TruBridge (TBRG)
NASDAQ:TBRG
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TruBridge (TBRG) AI Stock Analysis

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TBRG

TruBridge

(NASDAQ:TBRG)

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Neutral 59 (OpenAI - 4o)
Rating:59Neutral
Price Target:
$21.00
▼(-0.52% Downside)
TruBridge's overall stock score reflects strong revenue growth and cash flow improvements, which are offset by profitability challenges and a high P/E ratio indicating overvaluation. The earnings call provided a positive outlook on margin expansion, but concerns about bookings and Financial Health revenue persist. Technical indicators suggest a neutral trend, contributing to the moderate score.
Positive Factors
Revenue Growth
The robust top-line expansion indicates strong demand for TruBridge's services, positioning it well for future growth and market penetration.
Cash Flow Improvements
Improved cash flow and reduced debt enhance financial stability, providing TruBridge with greater flexibility for strategic investments and growth initiatives.
Cost Optimization
Effective cost management has led to margin improvements, which can enhance profitability and provide a competitive edge in the healthcare technology sector.
Negative Factors
Profitability Challenges
Persistent profitability issues could hinder TruBridge's ability to reinvest in growth and compete effectively, impacting long-term sustainability.
Underwhelming Bookings
Declining bookings suggest potential challenges in sales execution or market demand, which could affect future revenue growth and financial performance.
Challenges in Financial Health Revenue
Stagnant revenue in key segments may indicate competitive pressures or product limitations, potentially impacting TruBridge's market position and growth prospects.

TruBridge (TBRG) vs. SPDR S&P 500 ETF (SPY)

TruBridge Business Overview & Revenue Model

Company DescriptionTruBridge, Inc. provides healthcare solutions and services for community hospitals, clinics, and other healthcare systems in the United States and internationally. The company operates in three segments: Revenue Cycle Management (RCM), Electronic Health Record (HER), and Patient Engagement. It focuses on providing RCM solutions for care settings, regardless of primary healthcare information solutions provider along with business management, consulting, managed IT services, and analytics and business intelligence. The company provides acute care solutions and related services for community hospitals, and physician clinics; and patient engagement and empowerment technology solutions to improve patient outcomes and engagement strategies with care providers. In addition, it offers patient liability estimates eligibility verification, claim scrubbing and submission, remittance management, denial/audit management, and contract management; and offers RCM services, such as accounts receivable management, private pay service, medical coding, revenue cycle consulting, and other additional insurance and patient billing services. Further, it offers consulting and business management services; managed IT services; encoder solutions; patient management; financial accounting; clinical; patient care; and enterprise applications. Additionally, it offers TruBridge HER platform, including total system support, national client conference, continuing education, software releases, hardware replacement, cloud electronic health record, forms and supplies, and public cloud infrastructure services; post-acute care software systems, and support and maintenance services; and InstantPHR, an interactive portal and CHBase which funnels data from multiple sources into one platform. The company was formerly known as Computer Programs and Systems, Inc. and changed its name to TruBridge, Inc. in March 2024. TruBridge, Inc. was founded in 1979 and is headquartered in Mobile, Alabama.
How the Company Makes MoneyTruBridge generates revenue primarily through its services in revenue cycle management and healthcare consulting. Key revenue streams include fees charged for software subscriptions, consulting services, and performance-based contracts with healthcare providers. The company also benefits from partnerships with technology providers and healthcare organizations, which can enhance its service offerings and expand its client base. Additionally, TBRG may earn revenue through training and support services for its clients, further solidifying its presence in the healthcare market.

TruBridge Earnings Call Summary

Earnings Call Date:Nov 06, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 17, 2026
Earnings Call Sentiment Neutral
The earnings call presented a mixed sentiment with significant achievements in financial metrics, cost optimization, and cash flow improvements. However, challenges such as underwhelming bookings and flat Financial Health revenue tempered the overall positive outlook. The company remains optimistic about future growth and margin expansion.
Q3-2025 Updates
Positive Updates
Improved Financial Metrics
Adjusted EBITDA margins expected to expand approximately 600 basis points from 2023 to year-end. Year-to-date, free cash flow improved by $20 million, and debt reduced by $35 million, reducing net leverage by more than 2 turns.
Successful Cost Optimization
Cost optimization initiatives resulted in adjusted EBITDA margin of 18.9% for Q3 2025, marking a 155 basis point improvement compared to the previous year.
Cash Flow and Leverage Improvements
Cash balance increased from $3.8 million at the end of 2023 to approximately $20 million. Free cash flow was $15 million year-to-date in 2025 compared to a cash outflow of $5 million in 2023.
Revenue Growth in Patient Care
Patient Care revenue grew 5.3% year-over-year, driven by SaaS growth and nonrecurring revenues. Excluding Centriq, growth in Patient Care revenue would have been 8.9%.
Positive Outlook for Future
Anticipated 200 basis points of EBITDA margin expansion in 2026 due to ongoing cost optimizations and global workforce transitions.
Negative Updates
Underwhelming Bookings
Bookings came in at $15.5 million, down from $25.6 million sequentially and $21 million year-over-year. The bookings were 20% off internal expectations.
Challenges in Financial Health Revenue
Financial Health revenue was flat year-over-year due to slower performance in some products despite growth in CBO and Encoder revenue.
Delayed Decision-Making in Sales
Hospital decision-making delays led to underperformance in Q3 bookings, attributed to budget cycles and regulatory uncertainties.
Company Guidance
During the TruBridge Third Quarter 2025 Earnings Call, the company provided guidance indicating an expectation of revenue between $86 million to $89 million for the fourth quarter of 2025, with adjusted EBITDA ranging from $16.5 million to $19.5 million. For the full year 2025, the revenue is projected to be between $345 million and $348 million, with adjusted EBITDA expected to range from $65 million to $68 million. This guidance reflects an anticipated adjusted EBITDA margin expansion of approximately 260 basis points compared to the previous year, driven by cost management and ROI-driven cost rationalization. Furthermore, the company foresees a further adjusted EBITDA margin expansion of around 200 basis points in 2026, attributed to continued cost optimization and global offshore transitions, aiming for a margin of 20% by the end of 2025.

TruBridge Financial Statement Overview

Summary
TruBridge exhibits strong revenue growth and improved cash flow generation, positioning it well for future expansion. However, profitability remains a concern with negative net margins and return on equity. The company's balance sheet shows reduced leverage, enhancing financial stability. Continued focus on improving profitability and operational efficiency will be crucial for sustaining growth.
Income Statement
65
Positive
TruBridge has shown a strong revenue growth rate of 65.5% in the TTM, indicating robust top-line expansion. However, the net profit margin remains negative at -1.59%, reflecting challenges in converting revenue growth into profitability. The gross profit margin is healthy at 57.67%, suggesting efficient cost management. EBIT and EBITDA margins are moderate at 5.55% and 7.83%, respectively, indicating room for improvement in operational efficiency.
Balance Sheet
55
Neutral
The company's debt-to-equity ratio has significantly improved to 0.025 in the TTM, indicating reduced leverage and a stronger balance sheet. However, the return on equity is negative at -4.37%, highlighting profitability challenges. The equity ratio stands at 45.16%, suggesting a stable capital structure with a reasonable proportion of equity financing.
Cash Flow
70
Positive
TruBridge has achieved a substantial free cash flow growth rate of 43.05% in the TTM, demonstrating strong cash generation capabilities. The operating cash flow to net income ratio is high at 192.08, indicating efficient cash conversion. However, the free cash flow to net income ratio is relatively low at 0.21, suggesting potential reinvestment or debt repayment needs.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue349.88M342.65M339.44M326.65M280.63M264.49M
Gross Profit185.99M174.12M163.57M160.11M144.85M136.25M
EBITDA53.72M34.94M-15.39M47.73M43.11M35.56M
Net Income5.58M-20.44M-45.79M15.87M18.43M14.25M
Balance Sheet
Total Assets399.41K394.43M431.78M430.96M383.35M326.27M
Cash, Cash Equivalents and Short-Term Investments19.92K12.32M3.85M6.95M11.43M12.67M
Total Debt4.57K174.81M203.29M147.24M106.46M83.43M
Total Liabilities219.05K225.74M247.80M199.25M160.78M126.27M
Stockholders Equity180.36K168.69M183.97M231.71M222.57M200.00M
Cash Flow
Free Cash Flow29.43M13.04M-22.35M13.01M37.46M42.48M
Operating Cash Flow38.40M32.13M1.06M32.38M47.74M49.14M
Investing Cash Flow-12.63M4.12M-60.11M-62.73M-69.92M-6.66M
Financing Cash Flow-14.44M-27.74M55.95M25.88M20.93M-37.16M

TruBridge Technical Analysis

Technical Analysis Sentiment
Positive
Last Price21.11
Price Trends
50DMA
20.13
Positive
100DMA
20.63
Positive
200DMA
23.25
Negative
Market Momentum
MACD
0.15
Negative
RSI
68.93
Neutral
STOCH
81.47
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For TBRG, the sentiment is Positive. The current price of 21.11 is above the 20-day moving average (MA) of 19.66, above the 50-day MA of 20.13, and below the 200-day MA of 23.25, indicating a neutral trend. The MACD of 0.15 indicates Negative momentum. The RSI at 68.93 is Neutral, neither overbought nor oversold. The STOCH value of 81.47 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for TBRG.

TruBridge Risk Analysis

TruBridge disclosed 44 risk factors in its most recent earnings report. TruBridge reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

TruBridge Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
72
Outperform
$283.64M17.2110.88%9.95%1.47%11.33%
68
Neutral
$317.82M19.5766.01%3.62%-3.50%-37.46%
63
Neutral
$341.76M-41.49%0.35%20.01%-750.59%
61
Neutral
$275.70M0.03%24.19%
59
Neutral
$288.37M-22.761.57%3.75%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
45
Neutral
$158.44M-31.33%4.64%-17.17%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
TBRG
TruBridge
20.61
4.09
24.76%
SLP
Simulations Plus
16.32
-11.26
-40.83%
SPOK
Spok Holdings
12.56
-2.17
-14.73%
OPRX
OptimizeRx
14.26
9.84
222.62%
NRC
National Research
16.05
-2.12
-11.67%
HCAT
Health Catalyst
2.17
-5.19
-70.52%

TruBridge Corporate Events

TruBridge, Inc. Earnings Call: Mixed Sentiments and Optimistic Outlook
Nov 9, 2025

TruBridge, Inc.’s recent earnings call revealed a mixed sentiment, highlighting both achievements and challenges. The company showcased significant improvements in financial metrics, cost optimization, and cash flow, yet faced hurdles with underwhelming bookings and stagnant Financial Health revenue. Despite these challenges, TruBridge remains optimistic about future growth and margin expansion.

TruBridge, Inc. Reports Strong Q3 2025 Performance
Nov 8, 2025

TruBridge, Inc. is a prominent provider of revenue cycle management and healthcare technology solutions, primarily serving rural and community healthcare organizations. The company focuses on enhancing financial performance and maintaining the independence of healthcare providers in their communities.

Business Operations and StrategyExecutive/Board Changes
TruBridge Appoints New Chief Business Officer
Neutral
Oct 3, 2025

On October 1, 2025, TruBridge announced that Dawn M. Severance would step down as Chief Sales Officer by October 31, 2025, following the company’s decision to eliminate the position. Her departure is amicable and not due to any disagreements, and she will receive severance benefits as per her agreement. On October 3, 2025, TruBridge appointed Michael Daughton as Chief Business Officer, effective October 6, 2025, to enhance client-centered excellence and growth. Daughton, with 30 years of strategic healthcare leadership experience, is expected to drive shareholder value and reinforce TruBridge’s commitment to rural and community healthcare.

The most recent analyst rating on (TBRG) stock is a Hold with a $22.50 price target. To see the full list of analyst forecasts on TruBridge stock, see the TBRG Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Nov 13, 2025