TruBridge Announces Fourth Quarter and Full Year 2025 Results

MOBILE, Ala.–(BUSINESS WIRE)–TruBridge, Inc. (NASDAQ: TBRG) (“TruBridge”), a leading provider of healthcare technology solutions for rural and community hospitals, today announced financial results for the fourth quarter and year ended December 31, 2025.

TruBridge Logo Horizontal
TruBridge Logo Horizontal

Fourth Quarter Financial 2025 Highlights

All comparisons are to the quarter ended December 31, 2024, unless otherwise noted.

  • Total bookings of $19.8 million compared to $14.3 million
  • Total revenue of $87.2 million compared to $88.1 million
    • Recurring revenue represented 94% of total revenue
  • Financial Health revenue of $56.2 million compared to $55.0 million
    • Financial Health revenue represented 65% of total revenue
  • GAAP net loss of $5.5 million compared to net loss of $5.1 million
  • Non-GAAP net income of $11.4 million compared to $1.1 million
  • Adjusted EBITDA of $19.2 million compared to $17.9 million

Full Year 2025 Financial Highlights

All comparisons are to the year ended December 31, 2024, unless otherwise noted.

  • Total bookings of $82.9 million compared to $82.1 million
  • Total revenue of $346.8 million compared to $342.2 million
    • Recurring revenue represented 94% of total revenue
  • Financial Health revenue of $221.7 million compared to $217.4 million
    • Financial Health revenue represented 64% of total revenue
  • GAAP net income of $4.4 million compared to net loss of $20.9 million
  • Non-GAAP net income of $38.5 compared to $4.6 million
  • Adjusted EBITDA of $68.7 million compared to $55.9 million

Commenting on the results, Chris Fowler, chief executive officer of TruBridge, stated, “Throughout 2025, we continued to improve the quality of our earnings and strengthen our operational foundation through cost management and execution of our offshoring strategy, resulting in ongoing margin enhancement. The organizational changes we have undertaken have positioned us to drive improved customer satisfaction and results for shareholders.

“As we look to 2026, we remain focused on the fundamentals while strategically pursuing a targeted AI initiative across the organization to enhance our offerings, modernize our technology infrastructure, and deliver an improved customer experience. We’re making steady progress on our operational priorities and remain committed to continuous improvement,” concluded Fowler.

We have been engaged in a strategic review process over the past several months with the assistance of outside financial and legal advisors, and we have considered a wide range of alternatives to maximize shareholder value, including, but not limited to, the sale of all or part of the Company or its assets, a joint venture or other business combination, share repurchases and organic growth investments. There can be no assurance that any transaction will be entered into or consummated in connection with these discussions or the strategic review process. We do not intend to make further announcements or provide more detailed commentary regarding the review process unless and until our Board of Directors approves a specific transaction, investment or strategy or otherwise determines that further disclosure is legally required or appropriate.

Revision of Previously Issued Financial Statements

During the preparation of the financial statements for the fiscal year ended December 31, 2025, the Company’s management identified immaterial misstatements affecting its previously issued consolidated financial statements as of and for the years ended December 31, 2024 and December 31, 2023, and the condensed consolidated financial statements for the quarters ended March 31, June 30, and September 30, 2025. These misstatements were related primarily to the timing of revenue recognition and associated contract costs, and the recognition of capitalized software development costs, as well as other unrelated immaterial misstatements. As a result, the Company made revisions to its previously issued consolidated financial statements for the years ended December 31, 2024 and December 31, 2023, filed within the Company’s Annual Report on Form 10-K for the year ended December 31, 2025, in order to recognize such revenues and costs in the appropriate fiscal year.

The Company assessed the materiality of these errors on the prior period consolidated financial statements in accordance with SEC Staff Accounting Bulletin (“SAB”) No. 99 (Topic 1M), “Materiality” and SAB No. 108 (Topic 1N), “Considering the Effects of Prior Year Misstatements when Quantifying Misstatements in the Current Year Financial Statements.” In its assessment, the Company concluded based on quantitative and qualitative analysis that these errors were not material to the Company’s consolidated financial statements for the 2025, 2024, and 2023 fiscal years or any interim periods therein.

Conference Call

TruBridge will hold a conference call and live webcast to discuss fourth quarter and full year 2025 results on Tuesday, March 31, 2026, 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

TruBridge proudly supports rural and community hospitals and providers in their efforts to stay strong, independent, and deeply rooted in the communities they serve. Backed by more than 45 years of healthcare experience and trusted by over 1,500 clients nationwide, TruBridge offers a mix of technology, services, and strategic expertise — including revenue cycle management (RCM), electronic health records (EHR) and analytics — all designed singularly for the realities of rural and community healthcare. With a steadfast commitment to keeping care local, TruBridge helps hospitals flourish as the economic heart of their communities, delivering high-quality, personal care close to home. For more information, 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; 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; slower than anticipated development of the market for Financial Health services; potential inability to properly manage growth in new markets we may enter; potential failure to effectively implement a new enterprise resource planning software solution; exposure to numerous and often conflicting laws, regulations, policies, standards or other requirements through our domestic and 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 inability to identify and implement any strategic alternatives in a timely manner or at all; 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; 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 various factors; 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; we do not anticipate paying dividends on our common stock; 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.

TruBridge, Inc.
Condensed Consolidated Statements of Operations
(In ‘000s, except per share data)
(Unaudited)
Three Months Ended December 31, Twelve Months Ended December 31,

2025

2024*

2025

2024*
Revenues
Financial Health

$

56,239

 

$

54,976

 

$

221,657

 

$

217,366

 

Patient Care

 

30,953

 

 

33,143

 

 

125,179

 

 

124,839

 

Total revenues

 

87,192

 

 

88,119

 

 

346,836

 

 

342,205

 

 
Expenses
Costs of revenue (exclusive of amortization and depreciation)
Financial Health

 

28,069

 

 

27,802

 

 

113,891

 

 

116,738

 

Patient Care

 

12,706

 

 

13,355

 

 

49,083

 

 

52,182

 

Total costs of revenue (exclusive of amortization and depreciation)

 

40,775

 

 

41,157

 

 

162,974

 

 

168,920

 

Product development

 

8,027

 

 

8,075

 

 

32,557

 

 

35,449

 

Sales and marketing

 

4,386

 

 

6,420

 

 

23,509

 

 

25,907

 

General and administrative

 

23,719

 

 

19,341

 

 

80,687

 

 

76,992

 

Amortization

 

6,284

 

 

6,368

 

 

25,185

 

 

27,220

 

Depreciation

 

246

 

 

266

 

 

1,092

 

 

1,346

 

Total expenses

 

83,437

 

 

81,627

 

 

326,004

 

 

335,834

 

 
Operating income

 

3,755

 

 

6,492

 

 

20,832

 

 

6,371

 

 
Other (expense) income :
Interest expense

 

(2,866

)

 

(3,820

)

 

(12,316

)

 

(16,169

)

Other income (expense)

 

(5,213

)

 

(1,809

)

 

(4,647

)

 

(670

)

Total other expense

 

(8,079

)

 

(5,629

)

 

(16,963

)

 

(16,839

)

 
Income (loss) before taxes

 

(4,324

)

 

863

 

 

3,869

 

 

(10,468

)

 
(Benefit from) provision for income taxes

 

1,185

 

 

5,952

 

 

(485

)

 

10,477

 

 
Net income (loss)

$

(5,509

)

$

(5,089

)

$

4,354

 

$

(20,945

)

 
Net income (loss) per common share—basic

$

(0.37

)

$

(0.34

)

$

0.29

 

$

(1.41

)

Net income (loss) per common share—diluted

$

(0.37

)

$

(0.34

)

$

0.29

 

$

(1.41

)

 
Weighted average shares outstanding used in per common share computations:
Basic

 

14,531

 

 

14,330

 

 

14,488

 

 

14,300

 

Diluted

 

14,531

 

 

14,330

 

 

14,488

 

 

14,300

 

 
*As described above, certain line items have been revised to correct errors related primarily to the timing of revenue recognition and associated contract costs, and the recognition of capitalized software development costs, as well as other unrelated immaterial misstatements. As a result, the Company made revisions to its previously issued consolidated financial statements for the three months and twelve months ended December 31, 2024, in order to recognize such revenues and costs in the appropriate fiscal period.
TruBridge, Inc.
Condensed Consolidated Balance Sheets
(In ‘000s, except per share data)
December 31, 2025 December 31, 2024*
Assets
Current assets
Cash and cash equivalents

$

24,850

 

$

12,324

 

Accounts receivable, net of allowance for expected credit losses of $6,003 and $5,861

 

54,970

 

 

52,952

 

Current portion of financing receivables, net of allowance for expected credit losses of $606 and $417

 

2,437

 

 

4,663

 

Inventories

 

623

 

 

767

 

Prepaid income taxes

 

7,240

 

 

2,991

 

Prepaid expenses and other current assets

 

14,078

 

 

19,386

 

Assets held for sale

 

445

 

 

606

 

Total current assets

 

104,643

 

 

93,689

 

 
Property & equipment, net

 

2,476

 

 

2,294

 

Software development costs, net

 

42,262

 

 

39,451

 

Operating lease right-of-use assets

 

2,010

 

 

3,092

 

Financing receivables, less current portion, less allowance for expected credit losses of $256 and $21

 

494

 

 

232

 

Other assets, less current portion

 

13,553

 

 

7,786

 

Intangible assets, net

 

64,517

 

 

76,707

 

Goodwill

 

172,573

 

 

172,573

 

Total assets

$

402,528

 

$

395,824

 

 
Liabilities & Stockholders’ Equity
Current liabilities
Accounts payable

$

19,554

 

$

15,040

 

Current portion of long-term debt

 

3,384

 

 

2,980

 

Current portion of deferred revenue

 

9,210

 

 

13,678

 

Accrued vacation

 

4,882

 

 

4,770

 

Income taxes payable

 

235

 

 

3,538

 

Other accrued liabilities

 

20,694

 

 

15,994

 

Total current liabilities

 

57,959

 

 

56,000

 

 
Long-term debt, less current portion

 

161,241

 

 

168,598

 

Operating lease liabilities, less current portion

 

1,346

 

 

2,293

 

Other long-term liabilities

 

1,438

 

 

 

Deferred tax liabilities, net

 

2,583

 

 

1,863

 

Total liabilities

 

224,567

 

 

228,754

 

 
Stockholders’ Equity
Common stock, $0.001 par value; 30,000 shares authorized; 15,677 and 15,522 shares issued

 

15

 

 

15

 

Additional paid-in capital

 

209,727

 

 

201,066

 

Accumulated deficit

 

(12,223

)

 

(16,577

)

Accumulated other comprehensive (loss) income

 

(133

)

 

45

 

Treasury stock, 689 and 619 shares

 

(19,425

)

 

(17,479

)

Total stockholders’ equity

 

177,961

 

 

167,070

 

 
Total liabilities and stockholders’ equity

$

402,528

 

$

395,824

 

 
*As described above, certain line items have been revised to correct errors related primarily to the timing of revenue recognition and associated contract costs, and the recognition of capitalized software development costs, as well as other unrelated immaterial misstatements. As a result, the Company made revisions to its previously issued consolidated financial statements for the three months and twelve months ended December 31, 2024, in order to recognize such revenues and costs in the appropriate fiscal period.
TruBridge, Inc.
Condensed Consolidated Statements of Cash Flows
(In ‘000s)
 
Twelve Months Ended December 31,

2025

2024*
Operating activities:
Net income (loss)

$

4,354

 

$

(20,945

)

Adjustments to net income (loss):
Provision for credit losses

 

3,002

 

 

3,669

 

Deferred taxes

 

716

 

 

2,205

 

Stock-based compensation

 

8,661

 

 

5,520

 

Depreciation

 

1,092

 

 

1,346

 

Gain on sale of business

 

(53

)

 

(1,529

)

Amortization of acquisition-related intangibles

 

12,190

 

 

12,505

 

Amortization of software development costs

 

12,995

 

 

14,715

 

Amortization of deferred finance costs

 

512

 

 

504

 

Change in fair value of contingent consideration

 

5,000

 

 

(1,044

)

Loss on extinguishment of debt

 

304

 

 

 

Non-cash operating lease costs

 

1,106

 

 

2,273

 

(Gain) loss on disposal of property and equipment

 

(120

)

 

3,895

 

Changes in operating assets and liabilities:
Accounts receivable

 

(4,758

)

 

895

 

Financing receivables

 

1,701

 

 

(68

)

Inventories

 

144

 

 

(292

)

Prepaid expenses and other assets

 

(2,956

)

 

2,475

 

Accounts payable

 

4,965

 

 

3,734

 

Deferred revenue

 

(3,490

)

 

2,557

 

Operating lease liabilities

 

(1,143

)

 

(1,842

)

Other liabilities

 

(167

)

 

(2,411

)

Income taxes, net

 

(7,089

)

 

2,979

 

Net cash provided by operating activities

 

36,966

 

 

31,141

 

 
Investing activities:
Purchase of business, net of cash acquired

 

 

 

(664

)

Sale of business, net of cash and cash equivalent sold

 

2,102

 

 

21,410

 

Proceeds from sale of property and equipment

 

300

 

 

2,475

 

Investment in software development

 

(15,806

)

 

(16,463

)

Purchases of property and equipment

 

(1,321

)

 

(1,643

)

Net cash (used in) provided by investing activities

 

(14,725

)

 

5,115

 

 
Financing activities:
Proceeds from long-term debt

 

70,000

 

 

 

Payments of long-term debt principal

 

(57,250

)

 

(7,500

)

Proceeds from revolving line of credit

 

112,868

 

 

29,497

 

Payments of revolving line of credit

 

(131,784

)

 

(48,803

)

Debt issuance cost

 

(1,603

)

 

(529

)

Treasury stock purchases

 

(1,946

)

 

(404

)

Net cash used in financing activities

 

(9,715

)

 

(27,739

)

 
Increase in cash and cash equivalents

 

12,526

 

 

8,517

 

 
Change in cash and cash equivalents included in assets sold

 

 

 

(41

)

Cash and cash equivalents, beginning of period

 

12,324

 

 

3,848

 

Cash and cash equivalents, end of period

$

24,850

 

$

12,324

 

 
*As described above, certain line items have been revised to correct errors related primarily to the timing of revenue recognition and associated contract costs, and the recognition of capitalized software development costs, as well as other unrelated immaterial misstatements. As a result, the Company made revisions to its previously issued consolidated financial statements for the three months and twelve months ended December 31, 2024, in order to recognize such revenues and costs in the appropriate fiscal period.
TruBridge, Inc.
Consolidated Bookings
(In ‘000s)
(Unaudited)
 
Three Months Ended December 31, Twelve Months Ended December 31,
In ‘000s

2025

2024

2025

2024

Financial Health(1)

$

11,735

$

8,515

$

47,727

$

48,860

Patient Care(2)

 

8,096

 

5,750

 

35,201

 

33,214

 
Total Bookings

$

19,831

$

14,265

$

82,928

$

82,074

 

(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
 
 
 
Annual Contract Value
Effective January 2025, the Company began providing bookings on an Annual Contract Value (“ACV”) basis in addition to the reported bookings amounts, which has historically represented a mix of ACV and Total Contract Value (“TCV”) for Patient Care. This new methodology of reporting total bookings at ACV represents the newly contracted revenue that is expected to be recognized over a twelve-month period. Over the course of 2025, the Company has provided total bookings under both methodologies for year over year comparability before fully transitioning to ACV in 2026.

The below table represents bookings at the ACV methodology for the three and twelve months ended December 31, 2025:

 
Three Months Ended
December 31,
Twelve Months Ended
December 31,
In ‘000s

2025

2025

Financial Health

$

11,735

$

47,727

Patient Care

 

7,136

 

23,162

 
Total Bookings (ACV)

$

18,871

$

70,889

TruBridge, Inc.
Bookings Composition
(In ‘000s, except per share data)
(Unaudited)
 
Three Months Ended December 31, Twelve Months Ended December 31,
In ‘000s

2025

2024

2025

2024

Financial Health
Net new(1)

$

2,844

$

2,477

$

16,008

$

24,035

Cross-sell(1)

 

8,891

 

6,038

 

31,719

 

24,825

Patient Care
Non-subscription sales(2)

 

4,199

 

3,461

 

13,472

 

16,001

Subscription revenue(3)

 

3,897

 

2,289

 

21,729

 

17,213

 
Total Bookings

$

19,831

$

14,265

$

82,928

$

82,074

 

(1)

“Net new” represents bookings from outside the Company’s core client base, and “Cross-sell” represents bookings from existing 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 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.
 
 
Annual Contract Value
Effective January 2025, the Company began providing bookings on an Annual Contract Value (“ACV”) basis in addition to the reported bookings amounts, which has historically represented a mix of ACV and Total Contract Value (“TCV”) for Patient Care. This new methodology of reporting total bookings at ACV represents the newly contracted revenue that is expected to be recognized over a twelve-month period. Over the course of 2025, the Company has provided total bookings under both methodologies for year over year comparability before fully transitioning to ACV in 2026.

The below table represents bookings at the ACV methodology for the three and twelve months ended December 31, 2025:

 
Three Months Ended
December 31,
Twelve Months Ended
December 31,
In ‘000s

2025

2025

Financial Health
Net new(1)

$

2,844

$

16,008

Cross-sell(1)

 

8,891

 

31,719

Patient Care
Non-subscription sales(2)

 

4,199

 

13,473

Subscription revenue(3)

 

2,937

 

9,689

 
Total Bookings (ACV)

$

18,871

$

70,889

TruBridge, Inc.
Adjusted EBITDA – by Segment
(In ‘000s)
(Non-GAAP)
 
(Unaudited)
Three Months Ended December 31, Twelve Months Ended December 31,
In ‘000s

2025

2024*

2025

2024*
Financial Health

$

12,233

11,365

$

39,978

$

36,845

Patient Care

 

6,969

6,578

 

28,691

 

19,054

 
Total Adjusted EBITDA

$

19,202

17,943

$

68,669

$

55,899

 
*As described above, certain line items have been revised to correct errors related primarily to the timing of revenue recognition and associated contract costs, and the recognition of capitalized software development costs, as well as other unrelated immaterial misstatements. As a result, the Company made revisions to its previously issued consolidated financial statements for the three months and twelve months ended December 31, 2024, in order to recognize such revenues and costs in the appropriate fiscal period.
TruBridge, Inc.
Reconciliation of Non-GAAP Financial Measures
(In ‘000s)
(Unaudited)
Three Months Ended December 31, Twelve Months Ended December 31,
Adjusted EBITDA:

2025

2024*

2025

2024*
Net income (loss), as reported

$

(5,509

)

$

(5,089

)

$

4,354

 

$

(20,945

)

Net Income (Loss) Margin

 

(6.3

%)

 

(5.8

%)

 

1.3

%

 

(6.1

%)

 
(Benefit from) provision for income taxes

 

1,185

 

 

5,952

 

 

(485

)

 

10,477

 

Income (loss) before taxes, as reported

 

(4,324

)

 

863

 

 

3,869

 

 

(10,468

)

 
Depreciation expense

 

246

 

 

266

 

 

1,092

 

 

1,346

 

Amortization of software development costs

 

3,238

 

 

3,242

 

 

12,995

 

 

14,715

 

Amortization of acquisition-related intangibles

 

3,046

 

 

3,126

 

 

12,190

 

 

12,505

 

Stock-based compensation

 

3,562

 

 

1,823

 

 

8,661

 

 

5,520

 

Severance and other nonrecurring charges

 

5,355

 

 

2,993

 

 

12,899

 

 

15,442

 

Interest expense and other, net

 

3,079

 

 

3,691

 

 

12,136

 

 

15,517

 

Change in fair value of contingent consideration

 

5,000

 

 

 

 

5,000

 

 

(1,044

)

(Gain) loss on disposal of property and equipment

 

 

 

2,247

 

 

(120

)

 

3,895

 

Gain on sale of AHT

 

 

 

(308

)

 

(53

)

 

(1,529

)

 
Total Adjusted EBITDA

$

19,202

 

$

17,943

 

$

68,669

 

$

55,899

 

Adjusted EBITDA Margin

 

22.0

%

 

20.4

%

 

19.8

%

 

16.3

%

 
*As described above, certain line items have been revised to correct errors related primarily to the timing of revenue recognition and associated contract costs, and the recognition of capitalized software development costs, as well as other unrelated immaterial misstatements. As a result, the Company made revisions to its previously issued consolidated financial statements for the three months and twelve months ended December 31, 2024, in order to recognize such revenues and costs in the appropriate fiscal period.

Contacts

Investor Relations Contact
Asher Dewhurst, ICR Healthcare

[email protected]

Media Contact
Jamie Gier, TruBridge

[email protected]

Read full story here

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