TruBridge Announces Third Quarter 2024 Results
TruBridge (NASDAQ: TBRG) reported Q3 2024 financial results with total revenue of $83.8 million, up from $82.7 million year-over-year. Financial Health revenue reached $54.3 million, representing 64.7% of total revenue. The company reported a GAAP net loss of $(9.8) million and adjusted EBITDA of $13.8 million. Total bookings increased to $21.0 million from $15.0 million. The company announced organizational changes, including the retirement of COO David Dye effective December 31, 2024. For Q4 2024, TruBridge expects revenue between $83.5-85.5 million and adjusted EBITDA of $13.5-14.5 million.
TruBridge (NASDAQ: TBRG) ha riportato i risultati finanziari del terzo trimestre del 2024 con un fatturato totale di 83,8 milioni di dollari, in aumento rispetto agli 82,7 milioni di dollari dell'anno precedente. Il fatturato di Financial Health ha raggiunto 54,3 milioni di dollari, rappresentando il 64,7% del fatturato totale. L'azienda ha registrato una perdita netta GAAP di (9,8) milioni di dollari e un EBITDA rettificato di 13,8 milioni di dollari. Le prenotazioni totali sono aumentate a 21,0 milioni di dollari rispetto ai 15,0 milioni di dollari. L'azienda ha annunciato cambiamenti organizzativi, tra cui il ritiro del COO David Dye, efficace dal 31 dicembre 2024. Per il quarto trimestre del 2024, TruBridge prevede un fatturato compreso tra 83,5 e 85,5 milioni di dollari e un EBITDA rettificato di 13,5-14,5 milioni di dollari.
TruBridge (NASDAQ: TBRG) informó los resultados financieros del tercer trimestre de 2024 con ingresos totales de 83,8 millones de dólares, un aumento respecto a los 82,7 millones de dólares del año anterior. Los ingresos de Financial Health alcanzaron 54,3 millones de dólares, lo que representa el 64,7% de los ingresos totales. La empresa reportó una pérdida neta GAAP de (9,8) millones de dólares y un EBITDA ajustado de 13,8 millones de dólares. Las reservas totales aumentaron a 21,0 millones de dólares desde 15,0 millones de dólares. La compañía anunció cambios organizativos, incluyendo la jubilación del COO David Dye, efectiva el 31 de diciembre de 2024. Para el cuarto trimestre de 2024, TruBridge espera ingresos entre 83,5 y 85,5 millones de dólares y un EBITDA ajustado de 13,5-14,5 millones de dólares.
TruBridge (NASDAQ: TBRG)는 2024년 3분기 재무 결과를 보고했으며, 총 수익은 8,380만 달러로 작년의 8,270만 달러에서 증가했습니다. Financial Health의 수익은 5,430만 달러에 도달하여 총 수익의 64.7%를 차지했습니다. 회사는 GAAP 기준으로 순 손실 (9.8)백만 달러와 조정된 EBITDA 1,380만 달러를 보고했습니다. 총 예약은 2,100만 달러에서 1,500만 달러로 증가했습니다. 회사는 COO David Dye의 은퇴를 포함한 조직 변경을 발표했으며, 이는 2024년 12월 31일부터 효력이 발생합니다. TruBridge는 2024년 4분기에 대해 8,350만-8,550만 달러의 수익과 1,350만-1,450만 달러의 조정 EBITDA를 예상하고 있습니다.
TruBridge (NASDAQ: TBRG) a annoncé ses résultats financiers pour le troisième trimestre 2024, avec un chiffre d'affaires total de 83,8 millions de dollars, en hausse par rapport à 82,7 millions de dollars l'année précédente. Le chiffre d'affaires de Financial Health a atteint 54,3 millions de dollars, représentant 64,7% du chiffre d'affaires total. L'entreprise a déclaré une perte nette GAAP de (9,8) millions de dollars et un EBITDA ajusté de 13,8 millions de dollars. Les réservations totales ont augmenté pour atteindre 21,0 millions de dollars contre 15,0 millions de dollars. L'entreprise a annoncé des changements organisationnels, notamment le départ à la retraite du COO David Dye, à compter du 31 décembre 2024. Pour le quatrième trimestre 2024, TruBridge prévoit un chiffre d'affaires compris entre 83,5 et 85,5 millions de dollars et un EBITDA ajusté de 13,5-14,5 millions de dollars.
TruBridge (NASDAQ: TBRG) hat die Finanzergebnisse für das dritte Quartal 2024 veröffentlicht, mit einem Gesamtumsatz von 83,8 Millionen Dollar, ein Anstieg gegenüber 82,7 Millionen Dollar im Vorjahr. Der Umsatz von Financial Health erreichte 54,3 Millionen Dollar und macht 64,7 % des Gesamtumsatzes aus. Das Unternehmen berichtete über einen GAAP-Nettoverlust von (9,8) Millionen Dollar und ein angepasstes EBITDA von 13,8 Millionen Dollar. Die Gesamteinnahmen stiegen auf 21,0 Millionen Dollar von 15,0 Millionen Dollar. Das Unternehmen gab organisatorische Veränderungen bekannt, einschließlich des Rücktritts von COO David Dye, der am 31. Dezember 2024 in Kraft tritt. Für das vierte Quartal 2024 erwartet TruBridge einen Umsatz zwischen 83,5 und 85,5 Millionen Dollar sowie ein angepasstes EBITDA von 13,5-14,5 Millionen Dollar.
- Total bookings increased 40% YoY to $21.0 million
- Financial Health revenue grew 16.5% to $54.3 million
- Adjusted EBITDA improved 42.3% to $13.8 million
- Narrowed and maintained full-year revenue guidance of $335-337 million
- GAAP net loss widened to $(9.8) million
- GAAP loss per share increased to $(0.66) from $(0.24)
- Non-GAAP earnings per share declined to $(0.21) from $0.45
Insights
TruBridge's Q3 2024 results present a mixed financial picture. While total revenue showed modest growth of
The
The organizational restructuring and COO retirement signal a strategic shift toward a flatter, more agile management structure with business unit leaders reporting directly to the CEO. This aligns with TruBridge's evolution into distinct Financial Health and Patient Care segments. The successful Viewgol integration in India and new analytics offering demonstrate execution on both operational efficiency and growth initiatives.
The company's focus on Financial Health services, now representing
Third Quarter 2024 Highlights*
All comparisons are to the quarter ended September 30, 2023, unless otherwise noted
-
Total bookings of
compared to$21.0 million $15.0 million -
Total revenue of
compared to$83.8 million $82.7 million -
Financial Health revenue of
compared to$54.3 million $46.6 million -
Financial Health revenue represented
64.7% of TruBridge’s total revenue
-
Financial Health revenue represented
-
GAAP (loss) earnings per diluted share of
compared to$(0.66) $(0.24) -
Non-GAAP (loss) earnings per diluted share of
compared to$(0.21) $0.45 -
GAAP net loss of
and non-GAAP net loss of$(9.8) million $(3.0) million -
Adjusted EBITDA of
compared to$13.8 million $9.7 million
*As of the third quarter of 2024, TruBridge is now reporting two segments in its financial statements representing the two business units. Financial Health represents the previous Revenue Cycle Management (RCM) segment, and Patient Care represents the previously reported Electronic Health Record (EHR) segment, including the patient engagement business.
Commenting on the results, Chris Fowler, chief executive officer of TruBridge, Inc., stated, “We are pleased with the strong results our team delivered this quarter. Our Financial Health business is showing solid growth and adjusted EBITDA margin is expanding as anticipated. On a recent trip to
“Our recently launched analytics offering is starting to resonate with our initial customers, and we believe that, over time, it has the potential to become a contributor to our growth strategy. We have delivered consistent results so far in 2024, made steady progress on our ongoing initiatives and generated bookings and a pipeline that give us confidence in our outlook as we move into 2025,” concluded Fowler.
Executive Leadership Changes
TruBridge also announced today the elevation of the Company’s business unit general managers to report directly to the Company’s Chief Executive Officer, reflecting the expanded scope and evolution of these roles. In conjunction with this move, David Dye will be retiring from his role as Chief Operating Officer, effective December 31, 2024, at which time the Company will eliminate that position. He will serve the remainder of his board term through completion in 2026. Dye has been with the Company since 1990, having held many roles in addition to his current position, including Chairman, Chief Growth Officer, President and Chief Executive Officer, and Chief Financial Officer.
Glenn Tobin, chairman of the Company’s Board of Directors, added, “On behalf of our Board of Directors and the entire TruBridge organization, I want to express my appreciation for David and his decades of contribution. David’s leadership and numerous accomplishments have been integral to TruBridge’s success, and his positive impact has been felt by many employees over the years.”
Financial Guidance
For the fourth quarter of 2024, TruBridge expects to generate:
-
Total revenue between
and$83.5 million $85.5 million -
Adjusted EBITDA between
and$13.5 million $14.5 million
For the full year 2024, TruBridge expects to generate:
-
Total revenue of
and$335 million ; narrowed from$337 million and$330 million $340 million -
Adjusted EBITDA of
and$49 million ; narrowed from$50 million and$45 million $50 million
Conference Call
TruBridge will hold a conference call and live webcast to discuss third quarter 2024 results on Friday, November 8, 2024, at 8:00 a.m. Central time/9:00 a.m. Eastern time. To access this interactive teleconference, dial (877) 407-0890 and request connection to the TruBridge earnings conference call. A 30-day online replay will be available approximately one hour following the conclusion of the live webcast. To listen to the live webcast or access the replay, visit the Company’s investor relations website, investors.trubridge.com.
About TruBridge
We are a trusted partner to more than 1,500 healthcare organizations with a broad range of technology-first solutions that address the unique needs and challenges of diverse communities, promoting equitable access to quality care and fostering positive outcomes. TruBridge has over four decades of experience in connecting providers, patients and communities with innovative data-driven solutions that create real value by supporting both the financial and clinical side of healthcare delivery. Our industry leading HFMA Peer Reviewed® suite of revenue cycle management (RCM) offerings combine unparalleled visibility and transparency to enhance productivity and support the financial health of healthcare organizations across all care settings. We support efficient patient care with electronic health record (EHR) product offerings that successfully integrate data between care settings. Above all, we believe in the power of community and encourage collaboration, connection, and empowerment with our customers. We clear the way for care. For more information, please visit www.trubridge.com.
Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1995. These forward-looking statements can be identified generally by the use of forward-looking terminology and words such as “expects,” “anticipates,” “estimates,” “believes,” “predicts,” “intends,” “plans,” “potential,” “may,” “continue,” “should,” “will” and words of comparable meaning. Without limiting the generality of the preceding statement, all statements in this press release relating to the Company’s future financial and operational results are forward-looking statements. We caution investors that any such forward-looking statements are only predictions and are not guarantees of future performance. Certain risks, uncertainties and other factors may cause actual results to differ materially from those projected in the forward-looking statements. Such factors may include: saturation of our target market and hospital consolidations; unfavorable economic or market conditions that may cause a decline in spending for information technology and services; significant legislative and regulatory uncertainty in the healthcare industry; exposure to liability for failure to comply with regulatory requirements; pandemics and other public health crises and related economic disruptions; transition to a subscription-based recurring revenue model and modernization of our technology; competition with companies that have greater financial, technical and marketing resources than we have; potential future acquisitions that may be expensive, time consuming, and subject to other inherent risks; our ability to attract and retain qualified client service and support personnel; disruption from periodic restructuring of our sales force; potential delay in the development of markets for our RCM service offering; potential inability to properly manage growth in new markets we may enter; potential disruption of our business due to our ongoing implementation of a new enterprise resource planning software solution; exposure to numerous and often conflicting laws, regulations, policies, standards or other requirements through our international business activities; potential litigation against us; our reliance on an international workforce which exposes us to various business disruptions; our utilization of artificial intelligence, which could expose us to liability or adversely affect our business if we cannot compete effectively with others using artificial intelligence; potential failure to develop new products or enhance current products that keep pace with market demands; failure of our products to function properly resulting in claims for medical and other losses; breaches of security and viruses in our systems resulting in customer claims against us and harm to our reputation; failure to maintain customer satisfaction through new product releases free of undetected errors or problems; failure to convince customers to migrate to current or future releases of our products; failure to maintain our margins and service rates; increase in the percentage of total revenues represented by service revenues, which have lower gross margins; exposure to liability in the event we provide inaccurate claims data to payors; exposure to liability claims arising out of the licensing of our software and provision of services; dependence on licenses of rights, products and services from third parties; misappropriation of our intellectual property rights and potential intellectual property claims and litigation against us; interruptions in our power supply and/or telecommunications capabilities, including those caused by natural disaster; potential inability to secure additional financing on favorable terms to meet our future capital needs; our substantial indebtedness, and our ability to incur additional indebtedness in the future; pressures on cash flow to service our outstanding debt; restrictive terms of our credit agreement on our current and future operations; changes in and interpretations of financial accounting matters that govern the measurement of our performance; significant charges to earnings if our goodwill or intangible assets become impaired; fluctuations in quarterly financial performance due to, among other factors, timing of customer installations; volatility in our stock price; failure to maintain effective internal control over financial reporting; inherent limitations in our internal control over financial reporting; vulnerability to significant damage from natural disasters; market risks related to interest rate changes; potential material adverse effects due to macroeconomic conditions, including bank failures or changes in related regulation; and other risk factors described from time to time in our public releases and reports filed with the Securities and Exchange Commission, including, but not limited to, our most recent Annual Report on Form 10-K and our Quarterly Report on Form 10-Q for the quarter ended June 30, 2024. We also caution investors that the forward-looking information described herein represents our outlook only as of this date, and we undertake no obligation to update or revise any forward-looking statements to reflect events or developments after the date of this press release.
TruBridge, Inc. | |||||||||||||||
Condensed Consolidated Statements of Income | |||||||||||||||
(In '000s, except per share data) | |||||||||||||||
(Unaudited) | |||||||||||||||
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
|||||||||||||
2024 |
|
2023 |
|
2024 |
|
2023 |
|||||||||
Revenues | |||||||||||||||
Financial Health | $ |
54,271 |
|
$ |
46,582 |
|
$ |
161,417 |
|
$ |
142,973 |
|
|||
Patient Care |
|
29,559 |
|
|
36,130 |
|
|
90,389 |
|
|
110,594 |
|
|||
Total revenues |
|
83,830 |
|
|
82,712 |
|
|
251,806 |
|
|
253,567 |
|
|||
Expenses | |||||||||||||||
Costs of revenue (exclusive of amortization and depreciation) | |||||||||||||||
Financial Health |
|
29,185 |
|
|
27,159 |
|
|
89,051 |
|
|
81,461 |
|
|||
Patient Care |
|
13,184 |
|
|
16,704 |
|
|
38,421 |
|
|
50,712 |
|
|||
Total costs of revenue (exclusive of amortization and depreciation) |
|
42,369 |
|
|
43,863 |
|
|
127,472 |
|
|
132,173 |
|
|||
Product development |
|
7,735 |
|
|
9,778 |
|
|
26,629 |
|
|
26,899 |
|
|||
Sales and marketing |
|
5,944 |
|
|
6,818 |
|
|
20,351 |
|
|
21,906 |
|
|||
General and administrative |
|
19,376 |
|
|
20,961 |
|
|
57,651 |
|
|
54,471 |
|
|||
Amortization |
|
6,183 |
|
|
6,208 |
|
|
21,158 |
|
|
17,549 |
|
|||
Depreciation |
|
279 |
|
|
297 |
|
|
1,079 |
|
|
1,392 |
|
|||
Total expenses |
|
81,886 |
|
|
87,925 |
|
|
254,340 |
|
|
254,390 |
|
|||
Operating income (loss) |
|
1,944 |
|
|
(5,213 |
) |
|
(2,534 |
) |
|
(823 |
) |
|||
Other income (expense): | |||||||||||||||
Other income (expense) |
|
(376 |
) |
|
224 |
|
|
1,139 |
|
|
569 |
|
|||
Interest expense |
|
(4,033 |
) |
|
(3,071 |
) |
|
(12,348 |
) |
|
(8,405 |
) |
|||
Total other expense |
|
(4,409 |
) |
|
(2,847 |
) |
|
(11,209 |
) |
|
(7,836 |
) |
|||
Loss before taxes |
|
(2,465 |
) |
|
(8,060 |
) |
|
(13,743 |
) |
|
(8,659 |
) |
|||
Income tax expense (benefit) |
|
7,344 |
|
|
(4,498 |
) |
|
3,631 |
|
|
(5,344 |
) |
|||
Net loss | $ |
(9,809 |
) |
$ |
(3,562 |
) |
$ |
(17,374 |
) |
$ |
(3,315 |
) |
|||
Net loss per common share—basic | $ |
(0.66 |
) |
$ |
(0.24 |
) |
$ |
(1.17 |
) |
$ |
(0.23 |
) |
|||
Net loss per common share—diluted | $ |
(0.66 |
) |
$ |
(0.24 |
) |
$ |
(1.17 |
) |
$ |
(0.23 |
) |
|||
Weighted average shares outstanding used in per common share computations: | |||||||||||||||
Basic |
|
14,323 |
|
|
14,205 |
|
|
14,290 |
|
|
14,181 |
|
|||
Diluted |
|
14,323 |
|
|
14,205 |
|
|
14,290 |
|
|
14,181 |
|
TruBridge, Inc. | |||||||
Condensed Consolidated Balance Sheets | |||||||
(In '000s, except per share data) | |||||||
September 30, 2024 (Unaudited) |
Dec. 31, 2023 | ||||||
Assets | |||||||
Current assets | |||||||
Cash and cash equivalents | $ |
8,586 |
|
$ |
3,848 |
|
|
Accounts receivable, net of allowance for expected credit losses of |
|
56,680 |
|
|
59,723 |
|
|
Financing receivables, current portion (net of allowance for expected credit losses of |
|
5,133 |
|
|
3,997 |
|
|
Inventories |
|
924 |
|
|
475 |
|
|
Prepaid income taxes |
|
1,972 |
|
|
1,628 |
|
|
Prepaid expenses and other |
|
15,853 |
|
|
15,807 |
|
|
Assets of held for sale |
|
2,473 |
|
|
25,977 |
|
|
Total current assets |
|
91,621 |
|
|
111,455 |
|
|
Property & equipment, net |
|
5,049 |
|
|
8,974 |
|
|
Software development costs, net |
|
41,026 |
|
|
39,139 |
|
|
Operating lease assets |
|
3,451 |
|
|
5,192 |
|
|
Financing receivables, net of current portion (net of allowance for expected credit losses of |
|
231 |
|
|
1,226 |
|
|
Other assets, net of current portion |
|
7,749 |
|
|
7,314 |
|
|
Intangible assets, net |
|
79,833 |
|
|
89,213 |
|
|
Goodwill |
|
172,573 |
|
|
171,909 |
|
|
Total assets | $ |
401,533 |
|
$ |
434,422 |
|
|
Liabilities & Stockholders' Equity | |||||||
Current liabilities | |||||||
Accounts payable | $ |
14,028 |
|
$ |
10,133 |
|
|
Current portion of long-term debt |
|
2,926 |
|
|
3,141 |
|
|
Deferred revenue |
|
10,235 |
|
|
8,677 |
|
|
Accrued vacation |
|
5,392 |
|
|
5,410 |
|
|
Other accrued liabilities |
|
18,421 |
|
|
19,892 |
|
|
Liabilities of held for sale |
|
- |
|
|
977 |
|
|
Total current liabilities |
|
51,002 |
|
|
48,230 |
|
|
Long-term debt, net of current portion |
|
173,343 |
|
|
195,270 |
|
|
Operating lease liabilities, net of current portion |
|
2,520 |
|
|
3,074 |
|
|
Deferred tax liabilities |
|
2,021 |
|
|
1,230 |
|
|
Total liabilities |
|
228,886 |
|
|
247,804 |
|
|
Stockholders' Equity | |||||||
Common stock, |
|
15 |
|
|
15 |
|
|
Additional paid-in capital |
|
199,244 |
|
|
195,546 |
|
|
Accumulated other comprehensive gain |
|
107 |
|
|
- |
|
|
Accumulated (deficit) earnings |
|
(9,242 |
) |
|
8,132 |
|
|
Treasury stock, 619 and 572 shares, respectively |
|
(17,477 |
) |
|
(17,075 |
) |
|
Total stockholders' equity |
|
172,647 |
|
|
186,618 |
|
|
Total liabilities and stockholders' equity | $ |
401,533 |
|
$ |
434,422 |
|
TruBridge, Inc. | |||||||
Condensed Consolidated Statements of Cash Flows | |||||||
(In '000s) | |||||||
(Unaudited) | |||||||
Nine Months Ended September 30, |
|||||||
2024 |
2023 |
||||||
Operating activities: | |||||||
Net loss | $ |
(17,374 |
) |
$ |
(3,315 |
) |
|
Adjustments to net loss: | |||||||
Provision for credit losses |
|
1,046 |
|
|
810 |
|
|
Deferred taxes |
|
915 |
|
|
(8,171 |
) |
|
Stock-based compensation |
|
3,698 |
|
|
2,162 |
|
|
Depreciation |
|
1,079 |
|
|
1,392 |
|
|
Gain on sale of business |
|
(1,221 |
) |
|
- |
|
|
Amortization of acquisition-related intangibles |
|
9,379 |
|
|
12,043 |
|
|
Amortization of software development costs |
|
11,779 |
|
|
5,506 |
|
|
Amortization of deferred finance costs |
|
320 |
|
|
269 |
|
|
Change in fair value of contingent consideration |
|
(1,044 |
) |
|
- |
|
|
Non-cash operating lease costs |
|
1,879 |
|
|
1,478 |
|
|
Loss on disposal of property and equipment |
|
1,648 |
|
|
117 |
|
|
Changes in operating assets and liabilities: | |||||||
Accounts receivable |
|
2,946 |
|
|
(8,632 |
) |
|
Financing receivables |
|
(129 |
) |
|
2,029 |
|
|
Inventories |
|
(449 |
) |
|
(157 |
) |
|
Prepaid expenses and other |
|
3,228 |
|
|
(1,972 |
) |
|
Accounts payable |
|
3,925 |
|
|
6,333 |
|
|
Deferred revenue |
|
2,162 |
|
|
(2,784 |
) |
|
Operating lease liabilities |
|
(1,415 |
) |
|
(1,462 |
) |
|
Other liabilities |
|
(189 |
) |
|
6,656 |
|
|
Prepaid income taxes |
|
(344 |
) |
|
1,017 |
|
|
Net cash provided by operating activities |
|
21,839 |
|
|
13,319 |
|
|
Investing activities: | |||||||
Purchase of business, net of cash acquired |
|
(664 |
) |
|
- |
|
|
Sale of business, net of cash and cash equivalents sold |
|
21,410 |
|
|
- |
|
|
Investment in software development |
|
(13,666 |
) |
|
(17,981 |
) |
|
Purchases of property and equipment |
|
(1,277 |
) |
|
(332 |
) |
|
Net cash provided by (used in) investing activities |
|
5,803 |
|
|
(18,313 |
) |
|
Financing activities: | |||||||
Payments of long-term debt principal |
|
(6,625 |
) |
|
(2,625 |
) |
|
Proceeds from revolving line of credit |
|
23,765 |
|
|
9,716 |
|
|
Payments of revolving line of credit |
|
(39,072 |
) |
|
(5,000 |
) |
|
Debt issuance costs |
|
(529 |
) |
|
- |
|
|
Treasury stock purchases |
|
(402 |
) |
|
(2,575 |
) |
|
Net cash used in financing activities |
|
(22,863 |
) |
|
(484 |
) |
|
Increase (decrease) in cash and cash equivalents |
|
4,779 |
|
|
(5,478 |
) |
|
Change in cash and cash equivalents included in assets sold |
|
(41 |
) |
|
- |
|
|
Cash and cash equivalents, beginning of period |
|
3,848 |
|
|
6,951 |
|
|
Cash and cash equivalents, end of period | $ |
8,586 |
|
$ |
1,473 |
|
TruBridge, Inc. | ||||||||||
Consolidated Bookings | ||||||||||
(In '000s) | ||||||||||
(Unaudited) (Non-GAAP) | ||||||||||
Three Months Ended September 30, | Nine Months Ended September 30, | |||||||||
|
2024 |
|
2023 (3) |
|
2024 |
|
2023 (3) |
|||
Financial Health(1) | $ |
12,496 |
$ |
9,080 |
$ |
40,346 |
$ |
34,828 |
||
Patient Care(2) |
|
8,454 |
|
5,897 |
|
27,464 |
|
20,966 |
||
Total | $ |
20,950 |
$ |
14,977 |
$ |
67,810 |
$ |
55,794 |
||
(1) |
Generally calculated as the total contract price (for non-recurring, project-related amounts) and annualized contract value (for recurring amounts). | |||||||||
(2) |
Generally calculated as the total contract price (for system sales) and annualized contract value (for support) for perpetual license system sales and total contract price for SaaS sales. | |||||||||
(3) |
Adjustment was made to the 2023 bookings, due to 3rd Party Software, and Forms and Supplies being doubled accounted for in the total Patient Care bookings. |
TruBridge, Inc. | |||||||||||
Bookings Composition | |||||||||||
(In '000s, except per share data) | |||||||||||
(Unaudited) (Non-GAAP) | |||||||||||
Three Months Ended September 30, | Nine Months Ended September 30, | ||||||||||
2024 |
2023 (4) |
2024 |
2023 (4) |
||||||||
Financial Health | |||||||||||
Net new(1) | $ |
6,112 |
$ |
4,387 |
$ |
21,559 |
$ |
13,810 |
|||
Cross-sell(1) |
|
6,384 |
|
4,693 |
|
18,787 |
|
21,018 |
|||
Patient Care | |||||||||||
Non-subscription sales(2) |
|
5,006 |
|
3,126 |
|
12,540 |
|
12,124 |
|||
Subscription revenue(3) |
|
3,448 |
|
2,771 |
|
14,924 |
|
8,842 |
|||
Total | $ |
20,950 |
$ |
14,977 |
$ |
67,810 |
$ |
55,794 |
|||
(1) |
“Net new” represents bookings from outside the Company’s core Patient Care client base, and “Cross-sell” represents bookings from existing Patient Care customers. In each case, such bookings are generally comprised of recurring revenues to be recognized ratably over a one-year period and an average timeframe for commencement of bookings-to-revenue conversion of four to six months following contract execution. |
||||||||||
(2) |
Represents nonrecurring revenues that generally exhibit a timeframe for bookings-to-revenue conversion of five to six months following contract execution. |
||||||||||
(3) |
Represents recurring revenues to be recognized on a monthly basis over a weighted-average contract period of five years, with a start date in the next 12 months and an average timeframe for commencement of bookings-to-revenue conversion of five to six months following contract execution. |
||||||||||
(4) |
Adjustment was made to the 2023 bookings, due to 3rd Party Software, and Forms and Supplies being doubled accounted for in the total Patient Care bookings. |
TruBridge, Inc. | ||||||||||
Adjusted EBITDA - by Segment | ||||||||||
(In '000s) | ||||||||||
(Unaudited) (Non-GAAP) | ||||||||||
Three Months Ended September 30, | Nine Months Ended September 30, | |||||||||
In '000s | 2024 |
2023 |
2024 |
2023 |
||||||
Financial Health | $ |
9,562 |
$ |
4,623 |
$ |
23,767 |
$ |
18,205 |
||
Patient Care |
|
4,260 |
|
5,099 |
|
12,083 |
|
17,388 |
||
Total | $ |
13,822 |
$ |
9,722 |
$ |
35,850 |
$ |
35,593 |
TruBridge, Inc. | |||||||||||||||||
Reconciliation of Non-GAAP Financial Measures | |||||||||||||||||
(In '000s) | |||||||||||||||||
(Unaudited) | |||||||||||||||||
Three Months Ended September 30, |
|
Nine Months Ended September 30, |
|||||||||||||||
Adjusted EBITDA: | 2024 |
|
2023 |
|
2024 |
|
2023 |
||||||||||
Net loss, as reported | $ |
(9,809 |
) |
$ |
(3,562 |
) |
$ |
(17,374 |
) |
$ |
(3,315 |
) |
|||||
Net Income Margin |
|
(11.7 |
%) |
|
(4.3 |
%) |
|
(6.9 |
%) |
|
(1.3 |
%) |
|||||
Depreciation expense |
|
279 |
|
|
297 |
|
|
1,079 |
|
|
1,392 |
|
|||||
Amortization of software development costs |
|
3,057 |
|
|
2,194 |
|
|
11,779 |
|
|
5,506 |
|
|||||
Amortization of acquisition-related intangibles |
|
3,126 |
|
|
4,014 |
|
|
9,379 |
|
|
12,043 |
|
|||||
Stock-based compensation |
|
1,398 |
|
|
1,038 |
|
|
3,698 |
|
|
2,162 |
|
|||||
Severance and other non-recurring charges |
|
4,018 |
|
|
7,392 |
|
|
12,449 |
|
|
15,313 |
|
|||||
Interest expense |
|
3,777 |
|
|
2,847 |
|
|
11,826 |
|
|
7,719 |
|
|||||
Change in fair value of contingent consideration |
|
(1,044 |
) |
|
- |
|
|
(1,044 |
) |
|
- |
|
|||||
Loss on disposal of property and equipment |
|
1,648 |
|
|
- |
|
|
1,648 |
|
|
117 |
|
|||||
Gain on sale of AHT |
|
28 |
|
|
- |
|
|
(1,221 |
) |
|
- |
|
|||||
Provision (benefit) for income taxes |
|
7,344 |
|
|
(4,498 |
) |
|
3,631 |
|
|
(5,344 |
) |
|||||
Total Adjusted EBITDA | $ |
13,822 |
|
$ |
9,722 |
|
$ |
35,850 |
|
$ |
35,593 |
|
|||||
Adjusted EBITDA Margin |
|
16.5 |
% |
|
11.8 |
% |
|
14.2 |
% |
|
14.0 |
% |
TruBridge, Inc. | ||||||||||||
Reconciliation of Non-GAAP Financial Measures | ||||||||||||
(In '000s, except per share data) | ||||||||||||
(Unaudited) | ||||||||||||
Three Months Ended September 30, | Nine Months Ended September 30, | |||||||||||
Non-GAAP Net Income (loss) and Non-GAAP EPS: |
|
2024 |
|
|
2023 |
|
|
2024 |
|
|
2023 |
|
Net loss, as reported | $ |
(9,809 |
) |
$ |
(3,562 |
) |
$ |
(17,374 |
) |
$ |
(3,315 |
) |
Pre-tax adjustments for Non-GAAP EPS: | ||||||||||||
Amortization of acquisition-related intangible assets |
|
3,126 |
|
|
4,014 |
|
|
9,379 |
|
|
12,043 |
|
Stock-based compensation |
|
1,398 |
|
|
1,038 |
|
|
3,698 |
|
|
2,162 |
|
Severance and other nonrecurring charges |
|
4,018 |
|
|
7,392 |
|
|
12,449 |
|
|
15,313 |
|
Non-cash interest expense |
|
107 |
|
|
90 |
|
|
314 |
|
|
270 |
|
After-tax adjustments for Non-GAAP EPS: | ||||||||||||
Tax-effect of pre-tax adjustments, at |
|
(1,816 |
) |
|
(2,632 |
) |
|
(5,426 |
) |
|
(6,255 |
) |
Tax shortfall (windfall) from stock-based compensation |
|
13 |
|
|
8 |
|
|
126 |
|
|
65 |
|
Non-GAAP net income (loss) | $ |
(2,963 |
) |
$ |
6,348 |
|
$ |
3,166 |
|
$ |
20,283 |
|
Weighted average shares outstanding, diluted |
|
14,323 |
|
|
14,205 |
|
|
14,290 |
|
|
14,181 |
|
Non-GAAP EPS | $ |
(0.21 |
) |
$ |
0.45 |
|
$ |
0.22 |
|
$ |
1.43 |
|
TruBridge, Inc. | ||||||||
Patient Care Revenue Composition | ||||||||
(In '000s) | ||||||||
(Unaudited) | ||||||||
Three Months Ended September 30, |
Nine Months Ended September 30, |
|||||||
2024 |
2023 |
2024 |
2023 |
|||||
Recurring revenues - Patient Care | ||||||||
Acute care | $ |
26,584 |
$ |
29,068 |
$ |
80,726 |
$ |
88,420 |
Post-acute care |
|
- |
|
3,594 |
|
597 |
|
11,230 |
Total recurring revenues - Patient Care |
|
26,584 |
|
32,662 |
|
81,323 |
|
99,650 |
Non-recurring revenues - Patient Care | ||||||||
Acute care |
|
2,975 |
|
3,118 |
|
8,996 |
|
9,869 |
Post-acute care |
|
- |
|
350 |
|
70 |
|
1,075 |
Total non-recurring revenues - Patient Care |
|
2,975 |
|
3,468 |
|
9,066 |
|
10,944 |
Total Patient Care revenues | $ |
29,559 |
$ |
36,130 |
$ |
90,389 |
$ |
110,594 |
Explanation of Non-GAAP Financial Measures
We report our financial results in accordance with accounting principles generally accepted in
As such, to supplement the GAAP information provided, we present in this press release and during the live webcast discussing our financial results the following non-GAAP financial measures: Adjusted EBITDA, Adjusted EBITDA Margin, Non-GAAP net income, and Non-GAAP earnings per share (“EPS”).
We calculate each of these non-GAAP financial measures as follows:
- Adjusted EBITDA – Adjusted EBITDA consists of GAAP net income as reported and adjusts for (i) depreciation expense; (ii) amortization of software development costs; (iii) amortization of acquisition-related intangibles; (iv) stock-based compensation; (v) severance and other nonrecurring charges; (vi) interest expense; (vii) change in fair value of contingent consideration; (viii) loss on asset held for sale; (ix) gain on sale of AHT; and (x) the provision (benefit) for income taxes.
- Adjusted EBITDA Margin – Adjusted EBITDA Margin is calculated as Adjusted EBITDA, as defined above, divided by total revenue.
- Non-GAAP net income – Non-GAAP net income consists of GAAP net income as reported and adjusts for (i) amortization of acquisition-related intangible assets; (ii) stock-based compensation; (iii) severance and other non-recurring charges; (iv) non-cash interest expense; (v) gain on sale of AHT; and (vi) the total tax effect of items (i) through (v).
- Non-GAAP EPS – Non-GAAP EPS consists of Non-GAAP net income, as defined above, divided by weighted average shares outstanding (diluted) in the applicable period.
Certain of the items excluded or adjusted to arrive at these non-GAAP financial measures are described below:
- Amortization of acquisition-related intangibles – Acquisition-related amortization expense is a non-cash expense arising primarily from the acquisition of intangible assets in connection with acquisitions or investments. We exclude acquisition-related amortization expense from non-GAAP financial measures because we believe (i) the amount of such expenses in any specific period may not directly correlate to the underlying performance of our business operations and (ii) such expenses can vary significantly between periods as a result of new acquisitions and full amortization of previously acquired intangible assets. Investors should note that the use of these intangible assets contributed to revenue in the periods presented and will contribute to future revenue generation, and the related amortization expense will recur in future periods.
- Stock-based compensation – Stock-based compensation expense is a non-cash expense arising from the grant of stock-based awards. We exclude stock-based compensation expense from non-GAAP financial measures because we believe (i) the amount of such expenses in any specific period may not directly correlate to the underlying performance of our business operations and (ii) such expenses can vary significantly between periods as a result of the timing and valuation of grants of new stock-based awards, including grants in connection with acquisitions. Investors should note that stock-based compensation is a key incentive offered to employees whose efforts contributed to the operating results in the periods presented and are expected to contribute to operating results in future periods, and such expense will recur in future periods.
- Severance and other nonrecurring charges – Non-recurring charges relate to certain severance and other charges incurred in connection with activities that are considered non-recurring. We exclude non-recurring expenses (primarily related to costs associated with our recent business transformation initiative and transaction-related costs) from non-GAAP financial measures because we believe (i) the amount of such expenses in any specific period may not directly correlate to the underlying performance of our business operations and (ii) such expenses can vary significantly between periods.
- Non-cash Interest expense – Non-cash interest expense includes amortization of deferred debt issuance costs. We exclude non-cash interest expense from non-GAAP financial measures because we believe these non-cash amounts relate to specific transactions and, as such, may not directly correlate to the underlying performance of our business operations.
- Interest expense: Interest expense represents (i) interest incurred on our term loan and revolving credit facility and (ii) non-cash interest expense. We exclude interest expense from non-GAAP financial measures because we believe these amounts relate to specific transactions and, as such, may not directly correlate to the underlying performance of our business operations.
-
Change in fair value of contingent consideration: The purchase agreement for our acquisition of Viewgol in 2023 contained contingent consideration, or “earnout,” provisions whereby the previous shareholders of Viewgol would receive additional consideration depending on the achievement of certain performance metrics. After the initial measurement period,
U.S. GAAP requires that any adjustments to the estimated fair value of this contingent liability, including upon final determination of amounts due, should be recorded in the relevant period’s earnings. We exclude gains on contingent consideration from non-GAAP financial measures because we believe (i) the amount of such gains in any specific period may not directly correlate to the underlying performance of our business operations and (ii) such gains can vary significantly between periods. - Loss on assets held for sale: Loss on assets held for sale represents the excess of book value of assets sold over the proceeds received in connection with the sale of real estate assets during the period. We exclude loss on sale of real estate assets held for sale from non-GAAP financial measures because we believe (i) the amount of such gains gain or loss in any specific period may not directly correlate to the underlying performance of our business operations and (ii) such gains gain or loss can vary significantly between periods.
- Gain on sale of AHT: Gain on sale of AHT represents the excess of proceeds received over the net assets sold from our sale of AHT, our previously wholly-owned post-acute business, in January 2024. We exclude gain on sale of AHT from non-GAAP financial measures because we believe the amount relates to specific transaction and, as such, may not directly correlate to the underlying performance of our business operations
- Tax shortfall (windfall) from stock-based compensation – ASU 2016-09, Improvements to Employee Share-Based Payment Accounting, became effective for the Company during the third quarter of 2017 and changes the treatment of tax shortfall and excess tax benefits arising from stock based compensation arrangements. Prior to ASU 2016-09, these amounts were recorded as an increase (for excess benefits) or decrease (for shortfalls) to additional paid-in capital. With the adoption of ASU 2016-09, these amounts are now captured in the period’s income tax expense. We exclude this component of income tax expense from non-GAAP financial measures because we believe (i) the amount of such expenses or benefits in any specific period may not directly correlate to the underlying performance of our business operations; and (ii) such expenses or benefits can vary significantly between periods as a result of the valuation of grants of new stock-based awards, the timing of vesting of awards, and periodic movements in the fair value of our common stock.
Management considers these non-GAAP financial measures to be important indicators of our operational strength and performance of our business and a good measure of our historical operating trends, in particular the extent to which ongoing operations impact our overall financial performance. In addition, management may use Adjusted EBITDA, Non-GAAP net income and/or Non-GAAP EPS to measure the achievement of performance objectives under the Company’s stock and cash incentive programs. Note, however, that these non-GAAP financial measures are performance measures only, and they do not provide any measure of cash flow or liquidity. Non-GAAP financial measures are not alternatives for measures of financial performance prepared in accordance with GAAP and may be different from similarly titled non-GAAP measures presented by other companies, limiting their usefulness as comparative measures. Non-GAAP financial measures have limitations in that they do not reflect all of the amounts associated with our results of operations as determined in accordance with GAAP. Additionally, there is no certainty that we will not incur expenses in the future that are similar to those excluded in the calculations of the non-GAAP financial measures presented in this press release. Investors and potential investors are encouraged to review the “Unaudited Reconciliation of Non-GAAP Financial Measures” above.
View source version on businesswire.com: https://www.businesswire.com/news/home/20241107152480/en/
Investor Relations Contact
Asher Dewhurst, ICR Westwicke
TBRGIR@westwicke.com
Media Contact
Tracey Schroeder
Chief Marketing Officer
Tracey.schroeder@trubridge.com
Source: TruBridge, Inc.
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