Matt Turner

Yes. And it is also on a rephrasing that in second half of the question there?

Peter Heckmann

There just trying to talk them through the term I remember some of the older programs that were one or two years. Can you talk about kind of how you expect these terms to average? And should we think about you have some programs rolling off and then having to replace from others.

Matt Turner

Yeah. So --.

Jeffery Baker

I'll take that and let me get that. So so the IP. most of these contracts are typically a stub period if they come in during the year and then they'll have a full year after that with Evergreen terms app for years beyond that on our call, honestly, say we have not lost a program to competition yet knock on wood from the only program. And it's I think it's one is that we had a provider that decided that they were no aren't going to offer a co-pay program because their drug went generic. But those are those are so far slim and far between. So um, you know, it's like anything else. If you do a good job for your partners, they're going to stay with you. And if you don't, then they won't be here and we earn their business every day and every year, and hopefully, we'll continue those relationships for a long time.

Peter Heckmann

Got it. And then a follow-up I'll get back in the queue.
Yes, I was I did take note of that changed health care, security breach and some of the ramifications. Can you talk a little bit more about how you work around that, whether that was partners or proprietary network?

Matt Turner

Yes.

Mark Newcomer

Matt, you want to take that?

Matt Turner

Yes. So we were in a really good position kind of going out the door there. To our knowledge, we are the only vendor in this space that had three processor connections. So we had a very diverse network that we could leverage to stand up programs for offer new clients to be able to get them onboard very quickly. We've also worked really hard to kind of it develops better partnerships with these processors than a lot of other people have. And that really paid off here in spades because we had an existing client that had their business split between us and another another company. And we were able to go over and while their current vendor was kind of floundering for lack of a better way to put it. We were able to walk in the door and say, hey, we can get this set up we get that quick, do you just want to go and move the business and so yes, the disruption for us was minimal on our side. We did have a few programs over on the chain side that were very small. We had all those programs transitioned over fairly quickly. And then we immediately started working on kind of the new business wins that came in. So the disruption was there, but again, for us, very minimal.

Peter Heckmann

Right. That's helpful. Thank you.

Operator

Gary Prestopino from Barrington Research. Your line is now live by.

Gary Prestopino

Good afternoon. Norbert, could you on this patient affordability business because I'm still kind of fuzzy on it. Could you give an example how this works? I mean, does this start in the actual doctor's office where they put a prescription in and they give some kind of Boucher and then you processes in pharmacy. Can you just maybe just very simply walk us through what you're doing?

Matt Turner

Yes. So it does kind of initiate at the at the doctor's office at the time a prescription is written on. There's a little bit of kind of variance there as to whether it's a specialty drug or a retail drug.
Right. So again, going back to Mark's comments, a specialty drug like up Skyrizi, Enbrel, Humira still are a very expensive drug ship and mail-order that often happens like at the doctor's office, they say, hey, we need to put you on this drug because you have you know, rheumatoid arthritis or whatever else, and hey, there's a co-brand coupon that's going to help buy down your insurance amounts, non retail drugs, not always the same thing, right? You may be written a prescription for retail drug in the example I give people is, you know, your kid gets written Vyvanse because they have a DDADH. You probably don't know there's a coupon out there, but the pharmacist does. So when you take the prescription in the pharmacy or comes in through Sure, scripts, they immediately go and pull a coupon down on.

Gary Prestopino

Okay.

Matt Turner

And so it offsets your insurance copayments. So if you had a $2,000 deductible, right, this depending on the program, it may pay all $2,000 that it may pay a portion of it. But the ultimate goal of co-pay assistance programs is to remove the financial barriers associated with patients accessing and remaining on therapy. That's the number one thing we solve for is financial barriers for patients to gain and stay on expensive drug.

Gary Prestopino

Okay. So years ago now I'm quoting this because my wife used to sell from Merck, the doctors, they would leave, let's say, a typical prescription drugs. They would leave samples at a doctor's office. Is this kind of taking the place of that in a sense of that now the pharmaceuticals have a better way to track where these prescription drugs be in specialty or just normal prescription drugs are going.

Matt Turner

So yes, I know the genesis of where all this started was on the sample side. Com. And interestingly enough, if you go back and pay science history back to the 3P days, there's no running of a very large sample program for Schedule two ADHD drug. And it was because it was pretty dangerous to have a sales rep driving around with a carton full of Schedule two drugs on the back of their tariffs are popping up to a doctor's office. So right, they came out with cards to utilize the pharmacy network to essentially be able to get the Schedule two drugs in the hands of the people who need it, then everybody kind of started to figure out all what, hey, we can start buying down the cost in other areas of the Affordable Care Act gets passed. And now everybody or not everybody, but a good chunk of Americans now have health insurance and they have co-pays and deductibles and out-of-pocket maximums.
And so they started utilizing coupons to offset that. And there there are some specific examples where samples have been replaced, but it is not the most common type of co-pay program, right, I would say is probably less than 10% to 15% of all the available co-pay programs out there are our what we call voucher products, which would be like a sample, our first fill type, and it's mainly because of the expense, right? If you leave a sample in a doctor's office, you're out the cost of producing the pills and the packaging and driving it over, which, you know, maybe about $10 for, you know, a pill or a capsule or something along those if you if that drug is $800, then you're going to have to pay the pharmacy $800 for that product. So there's that there's a cost differentiator there. So that's why what we would call vouchers, which is what you're referring to in the sample scenario is a much smaller portion of the market, but we do run at several Belcher programs that are designed to replace samples and first.

Gary Prestopino

Okay.
If you look at the market, can you size the market for us in terms of network network, in terms of potential revenue?

Matt Turner

Yes, I'm going to let Jeff answer that one, you know, but I can I can say that we've kind of discussed this in the past, and I think my initial commentary before getting Jeff to Jeff and Mark to weigh in here would be that every new to market drugs, almost every new-to-market drugs, obviously every But almost every new-to-market drug is going to have some kind of a patient affordability program. So if the FDA approves 100 drugs in 2024, pretty good chance, that's 100 new programs coming in and that grows every year, you know So and as far as the size, I mean, I don't know that we can put a number on it, but I'll let Jeff and Mark jump in here and see if they have a a number as reported.

Jeffery Baker

It's Hey, Gary, we don't we don't really know how big the market is. We do know it's bigger than the plasma market.
The TAM there. It's kind of complicated because the competitors that we're winning business from offer other services that we don't, and we're focused on the payment and claims processing side of it where they may be doing other services like getting a drug to market or marketing that drug or whatever. So on We what we do know is that it is bigger than the plasma TAM, which is around the 120 million of hard to guess right now, what the patient affordability just on a on the payments and claims side as a stand alone basis is.

Gary Prestopino

Okay. Thanks

Operator

(Operator Instructions) Jon Hickman from Ladenburg Thalmann.

Jon Hickman

Hi. I had a nice quarter guys. And could you I was just wondering if you could talk a little bit about the competition in the plasma side, has anything changed there? And with the refocus from the you know, the guys who run the centers, not you know, you said don't believe so.

Mark Newcomer

I mean, really what we have going on in that space is we've been we've seen this over the course of the year is, you know, we've seen the cost of money increase. We've seen people take more of an approach to bring efficiencies to the way their centers are operating and tried to derive more plasma in that manner rather than just going out and the like past days past years where they would a lot there was a lot of new center ability. And I think we've seen we've seen a focus toward moving away from that and trying to improve the efficiencies of their existing centers. And that's kind of what I think is going on there.

Jeffery Baker

And the other enzym Jon?
John, I'd add to that also, I mean, I'm not mentioning any names. These are public companies you go do your own research, but one one company recently hired a CTO, new CEO within the past year with the with the <unk> the plan to reduce costs and improve yield. There is another public company out there who's installing new technology to improve yield by 20% per donation. So that seems to be the on the minds of the plasma companies today.
As far as the competition, it really hasn't hasn't changed. There's a handful of people that are out there. It's the same people. We've seen one bank leave. We saw a new bank come in. They've been in and out of it before. There's us and the usual suspects we talked about in the past, but no real change from a competitive perspective.

Jon Hickman

Okay. Thank you.

Operator

Gary Prestopino from Barrington Research. Your line is Ella.

Gary Prestopino

Yes, Mark, you mentioned and I couldn't write it down quick enough. What was the growth in claims processed and the amount of claims year over year and that would be for the full year and then for Q4 to Q4?

Mark Newcomer

Yeah, for Q4, it was 215% quarter over quarter growth. And for 2023, we saw you're talking I'm sorry, John, let me just clarify. You're talking claims, right?

Gary Prestopino

Right. obligation, affordability business, right, that we would that's where you would have a claim. So what I'm trying to get at what was the growth? What was the rise of the raw number that you process for the whole year?

Mark Newcomer

I don't believe we gave the wrong number for the entire year, we gave a 122% rise in claim volume for 2023, and we gave a 215% claim volume rise from fourth quarter of 22 to fourth quarter of 23.

Gary Prestopino

Okay. That's good enough growth. I guess the question I would have is from you're showing some really good growth here. You obviously have competitors in the market. Why are you winning?

Mark Newcomer

I believe, and I'll let Matt address some of this. But from my perspective, we're winning because we've put up some disruptive products. We've gone up with much like our foray into the plasma market when we got involved there. The market was a bit stagnant. There wasn't a whole lot of people doing anything innovative in that space. And what we did is we came in with a fresh look tried to make some changes, some new offers, and those were received very well.
I believe that we're having the exact same acceptance of our products here in this space. And I believe that we know we're going to continue to see this into the future and there's a lot of excitement from a lot of the players. And I think really it's become, um, you know, some of the some of the existing providers, just they're not taking care of their clients. And I think that always leaves an opening.

Matt Turner

Yes, yesterday and I wanted to not have it.

Gary Prestopino

(multiple speakers)

Matt Turner

Yes. So I just kind of want to add in something here that I think is pretty important that, you know, a lot of the other players in the space have attempted to diversify their offer to the point that they have watered down every and we were at a conference last week and we had a client tell us well, you know, ask in certain name of this competitor to come up and pitch at the same time as we were thinking about bringing you on and we had a very specific need and you guys came in and you spent an hour talking about the very specific need and you've established you were experts in that they came in and spent 7 minutes talking about the need and then trying to tell us about all the stuff they love themselves.
And if you kind of look at the marketing campaign that we're in now, you'll notice like the theme is the return of expertise in the market that we're in. It has all but left every everybody is trying to go out and buy another company to kitted up to make themselves look a little better have a stronger offering and things like that. And look, big box store silver serve a purpose. But you know, we're selling to a niche market that has incredibly specific deliverables and the balance of these brands, sometimes hang in the affordability program. We saw when they change health care that happened, we had no clients that have come on board. Now that said, we immediately saw a 20% loss in revenue overnight.
And it was because there with a big box provider that wants to sell them all sorts of other things, but has no expertise that when something happens, they can move quickly to address their their their issues.
And then Mark talked about the disruptive offerings where we brought on some some technological stuff that we're doing and our processors to identify accumulators and maximizes and to save our clients tens of millions of dollars that the other vendors in the space weren't able to do. So we again, took a fresh look dove into something because this is the sole focus for us and expertise for us.
And it has certainly led to getting in the door with some manufacturers that probably would not have looked at us in the past because of our size. And now we've been able to demonstrate results over the last two quarters and now they're starting to move more business R-WIS.

Mark Newcomer

So yes, I think I think also we'd like to add.
Hey, Matt, let's talk also a little bit. It will just go ahead and address the fact that we brought pricing transparency, which is a huge, you know, of huge event to this this space in previous to us doing that, there was not a whole lot of pricing transparency. As matter of fact, there was a lot of people just being misled. So I think that it's kind of akin to Blackbox interchange type. And Jeff, you mentioned this earlier and about the black box. I believe that this is opening up a bit for us to take some new businesses.

Gary Prestopino

Okay. And if there was the one thing I was going to ask was, is there a technological moat here?
You've kind of maybe said, yes, with what you're developing, but then you also just talked about identifying accumulators and maximizes are these middlemen that are in the system that are making the prices go higher? I mean this is not the first time I've heard of this.

Mark Newcomer

So if you don't mind me asking whether that that's a that's a very fair. It's a tough problem. I mean, we I don't think we have the time to get into that on this call. But it's certainly something we can we can get on a call and discuss some. It is very complex. And, you know, most of what we've done is based around around technology. We've developed in algorithms we've developed in-house, and I'll kind of leave it at that.

Gary Prestopino

Okay.
So there is some technological there's a technological moat there?

Mark Newcomer

Yeah absolutely.

Gary Prestopino

Okay. Thank you.

Mark Newcomer

You're welcome.

Operator

Thank you. We've reached the end of our question-and-answer session. I'd like to turn the floor back over to Mark pretty for further closing comments.

Mark Newcomer

Thanks, Kevin. And I'd like to thank everybody for joining us today and a special thanks goes out to all of our employees and our Board for the hard work and support that they've exhibited throughout the year. I believe that 2024 will be a very exciting year for Pason, and we're looking forward to updating everyone on the next call. Thank you very much and have a great day.

Operator

Thank you. That does conclude today's teleconference and webcast. You may disconnect your line at this time and have a wonderful day. We thank you for your participation today.