TruBridge(TBRG) - 2019 Q2 - Earnings Call Transcript

Financial Data and Key Metrics Changes - Q2 2019 revenue and earnings were relatively aligned with expectations, with a nearly 3% decrease in revenues compared to Q2 2018, while adjusted EBITDA increased by 28% and non-GAAP net income increased by 48% [36][37] - Operating cash flows for Q2 2019 were $9.6 million, more than doubling the $4.7 million in Q2 2018, and trailing 12-month operating cash flows reached approximately $33.6 million compared to $15.6 million a year ago [38][39] - The company identified $10 million in cost savings during 2018 and $3 million in 2019, contributing to increased profitability despite revenue fluctuations [35] Business Line Data and Key Metrics Changes - TruBridge bookings experienced a decline of 27% sequentially and 51% year-over-year, while software bookings saw a 19% sequential increase due to improved deal flow for new acute care EHR business [46][47] - The acute EHR system sales within the community market have slowed, with a focus on improving client experience to maintain strong retention rates [15][16] - TruBridge revenues increased by 5% year-over-year, driven by strong volumes in accounts receivable management services [52] Market Data and Key Metrics Changes - The decision-making timeframe for acute EHR systems has more than doubled since 2016, impacting bookings and sales [19] - The company reported a decent increase in post-acute bookings, indicating positive results from improved user experience and workflow [20] - The competitive landscape includes increased activity among existing customers of competitors, with CPSI primarily competing against Cerner and MEDITECH [84] Company Strategy and Development Direction - The acquisition of Get Real Health is aimed at enhancing patient engagement solutions and expanding capabilities in the growing market for chronic care management [22][40] - The company is focusing on providing flexible ownership models to accommodate community hospitals' preferences, including an intra-subscription model [17] - CPSI aims to leverage its core business stability while pursuing growth opportunities and helping clients thrive [65] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about future growth prospects based on the strength of the pipeline, despite challenges in decision-making timelines [35][64] - The company anticipates that the lag in decision-making may lead to opportunities for closing deals in the second half of the year [95] - Management acknowledged the need to navigate a slow decision-making environment to reach long-term growth targets [64] Other Important Information - The company hosted its National Client Conference, which welcomed over 1,000 clients and provided education on product vision and strategy [21] - GRH's contribution to adjusted EBITDA was a loss of $600,000 for Q2, with expectations for potential positive contributions in the future [42][44] - The effective tax rate for Q2 was 22.2%, relatively in line with the previous quarter [62] Q&A Session Summary Question: Impact of regulatory changes on decision-making - Management indicated that regulatory changes are minimal, with the exception of the post-acute market, and emphasized the lack of urgency in decision-making [68][70] Question: Expectations for new facility installations - Management remains optimistic about achieving around 25 installations for the year, based on current pipeline visibility [71] Question: TruBridge revenue growth expectations - Management expects TruBridge revenue growth to be between 5% to 7% for the year, acknowledging challenges from recent client operational decisions [106] Question: Competitive environment insights - Management noted that competitors are not actively pursuing new sales opportunities, focusing instead on retaining existing customers [84] Question: Cost savings and financial receivables - Management confirmed that nearly all identified cost savings are flowing through the P&L, with expectations for continued cash contributions from financing receivables [117] Question: Get Real Health revenue expectations - Management clarified that Get Real Health's 2018 revenue was reported under ASC 605, and future revenues may fluctuate under ASC 606 [119]