I also like MTBC very much but the are not debt free yet. They have paid off Opus but still owe Prudential $5 mill plus interest. See the Seeking Alpha article:
In it regarding debt situation to Prudential: "MTBC announced the repayment of its term debt to Opus Bank, which has been MTBC's lender to this point. The note covenants with Opus precluded MTBC from arranging for the payment to Prudential for the remainder owed for the MediGain acquisition up until now. MTBC announced that this is no longer the case, and they expect payment to be arranged to Prudential shortly.
This being said, MTBC's remaining $5 million plus interest balance due to Prudential for the MediGain purchase has been past due since January 23, 2017. It is unclear at this time whether MTBC currently has the cash to pay Prudential the full remaining balance of this debt. If they do not, they will be forced to arrange a payment plan with Prudential who may or may not be willing to accept such an arrangement."
Once that debt to Prudential gets resolved, I think the stock will spike upward.
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