sure everyone. additional performance, to GRH, the today's Thanks highlight, of good quarter be financial and on some call Boyd we Get On additional detail themes the period's for I'll through or that level including our and major results. a by to Real, metrics want followed some bookings acquisition nonfinancial high around color walk afternoon some cover
a slow first of our based our quarter, as conference Client timing As out. our second has challenging growth National we performance made remain Conference the future as pipeline last our pace pointed making on shared on Boyd and we the bookings And expected. strength for prospects the while continued, excited this about of has call of quarter decision quarter
decisioned our $XX we've to have All and meantime, through improved but of in flowing not made income the XXXX. profitability In during been million CPSI revenue and increase preserve to face are cost XXXX the million strides profitability which allowed towards fluctuations. $XX million of has statement, identifying by savings $X only during
of million XXXX increased X% or EBITDA net increased have X% income our are has and from down basis. measure or nearly in on $X.X quarter XXXX, second non-GAAP categories quarter decrease revenues has compared of decreased to X% included Expense in while a EBITDA second a Despite of year-to-date XX%. XX%, the million the adjusted $X adjusting
financing tailwind are has X%, adjusted and cash From receivables, with from increased a XX%. cash net flow, financing with headwinds while has to non-GAAP abating flow. This coupled has improvements revenues receivables our in profitability year-to-date higher led income increased XX% net million $X.X perspective, similarly significant a contributing EBITDA to down
quarter operating cash flows operating our the second January in highest million second the of flows The in the XXXX, than doubling XXXX Healthland marking more quarter since level of of $X.X and second million, cash $X.X of during acquisition of saw XXXX.
million cash basis, This the purchase bank last by in our roughly on to $X allowed a $XX flows of On XX-month $XX.X trailing from a funding for reduce boast million operating from XXXX, price basis million debt this has we to us GRH this facility. XXth, over trailing year. XX-month time cash compared million June now strength flows despite at $XX.X improved
and and opening opportunities Speaking of contribute focuses; directly and strengthening the created. markets, engagement international particularly platform, GRH, products, acquisition of strategic CPSI's patient three has market the to expanding growing about GRH's EHR excited capabilities, the Canada. we're TruBridge's technologies relationships the
licenses, makes that for was recurring, Financially, subscale lumpy revenues small GRH a from business subscriptions approximately of and a mix XX% results. with frankly, and with pre-acquisition services,
TruBridge's like expect Care We Chronic while products that we its business the and into integrate technologies to continue Management build Service. new
date of accounting by of the adjusted quarter ASC contributed Since an in XXX, the application $XXX,XXX new of on loss to standard which were of second effectively $XXX,XXX, our results EBITDA half acquisition, GRH recognition. revenues revenue for cut the
the Inclusive we adjustments with range that the could related EBITDA deal amounts any of $X.X XXXX for of GRH could depending the revenues in $X.X in results, pipeline were easily revenues, the to that timing, $X.X fourth XXXX quarter to deals lumpy ASC or of of year-to-date number. has GRH large some produced XXXX. something of of XXXX million, loss XXXX the double million first potential into is non-recurring million of fall and and Because range similar to revenues outcomes see quarter from wide, an prior that pre-acquisition XXX. on fairly
year fiscal GRH's opportunities to on reasonably contribute That performance result, significantly synergies contribution adjusted XXXX to pipeline. timing a said, moderately currently be depending slightly EBITDA full negative positive. existing increase contribution full for positive and that before to GRH could expect with for the of the the As EBITDA the we
with such partnership look in advanced We like opportunities, continue announced Centre and our tuck-in for to Sunnybrook Health other strategic initiatives. GRH May Sciences that acquisitions as the
rebounded $XX.X increase performance, bookings the million in to $XX.X total total posting XXXX. an quarter but sequential of bookings the of X% second from the results, million slightly Turning bookings below overall first quarter's
saw business business acute strong mostly our XX% care segment. The to improved increase, deal EHR due software of new flow our from for sequential a side post-acute bookings and
the continue care to acute That extended Boyd, serving as decision to XX% decrease primary by pressure new from time with and second of said, lack in quarter our system in business urgency, a XXXX sales frames of bookings culprit. EHR the apply resulting support mentioned earlier
in the our the our bookings from of for $XXX,XXX bookings in included TruBridge mentioned, are continue and Boyd XX%, feel pinch Xrd, a resulting sequentially, to reported XX% which quarter, hurdles family companies GRH, year-over-year. of on which that TruBridge of May declines contributed joined bookings.
revenues million and million date in and million Of install with months. lag second million next revenues, revenue included non-subscription our subscription to trickle of be in into quarter bookings, and and an our that six to $X.X between weighted the five $X in start $XX.X an support should months. system the sales lag with average XX represents booking $X.X the booking sales month, to roughly is reported install XX over over average non-subscription six months, to sales, the of between similar five period EHR five represents a average years next of
recurring TruBridge million four six to starting a $X.X revenues from are of Our to be over of next one-year all recorded bookings period, months. in nearly comprised the
in acute of care the to sites metrics, product non-financial in compared previous three key quarter second quarter the per As six customer and live four our XXXX. with went Thrive
this subscription XXXX of were one first in quarter quarter second to the and period's lives compared each mix, three cloud for As model a go of XXXX. of or under the licensing
Thrive The quarter go had the XXXX. to scheduled as startup marked second second was X than shifted six the the lives third facility during of for quarter we anticipated quarter a less previously
solution new expect cloud our this facilities go with expected X to third Thrive quarter, six go live with to the client a in At we in time, environment. live
Our decrease X% is employee March June roughly from X,XXX, XXst. of roughly headcount, as a XX,
service the financial during of TruBridge our the increase over receivable X% results period, by $XXX,XXX Strong quarter. for posted XXXX. volumes sequential GRH of the revenues the were with second to results that contributing accounts sequentially the Turning X% and TruBridge up quarter drove management
Compared throughout in of our resulted bookings or accounts X%, increased performance to while months services $XXX,XXX the XX second the XXXX, management our for trailing quarter strong RCM receivable the solution TruBridge to services hosting showing with increase. for And increasing division revenues drove by XX% or X%. a managed our insurance services IT services $XXX,XXX another $XXX,XXX continued strong revenues our or demand
decreased some quarter. quarter, volumes XX last had patient customers a months our the consequently on and noted have revenues trailing their decisions of the we TruBridge larger by As that few seen made for operational a impact negative related
were particularly management against quarter, decisions the growth primarily for services. and the locations, medical operational the lab of certain coding to of million TruBridge These underperforming receivable our closure creating revenue services related for $X in curtailment of headwinds accounts
decisions Without year the fourth we these aren't results and next have for anniversary would the headwinds related quarter organic volume declines TruBridge These posted these the to second growth expected quarter. to X% so headwinds, expect XXXX. prior fully continue until of customer against quarter,
from Sequentially, of XX%, quarter XX% TruBridge gross reported the margins remained second flat at XX% the -- while margins XXXX. improved moderately for
As a GRH $XXX,XXX TruBridge to for contributed cost of sales side period. note, the
Next, million to $X.X system MUX-related as the in $X.X million, the quarter in second decreased first support quarter. revenues revenues sequentially, from and sales million $X.X decreased $XXX,XXX
over add-ons million strong compared revenue Non-MUX first $X.X million quarter million exceptionally -- add-on decreased was $X revenues a average as $X an in posting in eight quarter the quarters. the additional previous to
we as decreased Year-over-year, million, $X.X nonrecurring work down as $X.X were mostly million, quarterly naturally this revenues opportunity. MUX-related revenues down
sequentially, cost-saving resulted incentive cost improvements of support -- of resulted system lowered with expense $X.X software costs and X.X% million in payroll costs. initiatives mix have decreased coupled improved Year-over-year payroll were initiatives improved X%, sales savings sales or saving cost as in costs. cost or as as in cost aforementioned yielded and lower the $XXX,XXX down third-party Our while hardware compensation
were in year-over-year cost XX% first outpaced to improved compared XXXX as in second the margins revenue XX%, declined quarter decrease of revenues. the Gross margins while XX% the for quarter to despite from XX% improvements
development costs compensation largely incentive area. in were year-over-year. development by offset were sequentially costs and flat this of expense GRH Product essentially product $XXX,XXX decreased
payroll GRH. costs costs marketing the program year-over-year costs $XXX,XXX commission, only in $XXX,XXX making increase than up GRH $XXX,XXX with marketing as more administrative marketing decreased the and of decreased sequentially Sales and sales and General offset from expenses. quarter's and costs and sequentially, $XXX,XXX increased
costs. increase As Client in mentioned we sequential in previously, Boyd our a related resulted in hosted which National $XXX,XXX annual in Antonio, May, Conference San
Conference year therefore, Client National was planned Our and expense. held a is each
note, accounting XXXX and were legal Offsets anticipate our $XXX,XXX increases second the hosting a National in fees. to Conference As we quarter of Client these decrease a XXXX. in
$X.X planned employees. benefits as $X.X competitive other down a costs costs Year-over-year decreased severance health million costs employee XX% increase have due design while intended changes still decreased $X.X in and charges to drive to to nonrecurring million million, or despite providing our
the tax XXXX. our Lastly, XX.X% income during effective was during line statement, on tax XX.X%, first -- was first rate of quarter relatively second the during the in rate the effective quarter the quarter with
R&D X% benefited -- by acquisition GRH by the rate effective tax such from notices years, estimates XX% associated non-deductible stock-based prior the during the with quarter. as tax effective items, and while collectively, rate state increased Discrete tax tax shortfalls state costs from the compensation credit
to closing, our customer we feel slow optimistic obviously and made base we cross-sell about In growth sticky more particularly do progress our in quarter targets. decision-making and loyal in have about growth environment increased some and flows our towards to profitability the pipeline, we've this topline long-term Nonetheless, work for stronger, the diverse cash within reach and prospects. opportunities
We the taking business, of and our growth core leveraging helping and continue on our communities opportunities their stability to our thrive. of focus advantage clients
we'd with for like lineup open to that, the questions. And