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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
 

 
FORM 8-K
 
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(D) OF THE
SECURITIES EXCHANGE ACT OF 1934
 
Date of report (Date of earliest event reported): March 10, 2025
 
TRUBRIDGE, INC.
(Exact Name of Registrant as Specified in Charter)
 
Delaware
000-49796
74-3032373
(State or Other Jurisdiction
of Incorporation)
(Commission File
Number)
(IRS Employer
Identification No.)
     
54 St. Emanuel Street,
Mobile, Alabama
(Address of Principal Executive Offices)
 
36602
(Zip Code)
     
(251) 639-8100
(Registrant’s telephone number, including area code)
 
N/A
(Former Name or Former Address, if Changed Since Last Report)
 
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
 
 
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
 
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
 
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
 
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
 
Securities registered pursuant to Section 12(b) of the Act:
 
Title of each Class
 
Trading Symbol(s)
 
Name of each exchange on which registered
Common stock, par value $0.001 per share
 
TBRG
 
The NASDAQ Stock Market LLC
 
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company          ☐
 
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.                                     ☐
 


 
Item 2.02.
Results of Operations and Financial Condition.
 
On March 10, 2025, TruBridge, Inc. issued a press release announcing financial information for the fourth quarter and year ended December 31, 2024. The press release is attached as Exhibit 99.1 to this Form 8-K and is furnished to, but not filed with, the Securities and Exchange Commission.
 
 
Item 9.01.
Financial Statements and Exhibits.
 
(d) Exhibits.  
     
 
ExhibitNumber
Exhibit
     
 
99.1
     
 
104
Cover Page Interactive Data File (embedded within the Inline XBRL document)
 


 
SIGNATURES
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
 
 
TRUBRIDGE, INC.
   
 
By:
/s/ Vinay Bassi
 
    Vinay Bassi  
    Chief Financial Officer and Treasurer  
 
 
Dated: March 10, 2025
 
 
EX-99.1 2 ex_787754.htm EXHIBIT 99.1 ex_787754.htm

Exhibit 99.1

 

 

 

image1.jpg

 

 

TRUBRIDGE ANNOUNCES FOURTH QUARTER AND FULL YEAR 2024 RESULTS AND PROVIDES INITIAL 2025 OUTLOOK

 

 

Revenue of $339.2 million for 2024 and $87.4 million in the fourth quarter

 

Net loss of $23.1 million for 2024 and $5.7 million in the fourth quarter

 

Adjusted EBITDA of $53.1 million for 2024 and $17.2 million in the fourth quarter

 

 

MOBILE, ALA. (March 10, 2025) – TruBridge, Inc. (NASDAQ: TBRG), a healthcare solutions company, today announced financial results for the fourth quarter and year ended December 31, 2024.

 

2024 Operational Highlights

 

Rebranded as TruBridge to pursue a more focused marketing strategy under one brand

 

Achieved total annual bookings of $82.1 million

 

Achieved solid organic growth in Financial Health (the revenue cycle management (RCM) business)

 

Improved the quality of the Company’s financial results, forecasting accuracy, and capital allocation strategy

 

Transitioned approximately 30% of Financial Health Complete Business Office (CBO) client base offshore

 

Improved cash flows with significant debt repayment resulting in reduced leverage ratio from 4x at year end 2023 to approximately 3x at year end 2024

 

Divested American Health Tech (AHT), the first divestiture in the Company’s history

 

Elevated role of general manager for Financial Health and Patient Care business units

 

Added Amy O’Keefe to the Board of Directors, deepening the financial expertise of the Board

 

Commenting on the results, Chris Fowler, chief executive officer of TruBridge, Inc., stated, “I’m proud of the progress we made over the course of 2024 and pleased to be reporting revenue and adjusted EBITDA ahead of our expectations for the year. We've successfully strengthened our financial operations and executed key strategic initiatives, including the successful transition of the first wave of clients to our global workforce, while maintaining our commitment to customer satisfaction and meaningfully reducing our leverage ratio.”

 

“Looking ahead to 2025, we are focused on enhancing customer satisfaction and retention, optimizing our operations, and expanding our sales pipeline. With new leadership in our Financial Health division and continued investment in our offshore capabilities, we believe that we are well positioned for success. Our commitment to innovation and operational excellence will drive our long-term success and deliver value to our stakeholders," concluded Fowler.

 

Fourth Quarter Financial 2024 Highlights*

All comparisons are to the quarter ended December 31, 2023, unless otherwise noted.

 

 

Total bookings of $14.3 million compared to $24.4 million

 

Total revenue of $87.4 million compared to $85.9 million

 

o

Recurring revenue represented 93.6% of total revenue

 

Financial Health revenue of $54.7 million compared to $51.0 million

 

o

Financial Health revenue represented 62.6% of TruBridge’s total revenue

 

GAAP net loss of $5.7 million and non-GAAP net income of $0.7 million

 

Adjusted EBITDA of $17.2 million compared to $12.0 million

 

-MORE-
 

 

TruBridge Announces Fourth and Full Year Quarter 2024 Results

Page 2

March 10, 2025

 

Full Year 2024 Financial Highlights*

All comparisons are to the year ended December 31, 2023, unless otherwise noted.

 

 

Total bookings of $82.1 million compared to $80.2 million

 

Total revenue of $339.2 million compared to $339.4 million

 

o

Recurring revenue represented 94.4% of total revenue

 

Financial Health revenue of $216.1 million compared to $193.9 million

 

o

Financial Health revenue represented 63.7% of TruBridge’s total revenue

 

GAAP net loss of $23.1 million and non-GAAP net income of $3.5 million

 

Adjusted EBITDA of $53.1 million compared to $47.6 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 previous Electronic Health Record (EHR) segment, including the patient engagement business.

 

Financial Guidance

 

For the first quarter of 2025, TruBridge expects to generate:

 

Total revenue between $85 million and $88 million

 

Adjusted EBITDA between $14 million and $16 million

 

For the full year 2025, TruBridge expects to generate:

 

Total revenue between $345 million and $360 million

 

Adjusted EBITDA between $59 million and $66 million

 

Conference Call

TruBridge will hold a conference call and live webcast to discuss fourth quarter and full year 2024 results on Monday, March 10, 2025, at 3:30 p.m. Central time/4:30 p.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.

 

Investor Relations Contact

Asher Dewhurst, ICR Westwicke

TBRGIR@westwicke.com

 

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TruBridge Announces Fourth and Full Year Quarter 2024 Results

Page 3

March 10, 2025

 

Media Contact

Tracey Schroeder

Chief Marketing Officer

Tracey.schroeder@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; 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 personnel in a global workforce; disruption from periodic restructuring of our sales force; potential delay in the development of markets for Financial Health services; 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 and investigations; our use of offshore third-party resources; competitive and litigation risk related to the use of artificial intelligence; potential failure to develop new products or enhance current products that keep pace with market demands; failure of our products to provide accurate and timely information for clinical decision-making; 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; failure to protect our intellectual property rights; exposure to significant license fees or damages for intellectual property infringement; 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; actions of activist stockholders against us; and other risk factors described from time to time in our public releases and reports filed with the Securities and Exchange Commission. 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.

 

-MORE-
 

 

TruBridge Announces Fourth and Full Year Quarter 2024 Results

Page 4

March 10, 2025

 

TruBridge, Inc.

Consolidated Statements of Operations

(In '000s, except per share data)

(Unaudited)

 

   

Three Months Ended December 31,

   

Twelve Months Ended December 31,

 
   

2024

   

2023

   

2024

   

2023

 

Revenues

                               

Financial Health

  $ 54,652     $ 50,956     $ 216,068     $ 193,929  

Patient Care

    32,708       34,912       123,098       145,506  

Total revenues

    87,360       85,868       339,166       339,435  
                                 

Expenses

                               

Costs of revenue (exclusive of amortization and depreciation)

                               

Financial Health

    27,840       28,731       116,891       110,192  

Patient Care

    13,220       14,963       51,640       65,676  

Total costs of revenue (exclusive of amortization and depreciation)

    41,060       43,694       168,531       175,868  

Product development

    7,827       10,347       34,456       37,246  

Sales and marketing

    6,708       6,143       27,059       28,049  

General and administrative

    19,341       21,682       76,992       76,153  

Amortization

    6,470       6,974       27,627       24,522  

Depreciation

    266       554       1,346       1,946  

Impairment of goodwill

    -       35,913       -       35,913  

Impairment of trademark intangibles

    -       2,342       -       2,342  

Total expenses

    81,672       127,649       336,011       382,039  
                                 

Operating income (loss)

    5,688       (41,781 )     3,155       (42,604 )
                                 

Other income (expense):

                               

Interest expense

    (3,820 )     (4,116 )     (16,169 )     (12,521 )

Other income (expense)

    (1,809 )     176       (670 )     745  

Total other income (expense)

    (5,629 )     (3,940 )     (16,839 )     (11,776 )
                                 

Income (loss) before taxes

    59       (45,721 )     (13,684 )     (54,380 )
                                 

Provision (benefit) for income taxes

    5,769       (3,247 )     9,400       (8,591 )
                                 

Net loss

  $ (5,710 )   $ (42,474 )   $ (23,084 )   $ (45,789 )
                                 

Net loss per common share—basic

  $ (0.38 )   $ (2.92 )   $ (1.55 )   $ (3.15 )

Net loss per common share—diluted

  $ (0.38 )   $ (2.92 )   $ (1.55 )   $ (3.15 )
                                 

Weighted average shares outstanding used in per common share computations:

                               

Basic

    14,330       14,205       14,300       14,187  

Diluted

    14,330       14,205       14,300       14,187  

 

-MORE-
 

 

 

TruBridge Announces Fourth and Full Year Quarter 2024 Results

Page 5

March 10, 2025

 

TruBridge, Inc.

Consolidated Balance Sheets

(In '000s, except per share data)

 

   

December 31,

2024
(Unaudited)

   

December 31,

2023

 

Assets

               

Current assets

               

Cash and cash equivalents

  $ 12,324     $ 3,848  

Accounts receivable, net of allowance for expected credit losses of $5,861 and $3,631

    53,753       59,723  

Current portion of financing receivables, net of allowance for expected credit losses of $417 and $319

    4,663       3,997  

Inventories

    767       475  

Prepaid income taxes

    2,886       1,628  

Prepaid expenses and other current assets

    15,275       15,807  

Assets held for sale

    606       25,977  

Total current assets

    90,274       111,455  
                 

Property & equipment, net

    2,294       8,974  

Software development costs, net

    41,474       39,139  

Operating lease right-of-use assets

    3,092       5,192  

Financing receivables, less current portion, less allowance for expected credit losses of $21 and $97

    232       1,226  

Other assets, less current portion

    7,786       7,314  

Intangible assets, net

    76,707       89,213  

Goodwill

    172,573       171,909  

Total assets

  $ 394,432     $ 434,422  
                 

Liabilities & Stockholders' Equity

               

Current liabilities

               

Accounts payable

  $ 15,040     $ 10,133  

Current portion of long-term debt

    2,980       3,141  

Deferred revenue

    10,653       8,677  

Accrued vacation

    4,770       5,410  

Income taxes payable

    3,538       -  

Other accrued liabilities

    15,994       19,892  

Liabilities held for sale

    -       977  

Total current liabilities

    52,975       48,230  
                 

Long-term debt, less current portion

    168,598       195,270  

Operating lease liabilities, less current portion

    2,293       3,074  

Deferred tax liabilities

    1,871       1,230  

Total liabilities

    225,737       247,804  
                 

Stockholders' Equity

               

Common stock, $0.001 par value; 30,000 shares authorized; 15,522 and 15,121 shares issued, respectively

    15       15  

Additional paid-in capital

    201,066       195,546  

Retained earnings (deficit)

    (14,952 )     8,132  

Accumulated other comprehensive income

    45       -  

Treasury stock, 619 and 572 shares

    (17,479 )     (17,075 )

Total stockholders' equity

    168,695       186,618  
                 

Total liabilities and stockholders' equity

  $ 394,432     $ 434,422  

 

-MORE-
 

 

 

TruBridge Announces Fourth and Full Year Quarter 2024 Results

Page 6

March 10, 2025

 

TruBridge, Inc.

Consolidated Statements of Cash Flows

(In '000s)

 

   

Twelve Months Ended December 31,

 
   

2024
(Unaudited)

   

2023

 

Operating activities:

               

Net loss

  $ (23,084 )   $ (45,789 )

Adjustments to net income:

               

Provision for expected credit losses

    3,669       1,920  

Deferred taxes

    1,859       (11,305 )

Stock-based compensation

    5,520       3,271  

Depreciation

    1,346       1,946  

Gain on sale of business

    (1,529 )     -  

Amortization of acquisition-related intangibles

    12,505       16,426  

Amortization of software development costs

    15,122       8,096  

Amortization of deferred finance costs

    504       359  

Impairment of goodwill

    -       35,913  

Impairment of trademark intangibles

    -       2,342  

Gain on contingent consideration

    (1,044 )     -  

Non-cash operating lease costs

    2,273       1,602  

Loss on disposal of property and equipment

    3,895       117  

Changes in operating assets and liabilities:

               

Accounts receivable

    3,574       (11,319 )

Financing receivables

    (68 )     2,659  

Inventories

    (292 )     309  

Prepaid expenses and other current assets

    3,576       (4,554 )

Accounts payable

    3,734       3,075  

Deferred revenue

    2,580       (2,913 )

Operating lease liabilities

    (1,842 )     (2,063 )

Other liabilities

    (2,411 )     1,894  

Income taxes, net

    2,248       (927 )

Net cash provided by operating activities

    32,135       1,059  
                 

Investing activities:

               

Sale of business, net of cash and cash equivalent sold

    21,410       -  

Proceeds from sale of property and equipment

    2,475       -  

Purchase of business, net of cash acquired

    (664 )     (36,705 )

Investment in software development

    (17,457 )     (23,059 )

Purchases of property and equipment

    (1,643 )     (346 )

Net cash provided by (used in) investing activities

    4,121       (60,110 )
                 

Financing activities:

               

Treasury stock purchases

    (404 )     (2,575 )

Payments of long-term debt principal

    (7,500 )     (3,500 )

Proceeds from revolving line of credit

    29,497       67,023  

Payments of revolving line of credit

    (48,803 )     (5,000 )

Debt issuance cost

    (529 )     -  

Net cash provided by (used in) financing activities

    (27,739 )     55,948  
                 

Increase (decrease) in cash and cash equivalents

    8,517       (3,103 )
                 

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

  $ 12,324     $ 3,848  

 

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TruBridge Announces Fourth and Full Year Quarter 2024 Results

Page 7

March 10, 2025

 

TruBridge, Inc.

Consolidated Bookings

(In '000s)

(Unaudited) (Non-GAAP)

 

   

Three Months Ended December 31,

   

Twelve Months Ended December 31,

 

In '000s

 

2024

   

2023 (3)

   

2024

   

2023 (3)

 

Financial Health(1)

  $ 8,515     $ 14,158     $ 48,860     $ 48,986  

Patient Care(2)

    5,750       10,287       33,214       31,253  
                                 

Total

  $ 14,265     $ 24,445     $ 82,074     $ 80,239  

 

(1)

Generally calculated as the annual contract value

 

(2)

Generally calculated as the total contract value for system sales and SaaS, and annual contract value for maintenance and support

 

(3)

Adjustment was made to the 2023 bookings, due to 3rd Party Software, and Forms and Supplies being doubled counted in the total Patient Care bookings.

 

 

 

TruBridge, Inc.

Bookings Composition

(In '000s, except per share data)

(Unaudited)

 

   

Three Months Ended December 31,

   

Twelve Months Ended December 31,

 
   

2024

   

2023 (4)

   

2024

   

2023 (4)

 

Financial Health

                               

Net new(1)

  $ 2,477     $ 7,507     $ 24,035     $ 21,318  

Cross-sell(1)

    6,038       6,650       24,825       27,668  

Patient Care

                               

Non-subscription sales(2)

    3,461       4,874       16,001       16,998  

Subscription revenue(3)

    2,289       5,414       17,213       14,255  
                                 

Total

  $ 14,265     $ 24,445     $ 82,074     $ 80,239  

 

(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.

 

-MORE-
 

 

 

TruBridge Announces Fourth and Full Year Quarter 2024 Results

Page 8

March 10, 2025

 

TruBridge, Inc.

Adjusted EBITDA - by Segment

(In '000s)

(Unaudited) (Non-GAAP)

 

   

Three Months Ended December 31,

   

Twelve Months Ended December 31,

 

In '000s

 

2024

   

2023

   

2024

   

2023

 

Financial Health

  $ 10,792     $ 6,596     $ 34,559     $ 24,800  

Patient Care

    6,448       5,388       18,531       22,776  
                                 

Total

  $ 17,240     $ 11,984     $ 53,090     $ 47,576  

 

 

 

 

TruBridge, Inc.

Reconciliation of Non-GAAP Financial Measures

(In '000s)

(Unaudited)

 

   

Three Months Ended December 31,

   

Twelve Months Ended December 31,

 

Adjusted EBITDA:

 

2024

   

2023

   

2024

   

2023

 

Net loss, as reported

  $ (5,710 )   $ (42,474 )   $ (23,084 )   $ (45,789 )

Net Income Margin

    (6.5% )     (49.5% )     (6.8% )     (13.5% )
                                 

Depreciation expense

    266       554       1,346       1,946  

Amortization of software development costs

    3,343       2,591       15,122       8,096  

Amortization of acquisition-related intangibles

    3,126       4,383       12,505       16,426  

Impairment of goodwill

    -       35,913       -       35,913  

Impairment of trademark intangibles

    -       2,342       -       2,342  

Stock-based compensation

    1,823       1,108       5,520       3,271  

Severance and other nonrecurring charges

    2,993       6,874       15,442       22,186  

Interest expense and other, net

    3,691       3,940       15,517       11,776  

Gain on contingent consideration

    -       -       (1,044 )     -  

Loss on disposal of property and equipment

    2,247       -       3,895       -  

Gain on sale of AHT

    (308 )     -       (1,529 )     -  

Provision (benefit) for income taxes

    5,769       (3,247 )     9,400       (8,591 )
                                 

Total Adjusted EBITDA

  $ 17,240     $ 11,984     $ 53,090     $ 47,576  

Adjusted EBITDA Margin

    19.7 %     14.0 %     15.7 %     14.0 %

 

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TruBridge Announces Fourth and Full Year Quarter 2024 Results

Page 9

March 10, 2025

 

TruBridge, Inc.

Reconciliation of Non-GAAP Financial Measures

(In '000s, except per share data)

(Unaudited)

 

   

Three Months Ended December 31,

   

Twelve Months Ended December 31,

 

Non-GAAP Net Income and Non-GAAP EPS:

 

2024

   

2023

   

2024

   

2023

 

Net income (loss), as reported

  $ (5,710 )   $ (42,474 )   $ (23,084 )   $ (45,789 )
                                 

Pre-tax adjustments for Non-GAAP EPS:

                               

Amortization of acquisition-related intangible assets

    3,126       4,383       12,505       16,426  

Stock-based compensation

    1,823       1,108       5,520       3,271  

Severance and other nonrecurring charges

    2,993       6,874       15,442       22,186  

Non-cash interest expense

    184       90       504       359  

Impairment of trademark intangibles

    -       2,342       -       2,342  

Impairment of goodwill

    -       35,913       -       35,913  

After-tax adjustments for Non-GAAP EPS:

                               

Tax-effect of pre-tax adjustments, at 21%

    (1,706 )     (3,107 )     (7,134 )     (9,363 )

Tax shortfall (windfall) from stock-based compensation

    5       -       772       65  

Gain on contingent consideration

    -       -       (1,044 )     -  
                                 

Non-GAAP net income

  $ 715     $ 5,129     $ 3,481     $ 25,410  
                                 

Weighted average shares outstanding, diluted

    14,330       14,205       14,300       14,187  
                                 

Non-GAAP EPS

  $ 0.05     $ 0.36     $ 0.24     $ 1.79  

 

 

 

TruBridge, Inc.

Patient Care Revenue Composition

(In '000s)

(Unaudited)

 

   

Three Months Ended December 31,

   

Twelve Months Ended December 31,

 
   

2024

   

2023

   

2024

   

2023

 

Recurring revenues - Patient Care

                               

Acute care

  $ 28,193     $ 28,640     $ 108,918     $ 117,060  

Post-acute care

    -       3,482       597       14,712  

Total recurring revenues - Patient Care

    28,193       32,122       109,515       131,772  
                                 

Non-recurring revenues - Patient Care

                               

Acute care

    4,515       2,447       13,513       12,316  

Post-acute care

    -       343       70       1,418  

Total non-recurring revenues - Patient Care

    4,515       2,790       13,583       13,734  
                                 

Total Patient Care revenues

  $ 32,708     $ 34,912     $ 123,098     $ 145,506  

 

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TruBridge Announces Fourth and Full Year Quarter 2024 Results

Page 10

March 10, 2025

 

Explanation of Non-GAAP Financial Measures

 

We report our financial results in accordance with accounting principles generally accepted in the United States of America, or “GAAP.” However, management believes that, in order to properly understand our short-term and long-term financial and operational trends, investors may wish to consider the impact of certain non-cash or non-recurring items, when used as a supplement to financial performance measures that are prepared in accordance with GAAP. These items result from facts and circumstances that vary in frequency and impact on continuing operations. Management uses these non-GAAP financial measures in order to evaluate the operating performance of the Company and compare it against past periods, make operating decisions, and serve as a basis for strategic planning. These non-GAAP financial measures provide management with additional means to understand and evaluate the operating results and trends in our ongoing business by eliminating certain non-cash expenses and other items that management believes might otherwise make comparisons of our ongoing business with prior periods more difficult, obscure trends in ongoing operations, or reduce management’s ability to make useful forecasts. In addition, management understands that some investors and financial analysts find these non-GAAP financial measures helpful in analyzing our financial and operational performance and comparing this performance to our peers and competitors.

 

We do not provide a reconciliation of the non-GAAP guidance measure Adjusted EBITDA for the fiscal year 2025 to net income for the fiscal year 2025, the most comparable GAAP financial measure, due to the inherent difficulty of forecasting certain types of expenses and gains, without unreasonable effort, which affect net income but not Adjusted EBITDA.

 

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) impairment of goodwill; (v) impairment of trademark intangibles; (vi) stock-based compensation; (vii) severance and other nonrecurring charges; (viii) interest expense and other, net; (ix) gain on contingent consideration; (x) loss on disposal of property and equipment; (xi) gain on sale of AHT; and (xii) 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 nonrecurring charges; (iv) non-cash interest expense; (v) impairment of trademark intangibles; (vi) impairment of goodwill; (vii) the total tax effect of items (i) through (vi); and (viii) gain on contingent consideration.

 

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.

 

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TruBridge Announces Fourth and Full Year Quarter 2024 Results

Page 11

March 10, 2025

 

 

Impairment of goodwill – Goodwill impairment charges are non-cash expenses that are the result of annual (and, if necessary, more frequently than annual) impairment tests required by GAAP. These impairment tests are required to be on a per-reporting-unit basis, with our accounting policy elections resulting in any impairment being the result of the reporting unit carrying value exceeding the estimated fair value. We exclude these non-cash goodwill impairment charges because we believe (i) such items are largely non-recurring in nature and (ii) the amount of such expenses in any specific period may not directly correlate to the underlying performance of our business operations.

 

Impairment of trademark intangibles – Impairment charges are non-cash expenses that are the result of tests required by GAAP whenever events or circumstances indicate that the carrying amount of the asset may not be recoverable. We exclude these non-cash impairment charges because we believe (i) such items are largely non-recurring in nature and (ii) the amount of such expenses in any specific period may not directly correlate to the underlying performance of our business operations.

 

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.

 

Gain on 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 disposal of property and equipment: 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 a 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.

 

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