TruBridge Q1 2024 Earnings Call Transcript

Quartr
Provided by Quartr
May 10, 2024

Key Takeaways

  • Q1 performance: TruBridge delivered $83.2 million in revenue (midpoint of guidance) and $9.5 million in adjusted EBITDA (top of guidance), reflecting solid execution across sales and finance.
  • Strong bookings: Total bookings reached $23 million, driven by $14.4 million in RCM deals (including a large ambulatory network) and $8.6 million in EHR contracts, highlighting momentum in the nTrust integrated offering.
  • Revised revenue guidance: Full-year 2024 revenue outlook was lowered to $330 million–$340 million (from $340 million–$350 million) due to longer implementation timelines, while adjusted EBITDA guidance remains unchanged at $45 million–$50 million.
  • Cost savings program: Management has identified $5 million of quarterly savings in 2024 (annualized $8 million) through project shutdowns, headcount optimization and vendor rationalization, with benefits starting in Q2.
  • Strategic partnerships: New alliances with Microsoft Nuance Dragon (speech recognition) and MultiView (financial management) will enhance TruBridge’s EHR and ERP suites without heavy internal investment and open additional revenue streams.
AI Generated. May Contain Errors.
Earnings Conference Call
TruBridge Q1 2024
00:00 / 00:00

There are 8 speakers on the call.

Operator

Good morning, and welcome to the TruBridge First Quarter 2024 Earnings Conference Call. Leading today's call are Chris Fowler, President and Chief Executive Officer and Vinay Bassey, Chief Financial Officer. This call may include statements regarding future operating plans, expectations and performance that constitute forward looking statements made pursuant to the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995. The company cautions you that any such forward looking statements only reflect management expectations and predictions based upon currently available information and are not guarantees of future results or performance. Actual results may differ materially from those expressed or implied by such forward looking statements as a result of known and unknown risks, uncertainties and other factors, including those described in public releases and reports filed with the Securities and Exchange Commission, including, but not limited to, the most recent annual report on Form 10 ks.

Operator

The company also cautions investors that the forward looking information provided in this call represents their outlook only as of this date, and they undertake no obligation to update or revise any forward statements to reflect events or developments after the date of this call. At this time, I will turn the call over to Mr. Chris Fowler, President and Chief Executive Officer. Please go ahead, sir.

Speaker 1

Thanks, Drew, and thank you to everyone for joining us this morning. We began our transformation 18 months ago, we identified 4 areas to focus on delivered results: sales execution, financial reporting and insights, operational excellence and increased rigor in our capital investments. To date, we're pleased with the momentum across all four of these areas and I'd like to start today's call by spending particular time diving in a bit deeper on our strong bookings and our progress in our financial operations. Our revenue in the Q1 was $83,200,000 which is right in the middle of our guidance range and our adjusted EBITDA was $9,500,000 at the top of our guidance range. Vinay will dig a little deeper into our financial results and specifics of our outlook for 2024.

Speaker 1

Moving on to bookings, we had a strong first quarter, which came in at $23,000,000 and were driven by both wins in RCM and our EHR and serves as testaments to the improvements we've made in our sales efforts. In previous quarters, I described how moving to a pipeline with larger deals created timing complexity in terms of the date they signed the contract to implementation. Well, this quarter and similar to Q4, we are seeing those larger opportunities start to break free and the impact of its time. We had $14,400,000 of RCM bookings this quarter, which included a couple of rather large deals. 1 is for a large ambulatory network with over 20 physician practices.

Speaker 1

We're onboarding this deal in phases and plan to have all sites live by the end of Q3. This is the first large ambulatory arrangement that we have reached and it demonstrates something I highlighted last quarter regarding our Viewgle acquisition. Viewgle has a strong ambulatory presence I think it reflects that the revenue cycle is increasingly is increasing in complexity for both acute and ambulatory providers. Now that we can provide RCM technology and services to the ambulatory market on a much larger scale, we have definitely seen the benefits. This quarter has given me confidence that this theory will continue to bear fruit.

Speaker 1

In the EHR, we saw bookings of $8,600,000 up from $7,300,000 a year ago. In the quarter, we continue to experience the trend of signing more deals under our nTrust solution. As a reminder, nTrust is our seamlessly seamless combination of our EHR and RCM offerings. This trend reaffirms that our solution is resonating in the market as many hospitals suffer from vendor fatigue and seek a unified solution like ours. Their desire for simplified tech stacks often leads to hospitals favoring EHR vendors with broader portfolios in exchange for managing fewer vendors.

Speaker 1

This translates to many providers looking first to their existing vendors, especially their EHR vendors for new functionality before evaluating new offerings. Again, as we have signed a greater proportion of larger deals in the past two quarters, we have realized that the timing to fully implement these contracts is also a bit longer than we have historically seen. As we looked into the detail of the deals this quarter and last, we have found that the timing of full implementation extended further out than we were expecting. And the lesson learned is that we are now learning not to be quite as aggressive with our bookings to conversion revenue assumptions that we've had in the past. What this means is that our revenue guidance from 2024 is coming down slightly from a range I gave last time of $340,000,000 to $350,000,000 to our revised range of 330 $1,000,000 to $340,000,000 This reduction in revenue guidance in no way reflects a lack of confidence in our execution against the plan.

Speaker 1

It is literally related to our forecasting approach, which has gotten a lot more detailed since Vinay joined us in January. While I'm on the guidance topic, I would also say that our adjusted EBITDA guidance remains unchanged at $45,000,000 to $50,000,000 and we remain steadfast in our efforts to continue to find efficiencies within our business and we have identified and acted upon a set of changes that saves additional expense from what we have projected. Vinay will unpack this in further detail shortly. I have to say that I'm excited and enthusiastic about the partnership that Vinay and I are creating and I feel the new rigor he and the other new team members in finance have brought into our company will yield great impact on our ability to plan and execute on our business goals. On the RCM operational front, we are continuing to make progress.

Speaker 1

Our global workforce plan is rolling out as expected. And as of March 31, 25% of our CBO and EVO is offshore and we continue to see that the 3rd and 4th quarters will see meaningful benefit as an outcome. The integration of YUGAL is proceeding as expected and I'm pleased that our organization is learning a great deal from our new team members. Not completely unexpected, we have seen some modest hiccups in service with some customers, but we are working through all of those as you would expect. Last year, we told you that we had implemented a great amount of change in how we develop software going to the enterprise wide agile model.

Speaker 1

I'm encouraged that the progress that we are seeing as a result and our annual client conference last week was a great example of this. At our conference, we welcomed more than 900 attendees representing 150 C level executives from over 200 facilities and we focused on themes of improved financial health, managing to provide quality care with limited staff and resources and keeping care in their communities. We received very positive feedback from our conference attendees and I was particularly pleased to hear that many clients feel we're headed in the right direction with our software improvements and of equal importance that they feel we are delivering on what we promised in terms of updates and enhancements. Also at the conference, we launched our TruBridge analytics solution, which is a step change improvement in how we are enabling our clients to understand what is happening in their world and how to identify ways to change. In part, we gained important capabilities from Fugle, but we have been building these capabilities internally for the last 18 months and this was our first chance to showcase them.

Speaker 1

I'm happy to talk more about this in the Q and A section. We also highlighted 2 new partnerships which will create revenue and margin opportunities for us over time. First, we announced our new partnership with Microsoft Nuance Dragon, a speech recognition technology. Integrating this technology into our EHR enables our providers to spend more time with their patients versus their keyboards. We know from conversations with many of our customers that this is a huge point of focus, but some things that they continue to struggle with.

Speaker 1

This partnership highlights our ability to bring new capabilities that will help our clients and also provide us with additional revenue without having to invest as heavily. Secondly, we announced a partnership with the financial management application, MultiView. We decided that an internally developed application that we have was not up to our expectations and so we found a great partner to offer their solution to our customer base. This illustrates our willingness to bring in partners to drive innovation to parts of our software that we are not focused on continuing to invest. The transformation of this magnitude that we have launched excuse me, a transformation of the magnitude that we launched when I became CEO is not easy and especially so in the public view.

Speaker 1

We have come a long way and I truly believe that the lessons and the improvements we've made to date set us up well to tackle the remaining items on our to do list. TruBridge focuses on a customer segment with a lot of needs and our offers solidly meet those needs for them and we are well positioned as challenges in revenue cycle continue for these customers. We have stressed in our organization that we are playing under a new set of rules and I believe that we have what it takes to continue to make meaningful progress and improvements in the coming quarters. I am very bullish about our future. With that, I'm going to turn it over to Vinay to talk more about the improvements his team has made, our Q1 results and our outlook.

Speaker 1

Vinay? Thanks, Chris,

Speaker 2

and thanks, everyone, for joining the call today. This is my Q1 as CFO and my team, and I've been working diligently to get the financial operations of the organization aligned. We have made meaningful progress on the financial initiatives I laid out last quarter. Specifically, we have taken a fresh look at our capital allocation and rightsizing of cost when we can't find a clear near term ROI. On a run rate basis, our CapEx is lower and there is still work to be done in the rightsizing process.

Speaker 2

We have already shut down a couple of projects and reduced headcounts accordingly. As an example, late in the Q1, we shut down the development of a financial management application. While we felt this type of solution would be helpful to our customers, it was outside of our core competency. So as Chris noted, we found a partner with a track record in healthcare that has experienced success in this area. We also found $2,000,000 in permanent cost saving opportunities per quarter.

Speaker 2

We implemented these cost savings in the second quarter and expect to realize $1,000,000 in 2nd quarter. Going forward, we anticipate $5,000,000 in cost savings in 2024 and an annualized run rate of $8,000,000 These savings are from headcount, further optimization of cloud and reduction in non critical vendors. The headcount savings are primarily from shutting down projects with low ROI as well as rightsizing the organization. We implemented a process improvement of cash collections and accounts payables that began in the Q2, added headcount to our cash collection team and implemented a process for daily review of collections and weekly review of payables. We are acutely focused on cash collections and overall working capital management.

Speaker 2

We have observed some early signs of improvement, but expect to see notable improvements over the next two quarters. Finally, as Chris emphasized, we have taken a significant leap forward in improving our accounting and forecasting methodology. We have implemented more accountability for business leaders and we have a significantly better handle on our forecasts than when I joined on January 1. It is a journey and the ultimate goal is to establish predictability and metrics that will help us in forecasting our revenues. Now let's turn to the Q1 results.

Speaker 2

We saw the bookings momentum from the Q4 continue in the Q1, during which we signed $23,600,000 of total bookings with strong showings in both RCM and EHR. RCM bookings of $14,400,000 increased 19%, driven by net new sales of $9,000,000 in the quarter, which increased 49% year over year. Net new RCM sales benefit from a couple of sizable deals, one of which is in the ambulatory space, as Chris noted. On the EHR side, we signed $8,600,000 of bookings in the quarter. We believe this was driven by a relentless focus on understanding and meeting the needs of rural and community hospitals and those organizations looking for an integrated EHR and RCM solution, which we have the ability to provide in our nTrust model.

Speaker 2

Turning to revenue. We reported $83,200,000 in total revenue for the Q1, reflecting a decrease of approximately 3.5% compared a year ago. This decline is primarily in the EHR segment due to In

Speaker 1

addition, the

Speaker 2

In addition, the sunsetting of Centric product also contributed. RCM revenue of 53,000,000 RCM revenue of $53,000,000 accounted for about 64% of total revenue and increased 9% year over year, driven by the inclusion of vehicles revenue of $4,800,000 otherwise they were relatively flat. Our gross margin in the quarter of 49.8% compared to 40 8.8% a year ago. EHR gross margin of 59.7% increased over 600 basis points, primarily as a result of cost savings from the voluntary employment retirement program we implemented mid-twenty 3, while RCM gross margin remained flat at 44.2. Percent.

Speaker 2

Our reported expenses as a percent of total revenue was 51.6% compared to 41.5% a year ago. The increase came primarily from increased investments in technology and innovation in addition to one time items related to severance expenses, our recent rebranding and fees related to the AHT divestiture. On a comparable basis, operating expense as a percent of revenue would have been 46.9%. Adjusted EBITDA in the quarter was $9,500,000 compared to $14,600,000 a year ago. The decrease in adjusted EBITDA is primarily due to loss of EBITDA impact from ASC divestiture, increased investments in product development, technology, cloud, security, innovation, partially offset by variable.

Speaker 2

Adjusted EBITDA margin in the quarter was 11.4%, in line with guidance. Turning to the balance sheet. We ended the quarter with $4,100,000 of cash and a net debt of 180,700,000 dollars Operating cash flow was a loss of $2,000,000 in the quarter compared to a positive $9,500,000 last year. The year over year decline in operating cash flow was primarily from lower adjusted EBITDA, higher interest expense from funding the Bugle acquisition, severance and other one time items. In addition, we made a debt repayment of approximately $13,000,000 in Q1 2024.

Speaker 2

Now turning to my final topic, our financial guidance. For the Q2, we expect revenue between $81,000,000 $83,000,000 and adjusted EBITDA between $8,000,000 $10,000,000 On a sequential basis, our revenue guidance reflects the slower implementation times Chris discussed earlier. Adjusted EBITDA in the 2nd quarter is being impacted by the lower revenue and our typical annual user conference expenses of approximately $2,000,000 For the full year, as Chris explained, we are initially anticipated to 2024's revenue, but they do increase our visibility into 2025 revenue. In terms of adjusted EBITDA for the full year 2024, we believe our initial range is still achievable as a result of the incremental $8,000,000 of annualized savings I discussed earlier, of which we can realize at least half this year as this work is already underway. Given these factors for the full year 2024, we now expect revenue of $330,000,000 to 340,000,000 dollars down from $340,000,000 to $350,000,000 and adjusted EBITDA to remain unchanged from prior guidance at $45,000,000 to 50,000,000 dollars I'm very proud of all the work my team has done since coming on board and pleased with our progress.

Speaker 2

We have a lot more to do, and I believe what we have accomplished to date will make our future efforts more efficient. Now I will turn it over to Chris for some final remarks.

Speaker 1

Thanks, Vinay. I want to express our sincere gratitude to all our employees for their hard work in helping us move forward, to our users for their continued trust and to our shareholders for their support and continued interest in our story. Donna, we now open the line for questions.

Speaker 3

Thank you. The floor is now open for questions. Today's first question is coming from Sean Dodge of RBC Capital Markets. Please go ahead.

Speaker 4

Yes, thanks and congratulations on the strong start to the year. Chris, you mentioned the bookings, so they're off to a good start. As we think about the cadence over the course of the year, is all these investments you've been making, the experience there starts to gel. You mentioned that a lot of large deals in the sales pipeline that are starting to come through. So we think about cadence, is the expectation that you'd be able to maintain the same kind of Q1 pace each quarter?

Speaker 4

Is there going to be some elements of seasonality? Do you think there are opportunities to elevate that?

Speaker 1

Hey, Sean. Good morning, first of all, and welcome to the call. You sound like you're on our Board asking those questions. Yes, I would say, honestly, we are very optimistic about the pipeline that we've built. We continue to see that momentum.

Speaker 1

As we talked about at the end of last year and on the Q4 call, we're still kind of remaining very cautiously optimistic about this and making sure that we have set ourselves up to be able to execute and be able to understand the ebbs and flows of these deals. As we move into the larger opportunities and again, remember, we're still 400 beds and under, but when we get over that 200 bed opportunity, these deals, they just take a little bit longer. They have a huge impact on the bookings amount and therefore revenue, but they also have an impact on the bookings that we reported 1 slides a month, it has an impact to the number. So on whole and on balance, I would say, yes, we're excited about the momentum that we've built up, the rigor of our sales team and just the way that they continue to execute. And again, the discontinued demand that we hear both from the external market and then last week at our customer conference.

Speaker 1

So we're hoping that we're on it and that we continue to see this execution go. As far as the building of it, as we continue to exceed our expectations quarter over quarter, we'll continue to evaluate how we accelerate the opportunities there.

Speaker 4

Okay, great. And then on the guidance, you mentioned the dynamics around the lower revenue, but Vinay mentioned some cost actions you took to kind of keep the EBITDA target unchanged. I guess on the cost actions, can you give us a sense of aside from the offshoring, as you kind of explore all of these pockets of opportunities or inefficiencies, do you think there's still a lot more left to take out? Or are you done here? There's still more kind of other places that you're exploring?

Speaker 2

Sean, good morning. This is Vinay. It's a great question. I would say 3 months in, I would say where how we are how I'm designing the cost saving optimization, I call it more the optimization, is figuring out areas that we need to get more efficiency. So there are 2 or 3 buckets, which are mainly in one is the ROI focused approach on projects.

Speaker 2

So we have just started on that. So there might be a little more room there again. And then I think where we are, the second bucket is more about noncritical vendors. I think that we have cleaned up a good amount by now. Inefficiency or the rightsizing of the organization in OpEx, I think we have covered 80% plus.

Speaker 2

But I would say, I don't expect another significant like this amount, but there could be a smaller amount as we go through the balanced quarters.

Speaker 1

Yes. And I would add to that and say, 1, MultiView is a great example of the first of the 2 types of opportunities that Vinay mentioned, where instead of us investing our money and continuing to develop and expand on an ERP that we're leveraging the work of multi view. And so that creates efficiencies for us. It also delivers satisfaction to our customers. And on an ongoing basis, we're going to continue we're continuing to build the muscle of making sure that the investments that we're making are paying off.

Speaker 1

And so we're going to continue to have a high level of scrutiny to that.

Speaker 4

Okay, great. Thanks and congrats again.

Speaker 5

Thanks, Sean.

Speaker 3

Thank you. The next question is coming from Jeff Garro of Stephens. Please go ahead.

Speaker 5

Yes, good morning. Thanks for taking the questions. Maybe I'll pick up a little bit on the revenue side of the guidance and the implied sequential decline in revenue from Q1 to Q2. You talked about delayed implementation timelines. So I think the other side of that is something must be falling off.

Speaker 5

So I would love some more color there and some comments on how we should think about the balance of those new implementations and maybe some other business further falling off in the back half of the year?

Speaker 1

Yes. Hey, first of all, good morning, Jeff. So yes, you're right. I mean, we've seen we've got a little bit of obviously, we have attrition modeled in to the year and that coming out the bottom compared to the elongation and the bookings to revenue conversion is just the timing of how that plays out from Q1 to Q2 and then we start to see the pickup coming back in the back half of the year.

Speaker 5

Understood. And maybe dive a little bit deeper on the implementation timeline. I think you've well explained the delta between what you forecasted and how reality is playing out in 2024. But maybe help us understand how the reality for 2024 compares with historical timelines and also just a more substance to the why of why timelines are being elongated versus what you had forecasted?

Speaker 1

Yes. So historically, we've seen the timelines be around that 90 day average, and we're seeing that almost double in some cases over the Q4 and Q1 bookings that we have. And there's a couple of parts to this. 1, from an internal standpoint, what we've highlighted is that there's opportunity for us to make sure that if there is flexibility and opportunity to turn that revenue on sooner that we're making sure that we have put a light on that and created accountability inside the organization to make sure that's happening. But the second part is that both the larger deals and if we're taking somebody that's coming off of a vendor, whether it's on the RCM or on the EHR side, there are some contractual gates that they have that are going to preclude us from being able to stop.

Speaker 1

So I look at this as it's really a 2 part thing. 1, there was an opportunity for us to improve our internal processes by making sure that we're getting that revenue turned on as fast as we can. But almost as importantly, it's just kind of unpacking again what that norm is. Now to your point of how we think about this as a trend going forward, it's hard for us to necessarily predict when the deals come in, if they're going to be if they're going to have that 180 day lag or if it's going to be a quick cleanup opportunity that we've got a customer that wants us to jump right in. So for us, it's as much about the knowing and then being able to relay that to you guys so that we can all kind of follow along with how those bookings relate or translate into the revenue.

Speaker 5

Appreciate that. One last one for me. I was hoping for some more color on the cash flow results in the quarter and how we should think about the headwinds and tailwinds to converting more EBITDA to free cash flow going forward. We'll comment that certainly understand the tactical measures that are being taken and improvements that should flow from that. But more trying to understand the evolving shift to RCM as a bigger part of the mix and nTrust as a bigger part of the EHR mix as well as the globalization efforts and how those are changing, how we should think of free cash flow conversion?

Speaker 5

Thanks.

Speaker 2

Yes. So that's a great question, Jeff. You're right. I think in the second half, we expect the like if you look at our EBITDA guidance, the second half will be more profitable for two reasons. We will start realizing on the RTM side the more benefits of the offshore.

Speaker 2

As more people go with more months behind it, we will get the cumulative impact and that will help improve the RCM margins better and more EBITDA coming in for. Same is for EHR as they get into the in trust model and get the benefit and even some of their product development is offshore. So overall, improvement in EBITDA is one crucial aspect of reaching that free cash flow, strong free cash flows there. And the path to that EBITDA goes through 2 parts: improving the gross margin with what I've mentioned and then looking at the OpEx side and making sure it is run like a tight machine with like I always carry that every dollar on my P and L below gross margin has to fight to remain on my P and L. So I think that help and that's majority of where we are seeing some cost savings, will help me improve the EBITDA momentum.

Speaker 2

And as you will see, my Q4 will be stronger than and will carry that momentum. So that is one path of getting to a free cash flow. The second path is harder, but very doable is working capital management. Working capital management is my path goes through collections, putting a maniacal focus on that, and that's what I've said in my prepared remarks on reviewing daily collections. I've boosted by 100% my collectors team and putting a more focus on how it needs to be done from a focus perspective.

Speaker 2

And the second part relating to that is payables. It's just making sure we do a good working capital management on that because otherwise I'm using my debt to pay my AR. So back to that free cash flow goes through my improved EBITDA from gross margin. We're very tight getting lot of operating leverage from my OpEx and then improved working capital.

Speaker 5

Excellent. I appreciate all that. Thanks for taking the questions. Thank you. Thanks, Jeff.

Speaker 3

Thank you. The next question is coming from Stephanie Davis of Barclays. Please go ahead.

Speaker 6

Hey, guys. Thanks for taking my question. Vinay, I hate to be like the 5th person to talk to you about guidance. But last quarter, you did talk to a measure approach to forecasting. The guidance still featured a big second half ramp.

Speaker 6

And now you cut and it features less of a ramp for revenues, you still got a lot of that for EBITDA. Can you just help me get comfortable about what's driving both the top line and profit ramp in this guidance?

Speaker 2

Yes. Again, if you look at the guidance number revenue wise, if I just take mid range as just a discussion point, Stephanie, my second half revenue has to be $5,000,000 higher than my first half. That's one. So it's not

Speaker 6

like It's a lot higher.

Speaker 2

Yes. But the growth here is because of the Q4, Q1 that we are seeing. And like the deals, it is lower than what we were forecasting earlier. But coming to the revenue piece, what the reason why we reduced the guidance is the timing of that now delays some of these bookings into more into the 2025 or late part of 2024. So that's why we have reduced the revenue guidance and it's more a measured approach there.

Speaker 2

On the EBITDA side, why we kept that is these cost savings, what I had given is not that it has not started. We have already executed started executing some of these savings and a good proportion will be done has already been done and will be done in the coming weeks. So how you should look about look at the EBITDA ramp in the second half is think about it, my first half, again, using the midpoint, from a first half to second half, the improvements will come from $4,000,000 $5,000,000 from my cost saving, my offshore. The conference cost won't be there for that. And then the $5,000,000 of, in my example, will give me leverage or gross margin again of approximately 50%, €2,500,000 So based on that, I feel you should get confident at from a ramp getting there €4,000,000 5,000,000 is coming from a cost saving.

Speaker 2

I have the NCC cost the conference cost is no longer there. And I do have the offshore and then the gross margin pickup.

Speaker 6

All right, understood. And I would have thought just looking at 2Q guidance, the change would have more of an impact there. Is there anything to call out about why it wouldn't be

Speaker 1

I think about change? Was that what you said?

Speaker 6

Yes. What I thought it was a lot better.

Speaker 1

Yes. As we've talked about for us, we obviously we use our own technology. We did have some of our transactions that went over the change pipelines, But we were able to adapt very quickly to that and the impact that we have seen coming from change is relatively minimal. Awesome.

Speaker 6

And then final one out of me. I did love hearing the partnership with Nuance, but I do want to acknowledge that in terms of cost, it's like a pretty premium product. I think it's $400 per doctor per month. Just given your client base, how are you thinking about that price point and why would you choose Nuance versus some of their lower cost alternatives?

Speaker 1

Well, it's a good question. First of all, we have several customers that are already using So that was the first kind of proof point for us. I do think you bring a good question that we have to continue to create optionality for our customers and make sure that we have it's not a one size fits all. And while we are focused on the smaller end of the market, we have hospitals that are 5 beds, we have hospitals that are 75 beds. And the needs and the demands may be a little bit different.

Speaker 1

So we'll continue to evaluate with the larger customer base, how Nuance fits in as a solution, both from a functionality and from a pricing standpoint and see if there's additional opportunities for us to be able to bring other partners in.

Speaker 6

Super helpful. Thank you, guys.

Speaker 1

Thanks, Stephanie.

Speaker 3

Thank you. We're showing time for one last question today. Today's last question is coming from Sarah James of Cantor Fitzgerald. Please go ahead.

Speaker 6

Thank you. Just wanted to clarify if there's

Speaker 2

Operator, can you hear us?

Speaker 3

Yes, I can hear you. Sarah, please make sure your phone did not go on to mute. Sarah, can you please respond? It seems like she is having some phone difficulties. We will now take our last question from George Hill of Deutsche Bank.

Speaker 3

Please go ahead.

Speaker 7

Hey, guys. Thanks for taking the question. Chris, two quick ones for you, I guess. And Vinay, welcome to the call. First is, I know that you guys didn't have a lot of direct exposure to the change hack, but I was wondering if it created incremental sales opportunities for you guys and what drove that?

Speaker 7

And then, Chris, you made an interesting prepared commentary around how the turnaround and the changes that you guys are trying to affect are difficult to achieve in the public view. I think we've all kind of observed the performance of the stock price. I'm going to ask a question that you probably can't answer too directly, but I guess can you talk about how the company thinks about optionality for creating shareholder value, given all the changes that you guys are trying to enact and kind of the performance of the stock price over the last year or so? Thanks.

Speaker 1

Yes, absolutely. Thanks, George. So first, on the change question, yes, we have definitely seen some opportunity come out of that. We were able to very quickly stand up what we call a fast track conversion for hospitals, providers that were looking for a clearinghouse that was able to kind of mitigate the cash flow challenges they were facing. And so we did see a nice uptick in that.

Speaker 1

Obviously, we'll continue to monitor opportunities there as people are evaluating who they're using for their clearinghouse and be mindful of the situation and ready to take on new business as it comes. I do think that we'll continue to see opportunities over the next 12 months coming in from that. On the second, I'll answer it this way. Before we think about anything else, we've got to execute. We've got to continue to execute and that's what we are maniacally focused on and making sure that we are doing the right things for the company to make sure that we are, 1, hitting the numbers that we said we're going to hit, but also making sure that we're continuing to build and capture the opportunity that we believe is in this market, both from the EHR and from the RCM standpoint.

Speaker 1

So we continue to be optimistic about this year and the future. And again, for us, it's about let's continue to see the quarter stack up. Let's continue to bear the fruit of the work that we've done on the transformation. And I do believe that the shareholder the value of the stock will be represented in that.

Speaker 7

Thanks for the comments.

Speaker 1

Thanks, George.

Speaker 3

Thank you. At this time, I'd like to turn it back to management for any closing comments.

Speaker 1

Thanks, Donna, and thanks again for everybody for an early morning start to this Friday, and thanks for your continued interest in TruBridge. Have a wonderful weekend.

Powered by Quartr