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TruBridge(TBRG) - 2025 Q1 - Earnings Call Transcript
2025-05-07 21:32
Financial Data and Key Metrics Changes - Adjusted EBITDA nearly doubled to $18,200,000 from $10,000,000 year-over-year, with cash flow from operations increasing over $7,000,000, and net leverage ratio improved to 2.4 times from 4.4 times [4][5][20] - Revenue for the quarter was $87,200,000, reflecting a year-over-year increase of 3.7%, with adjusted EBITDA margin at 20.9%, up 860 basis points from the prior year [24][27] Business Line Data and Key Metrics Changes - Bookings totaled $22,000,000, down from $24,000,000 year-over-year, but up from $14,000,000 in Q4 2024, with financial health bookings at $13,000,000, a 50% sequential increase [6][8] - Patient care bookings were $9,000,000, a 60% sequential increase, with customer retention at 98% excluding Sentric [8][15] Market Data and Key Metrics Changes - Financial health represented 64% of total revenue at $56,100,000, a 5% increase year-over-year, while patient care revenue was $31,100,000, up 1.3% year-over-year [25][26] - Gross margins improved to 54.7%, with financial health gross margins at 51.6%, up 700 basis points, while patient care gross margins remained flat at 60.4% [26][27] Company Strategy and Development Direction - The company is focusing on enhancing customer service and operational efficiency, with plans to standardize global hiring processes and increase offshore support to 60% by the end of 2025 [12][14] - There is a clear demand for automation in revenue cycle management, with plans to leverage AI to drive improvements [13][14] Management's Comments on Operating Environment and Future Outlook - Management noted a cautious sentiment among customers due to policy uncertainties and potential changes in Medicare expansion and reimbursement [36][38] - The company remains committed to improving profitability and cash flow management, with expectations for continued revenue growth despite external challenges [19][29] Other Important Information - The company will transition to reporting bookings solely on an annual contract value (ACV) basis by 2026, which is expected to clarify revenue potential [9][24] - Cash from operations was $5,400,000, with accounts receivable down 12% and days sales outstanding (DSO) improving by twelve days year-over-year [20][28] Q&A Session Summary Question: How are policy changes affecting customer purchasing decisions? - Management indicated that while there is caution among customers due to policy uncertainties, they have not seen immediate impacts on sales cycles [34][36] Question: What are the expected net savings from reducing staffing duplicity? - Expected savings from offshore staffing are projected in the mid-single-digit millions for the full year, with ongoing evaluations of staffing efficiency [40][42] Question: Can you elaborate on Meredith's plan for client retention? - The focus is on enhancing client satisfaction and retention through improved operational efficiency and quality output from the offshore team [47][49] Question: What is the strategy regarding automation and offshore labor? - The company aims for a 60% offshore staffing mix while continuing to invest in automation to improve efficiency and standardization of processes [51][53] Question: How should we view the decline in non-subscription patient care bookings? - The shift to a SaaS model has affected the revenue structure, with a focus on recurring revenue rather than one-time fees [68][70] Question: Were the recent financial health deals concentrated in the lower or upper end of the 100-400 bed range? - One deal was just over 100 beds, while the other was closer to the upper end, indicating a balanced approach in targeting this market segment [73][75]
TruBridge(TBRG) - 2024 Q4 - Earnings Call Transcript
2025-03-11 00:01
Financial Data and Key Metrics Changes - In Q4 2024, the company reported revenue of $87.4 million, an increase of 2% year-over-year, and adjusted EBITDA of $17.2 million, which was a 44% increase compared to the previous year [8][10]. - The full year revenue for 2024 was $339 million, with adjusted EBITDA of $53 million, exceeding the high end of guidance ranges [10][56]. - Cash flow from operations improved to $10.3 million in Q4, a $23 million increase compared to the previous year, and full year cash flow from operations reached $32 million, up from just over $1 million in 2023 [9][38]. Business Line Data and Key Metrics Changes - Financial Health revenue for Q4 was $54.7 million, up 7.3% year-over-year, representing approximately 63% of total revenue, driven by core CBO offerings and Viewgol [49]. - Patient Care revenue decreased by 6.3% year-over-year to $32.7 million, impacted by the divestiture of AHT and the sunsetting of Centriq, although excluding these, revenue was higher year-over-year [50]. - Total bookings for the year were $82 million, with Financial Health bookings flat year-over-year at $49 million and Patient Care bookings up 6% to $33 million [54][56]. Market Data and Key Metrics Changes - The company noted that 75% of the time, no decision remains the reason for not closing a deal, rather than losing to a competitor, indicating a potential market opportunity [17]. - The market for hospitals with 100 to 400 beds grew from 5% to over 20% of financial health opportunities in the pipeline from 2023 to 2024 [16]. Company Strategy and Development Direction - The company plans to continue focusing on improving customer satisfaction, retention, and profitability while expanding its presence in the 100 to 400 bed hospital market [18][34]. - A new leadership was brought in for the financial health business unit to enhance customer satisfaction and pipeline expansion [19][20]. - The company aims to double the percentage of CBO clients supported by the global workforce from 30% to 60% by the end of 2025 [24]. Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the future, despite some uncertainty regarding healthcare funding changes from the government, which could impact deal timing [13][106]. - The company expects to achieve mid-single digit revenue growth and EBITDA margins in the mid-20s over the next few years [32][60]. - Management highlighted the importance of improving forecasting and accounting processes to enhance predictability and control [46][47]. Other Important Information - The company reduced its leverage ratio from over 4 times to 3 times and plans to continue de-levering [11][40]. - Total gross margins improved to 53% in Q4, up 390 basis points year-over-year, with Financial Health gross margins at 49.1% and Patient Care gross margins at 59.6% [51][52]. Q&A Session Summary Question: Can you speak to the visibility on closing remaining deals expected to close in Q4? - Management indicated that some deals were delayed due to uncontrollable factors but remain optimistic about closing them in the first half of 2025 [64][66]. Question: What are the expectations for sales and marketing initiatives in 2025? - The company plans to increase investments in marketing to enhance brand exposure and drive cross-sell opportunities, particularly targeting hospitals that do not currently use their EHR [68][70]. Question: How does the company view the growth among its two segments for 2025? - Financial Health is expected to be the primary growth driver, while Patient Care is anticipated to see low single-digit growth [85][87]. Question: Can you provide insights on the demand environment and metrics like pipeline and win rate? - The company noted that about 40% of bookings come from opportunities opened and closed within the same quarter, and the win rate is above 50% when excluding no-decision outcomes [89][95]. Question: How does the company plan to handle the 60 renewals in 2025? - The renewals are spread throughout the year, and the company is focused on ensuring customer satisfaction to retain these clients [99][103].