TruBridge (TBRG) AI Stock Analysis

• Market Cap: $326.00M
• Dividend Yield: N/A
• Average Volume (3M): 110.38K
• Price to Earnings (P/E): 121.8
• Beta (1Y): 0.52
• Revenue Growth: 3.75%
• EPS Growth: N/A
• Country: US
• Employees: 3,200
• Sector: Healthcare
• Sector Strength: 45
• Industry: Medical - Healthcare Information Services
• EPS (TTM): 0.88
• Shares Outstanding: 15,008,986
• 10 Day Avg. Volume: 98,314
• 30 Day Avg. Volume: 110,375
• PEG Ratio: 0.25
• Price to Book (P/B): 1.67
• Price to Sales (P/S): 0.82
• P/FCF Ratio: 21.63
• Enterprise Value/Market Cap: 1.52
• Enterprise Value/Revenue: 1.42
• Enterprise Value/Gross Profit: 2.67
• Enterprise Value/Ebitda: 9.25
• 1Y Price Target: $22.00
• Price Target Upside: 1.29% Upside
• Rating Consensus: Hold
• Number of Analyst Covering: 2
• EPS Forecast (FY): N/A
• Revenue Forecast (FY): N/A

• Rating: 57 Neutral
• Price Target: $22.50 ▲(3.59% Upside)

The score is driven primarily by solid financial momentum in revenue and cash flow and constructive margin guidance, but is held back by weak profitability (negative net margin/ROE), a very high P/E valuation, and only neutral-to-soft technical momentum.

Positive Factors

Robust revenue growth and cash generation

TruBridge's TTM revenue growth (65.5%) and FCF growth (43.05%) show durable top-line expansion with improving cash conversion. Strong operating cash flow relative to net income enhances reinvestment, supports deleveraging and funds platform investments over the next 2–6 months.

Enhanced liquidity and financial flexibility

An enlarged, extended credit facility plus a very low reported debt-to-equity position provides the company durable financial flexibility. This supports working capital, potential tuck-in M&A and execution of cost rationalization without immediate refinancing pressure through 2030.

Strategic partnership expanding platform capabilities

The RevSpring tie-up materially strengthens TruBridge's payment and patient engagement stack, increasing platform stickiness for rural/community providers. Deeper integrated payment optimization is a structural capability that can boost recurring revenue and client retention over the medium term.

Negative Factors

Persistent negative profitability metrics

Despite healthy gross margins and revenue growth, negative net margin and ROE indicate the company still struggles to convert revenue into shareholder returns. This structural profitability gap can constrain reinvestment, limit free cash flow available for shareholders, and delay long-term value creation.

Weak bookings and elongated sales cycles

Material booking declines and management notes of hospital decision delays signal persistent sales-cycle friction. For a services-SaaS hybrid, slower contracting reduces revenue visibility and delays ARR/collection ramps, making growth lumpy and execution riskier over the coming quarters.

Revenue exposure to collections and payer dynamics

A material portion of revenue tied to percent-of-collections and patient payments makes top-line and margins sensitive to payer rules, patient affordability and client billing effectiveness. Those external factors create structural volatility in revenue conversion and margin sustainability.

TruBridge Business Overview & Revenue Model

Company Description

TruBridge, 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 Money

TruBridge generates revenue primarily through its comprehensive suite of revenue cycle management services, which include billing, coding, collections, and financial reporting for healthcare providers. The company earns money by charging clients a percentage of the collections made from their patient accounts, often structured as a fee-for-service model. Additionally, TruBridge offers software solutions on a subscription basis, allowing healthcare organizations to utilize its technology for managing their operations more effectively. Key revenue streams also include consulting services aimed at optimizing financial performance and compliance. The company might form strategic partnerships with healthcare organizations and technology providers, enhancing its service offerings and expanding its client base, which contributes significantly to its overall earnings.

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

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

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

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.

Breakdown	TTM	Dec 2024	Dec 2023	Dec 2022	Dec 2021	Dec 2020
Income Statement
Total Revenue	349.88M	342.65M	339.44M	326.65M	280.63M	264.49M
Gross Profit	185.99M	174.12M	163.57M	160.11M	144.85M	136.25M
EBITDA	53.72M	34.94M	-15.39M	47.73M	43.11M	35.56M
Net Income	5.58M	-20.44M	-45.79M	15.87M	18.43M	14.25M
Balance Sheet
Total Assets	399.41K	394.43M	431.78M	430.96M	383.35M	326.27M
Cash, Cash Equivalents and Short-Term Investments	19.92K	12.32M	3.85M	6.95M	11.43M	12.67M
Total Debt	4.57K	174.81M	203.29M	147.24M	106.46M	83.43M
Total Liabilities	219.05K	225.74M	247.80M	199.25M	160.78M	126.27M
Stockholders Equity	180.36K	168.69M	183.97M	231.71M	222.57M	200.00M
Cash Flow
Free Cash Flow	29.43M	13.04M	-22.35M	13.01M	37.46M	42.48M
Operating Cash Flow	38.40M	32.13M	1.06M	32.38M	47.74M	49.14M
Investing Cash Flow	-12.63M	4.12M	-60.11M	-62.73M	-69.92M	-6.66M
Financing Cash Flow	-14.44M	-27.74M	55.95M	25.88M	20.93M	-37.16M

TruBridge Technical Analysis

• Technical Analysis Sentiment: Positive
• Last Price: 21.72
• 50DMA: Positive
• 100DMA: Positive
• 200DMA: Positive
• MACD: Positive
• RSI: Neutral
• STOCH: Neutral

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 21.72 is below the 20-day moving average (MA) of 22.12, above the 50-day MA of 21.40, and below the 200-day MA of 22.28, indicating a bullish trend. The MACD of 0.03 indicates Positive momentum. The RSI at 57.55 is Neutral, neither overbought nor oversold. The STOCH value of 67.10 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for TBRG.

TruBridge Peers Comparison

Name	Overall Rating	Market Cap	P/E Ratio	ROE	Dividend Yield	Revenue Growth	EPS Growth
SPOK	72 Outperform	$268.60M	16.47	10.88%	9.67%	1.47%	11.33%
OPRX	61 Neutral	$258.17M	-5,138.46	0.03%	―	24.19%	―
SLP	60 Neutral	$382.58M	-5.64	-42.13%	―	13.09%	-745.95%
NRC	59 Neutral	$428.23M	27.65	66.01%	2.52%	-3.50%	-37.46%
TBRG	57 Neutral	$326.00M	121.85	1.57%	―	3.75%	―
Sector *	51 Neutral	$7.86B	-0.30	-43.30%	2.27%	22.53%	-2.21%
HCAT	50 Neutral	$176.83M	-1.55	-31.33%	―	4.64%	-17.17%

TruBridge Corporate Events

TruBridge enters cooperation pact and refreshes board leadership

On January 7, 2026, TruBridge entered into a cooperation agreement with its largest shareholder, Pinetree Capital and L6 Holdings, under which the company will expand its board to appoint Pinetree president Damien Leonard as an independent director effective January 12, 2026, with a seat on the compensation committee, and implement a phased board refresh that will see several long-serving directors, including long-time member David Dye, not stand for re-election at the 2026 and 2027 annual meetings. The agreement, which caps the board at seven members after the 2026 annual meeting and includes standstill, voting and non-disparagement commitments from Pinetree, tightens alignment between TruBridge and its largest shareholder, signaling a governance reset aimed at bolstering operational effectiveness, capital allocation discipline and the company’s longer-term growth strategy for shareholders, while Leonard has also indicated he will waive his director fees.

The most recent analyst rating on (TBRG) stock is a Hold with a $24.50 price target. To see the full list of analyst forecasts on TruBridge stock, see the TBRG Stock Forecast page.

TruBridge Enhances Credit Facility for Growth

On November 25, 2025, TruBridge entered into an Amended and Restated Credit Agreement, increasing its revolving credit facility to $180 million and its term loan facility to $70 million. The agreement, which extends the maturity date to November 2030, enhances TruBridge’s financial flexibility and positions the company for future growth, as stated by CFO Vinay Bassi. This move reflects TruBridge’s disciplined capital allocation strategy aimed at delivering higher value for stakeholders.

The most recent analyst rating on (TBRG) stock is a Hold with a $23.50 price target. To see the full list of analyst forecasts on TruBridge stock, see the TBRG Stock Forecast page.