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TruBridge (TBRG) investor relations material
TruBridge Q3 2025 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Q3 2025 earnings summary7 Nov, 2025
Executive summary
Achieved total revenue of $86.1 million for Q3 2025, up from $84.7 million year-over-year, with recurring revenue comprising 94% of the total.
Net income for Q3 2025 was $5.6 million, reversing a net loss of $9.1 million in the prior year quarter; net income for the nine months ended September 30, 2025, improved by $24.0 million to $8.6 million.
Adjusted EBITDA reached $16.3 million (18.9% margin), up from $14.7 million, with margin expansion driven by cost optimization and offshore transitions.
Leadership enhancements included hiring a Chief Business Officer and restarting offshore transition processes to drive sales, client success, and operational efficiency.
Focused on higher-quality bookings, especially in the Encoder business and the 100-400 bed hospital segment, despite a sequential and year-over-year decline in total bookings for Q3.
Financial highlights
Q3 2025 revenue was $86.1 million, up 2% year-over-year; nine-month revenues were $259.0 million, up $4.6 million year-over-year.
Recurring revenue remained high at 94–95% of total revenue.
Financial Health revenue was $54.5 million (63% of total) in Q3; Patient Care revenue was $31.6 million, up 5.3% year-over-year.
Adjusted EBITDA for Q3 was $16.3 million (18.9% margin), up 155 basis points from the prior year.
Cash and cash equivalents increased to $19.9 million at quarter-end, up 132% year-over-year.
Outlook and guidance
Q4 2025 revenue expected at $86–$89 million; adjusted EBITDA at $16.5–$19.5 million.
Full-year 2025 revenue guidance is $345–$348 million; adjusted EBITDA $65–$68 million, with margin expansion of 260 basis points over prior year.
Q4 2025 adjusted EBITDA margin expected to reach 20% at the guidance midpoint.
Anticipates further adjusted EBITDA margin expansion of around 200 basis points in 2026, primarily from cost optimization and global workforce transitions.
Management expects continued growth in recurring revenues, driven by SaaS adoption and cross-selling initiatives.
Q3 bookings decline impact on future revenue?
Explain Q3 segment EBITDA performance divergence.
Offshore transition progress and expected benefits.
New CBO's strategy for bookings conversion
2026 margin expansion drivers
CBO net revenue retention improvement
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Frequently asked questions
TruBridge, Inc. provides healthcare information technology solutions and services primarily to community hospitals, clinics, and other healthcare systems. The company operates through three main segments: Revenue Cycle Management (RCM), Electronic Health Records (EHR), and Patient Engagement. Its offerings include business management, consulting, managed IT services, and analytics, aiming to streamline healthcare operations and improve patient outcomes. TruBridge also provides software solutions that support patient care, financial accounting, and enterprise applications. The company is headquartered in Mobile, Alabama, and its shares are listed on the NASDAQ.
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