TruBridge Announces First Quarter 2026 Results

TBRG

Published on 05/08/2026 at 04:06 pm EDT

TruBridge, Inc. (NASDAQ: TBRG) (“TruBridge”), a leading provider of healthcare technology solutions for rural and community hospitals, today announced financial results for the first quarter ended March 31, 2026.

Recent Developments

As previously announced on April 23, 2026, TruBridge announced a definitive agreement whereby TruBridge, Inc. will be acquired by Inventurus Knowledge Solutions, Inc. (“IKS”), the U.S. subsidiary of Inventurus Knowledge Solutions Limited (NSE: IKS) (“IKS Health”), a global leader in care enablement solutions. Under the terms of the agreement, TruBridge shareholders will receive $26.25 in cash for each share of common stock. The acquisition has been approved by the Boards of Directors of IKS Health, IKS, and TruBridge. The transaction is expected to close during the third calendar quarter of 2026, subject to the satisfaction of customary closing conditions, including the requisite shareholder approvals and the Hart-Scott-Rodino (HSR) notification and waiting period.

First Quarter 2026 Highlights

All comparisons are to the quarter ended March 31, 2025, unless otherwise noted

Conference Call

In light of the pending transaction with IKS, TruBridge will not host a conference call or webcast to discuss its first quarter 2026 financial results.

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: (i) the occurrence of any event, change or other circumstances that could give rise to the termination of the Merger Agreement between the parties to the proposed transaction; (ii) the risk that the Company’s stockholders may not approve the proposed transaction; (iii) the risk that the necessary regulatory approvals may not be obtained or may be obtained subject to conditions that are not anticipated; (iv) risks that any of the other closing conditions to the proposed transaction may not be satisfied in a timely manner or at all, including approval by the shareholders of TopCo as may be necessary in connection with debt financing for the transaction; (v) risks related to the satisfaction of the conditions to funding, finalization of the financing documentation and the consummation of the financing contemplated for the proposed transaction; (vi) risks related to financial community and rating agency perceptions of the Company and its business, operations, financial condition and the industry in which it operates; (vii) risks related to potential litigation brought in connection with the proposed transaction; (viii) risks related to disruption of management’s time from ongoing business operations due to the proposed transaction; (ix) effects of the announcement, pendency or completion of the proposed transaction on the ability of the Company to retain customers and retain and hire key personnel and maintain relationships with suppliers and partners, and on the Company’s operating results and businesses generally; (x) the effect of the restrictions placed on the Company’s business activities during the pendency of the proposed transaction; (xi) the significant amount of costs, fees, expenses and other charges in connection with the proposed transaction; (xii) provisions in the Merger Agreement that could discourage or deter a potential competing offers for the Company; (xiii) risks related to the potential impact of general economic, geopolitical and market factors on the companies or the proposed transaction; (xiv) risks of the completion of the proposed transaction, including a fixed price to be received by stockholders that will not be adjusted for changes in the Company’s outlook or financial results, federal income taxes for stockholders, or that stockholders will forgo any additional long-term value of the Company; and other risk factors described from time to time in our public releases and reports filed with the Securities and Exchange Commission, including our Annual Report on Form 10-K for the fiscal year ended December 31, 2025. 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.

Three Months Ended March 31,

2026

2025

$

53,274

$

56,133

32,997

31,075

86,271

87,208

27,254

27,192

11,094

12,321

38,348

39,513

7,445

8,247

6,388

5,409

24,162

19,464

6,599

6,124

271

291

83,213

79,048

3,058

8,160

(2,630

)

(3,382

)

154

144

(2,476

)

(3,238

)

582

4,922

76

4,463

$

506

$

459

$

0.03

$

0.03

$

0.03

$

0.03

14,565

14,370

14,565

14,370

$

35,419

$

24,850

50,906

54,970

2,115

2,437

958

623

6,918

7,240

12,942

14,078

445

445

109,703

104,643

3,182

2,476

41,287

42,262

4,427

2,010

924

494

13,905

13,553

61,538

64,517

172,573

172,573

$

407,539

$

402,528

$

22,480

$

19,554

3,384

3,384

9,587

9,210

5,522

4,882

487

235

20,041

20,694

61,501

57,959

160,468

161,241

3,015

1,346

1,277

1,438

2,590

2,583

228,851

224,567

15

15

211,390

209,727

(11,717

)

(12,223

)

(288

)

(133

)

(20,712

)

(19,425

)

178,688

177,961

$

407,539

$

402,528

Three Months Ended March 31,

2026

2025

$

506

$

459

1,445

706

2

(135

)

1,663

1,213

271

291

-

(53

)

2,979

3,053

3,620

3,071

101

130

268

269

8

-

2,591

(3,254

)

(79

)

2,087

(335

)

172

(217

)

(1,425

)

2,925

281

377

(1,197

)

(199

)

(275

)

(1,050

)

(1,550

)

576

1,917

15,452

5,760

1,000

2,102

(2,645

)

(3,976

)

(1,076

)

(358

)

(2,721

)

(2,232

)

(875

)

(875

)

-

1,325

-

(4,325

)

(1,287

)

(1,853

)

(2,162

)

(5,728

)

10,569

(2,200

)

24,850

12,324

$

35,419

$

10,124

2026

2025

$

12,463

$

12,780

5,187

4,560

$

17,650

$

17,340

Three Months Ended March 31,

2026

2025

$

2,084

$

6,221

10,379

6,559

3,123

1,957

2,064

2,603

$

17,650

$

17,340

(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.

(Unaudited)

Three Months Ended March 31,

2026

2025

$

7,662

$

11,281

8,812

6,950

$

16,474

$

18,231

Three Months Ended March 31,

2026

2025

$

506

$

459

0.6

%

0.5

%

76

4,463

582

4,922

271

291

3,620

3,071

2,979

3,053

1,663

1,213

4,883

2,443

2,468

3,291

8

-

-

(53

)

$

16,474

$

18,231

19.1

%

20.9

%

(Unaudited)

Three Months Ended March 31,

2026

2025

$

506

$

459

2,979

3,053

1,663

1,213

4,883

2,443

101

130

-

(53

)

8

-

(1,674

)

(1,425

)

57

(670

)

$

8,523

$

5,150

14,565

14,370

$

0.59

$

0.36

(Unaudited)

Three Months Ended March 31,

2026

2025

$

52,321

$

55,263

28,549

26,707

80,870

81,970

953

870

4,448

4,368

5,401

5,238

$

86,271

$

87,208

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.

As such, to supplement the GAAP information provided, we present in this press release 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:

Certain of the items excluded or adjusted to arrive at these non-GAAP financial measures are described below:

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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