TruBridge provides healthcare IT solutions to small and mid-sized community hospitals, focusing almost exclusively on hospitals with fewer than 100 beds. The company's two core offerings are Revenue Cycle Management (RCM) — tools and outsourced services that help hospitals collect payments from insurers and patients — and Electronic Health Records (EHR), an integrated clinical platform that hospitals use to manage patient records, physician orders, labs, and pharmacy functions. TruBridge operates two segments: Financial Health (~63% of revenue), which covers the full RCM suite including a fully outsourced billing service called the Centralized Business Office (CBO), and Patient Care (~37% of revenue), which covers the EHR platform and related support. About 94% of total revenue is recurring, derived from RCM outsourcing contracts, SaaS subscriptions, and EHR support fees. TruBridge's nTrust offering bundles EHR and RCM into a single contract and is the primary cross-selling vehicle. Growth strategy runs on three tracks: cross-selling RCM into TruBridge's roughly 1,500-hospital EHR install base, expanding RCM upmarket into hospitals with 100–400 beds, and expanding margins by shifting CBO staffing to an offshore workforce in India through its Viewgol acquisition. The offshore labor transition is management's primary profitability lever, targeting mid-20s EBITDA margins over the next few years.
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