call, and third increased results. additional on financial improvement the saw On XX% of walkthrough notably, a and year-over-year. bookings performance acquisition XX% metrics the significant third bookings quarter our recent today's overview and non-financial Most or an major good on quarter quarter update Boyd which sequentially GRH, our Thanks provide of including afternoon, Get Health I'll detail a everyone. Real and of high-level some
we're beginning bookings performance our fully market by EHR second for focus million a pace has slow on impact of strategic $X.X the outside While see that a customer become diminishing our a from its constraint growth propelled has TruBridge Meanwhile bookings. care that at ever EHR of to decision-making base, acute highest TruBridge. not abated, achieved bookings
As our our pleased continued we execution the are trajectory of initiatives. with on bookings profitability improves,
As not a face during to which our we CPSI reminder, statement, been identified $XX $X increase with through million $XX million cost XXXX profitability preserve having flowing of million in during allowed income fluctuations. of but and is to only XXXX revenue all the decisions and savings
third the X% expenses basis. million has of of are Excluding revenues measure loss quarter in increased X% the and included $X.X compared have XXXX, EBITDA quarter $X.X and of EBITDA third X% of Despite a on our to adjusted X% from from an from. a XXXX $XXX,XXX, GRH of or decreased down GRH in million impact EBITDA or adjusted decrease the year-to-date
of has increase to XXXX flow. are million, adjusted while X%. from significant profitability net cash EBITDA operating saw our with contributing XXXX. revenues quarter third improvements the of cash X% quarter in higher flow, perspective Year-to-date coupled With to the $XXX,XXX from third financing $X.X down XX% receivables of flows cash has headwinds a a increased reduced This receivables led financing tailwind
flows flows, past borrowings. On basis operating debt a our GRH despite $XX.X million the has This million us this by trailing over $XX cash nearly time boast of bank the at reduce XX-month with basis, allowed compared now roughly million and $XX acquisition improved year. last revolver to we of XX-months cash strength funding
growing engagement Speaking GRH's technologies created. of patient and GRH, in CPSI's relationships the products, we market this opportunities the to excited of directly that about remain three acquisition focuses. has strategic contribute
TruBridge's capabilities expanding Canada. opening the and platform, particularly markets Strengthening EHR international
small recurring for a GRH results. As that from can make services business frankly lumpy pre-acquisition reminder, mix XX% and revenues with was of subscale and approximately subscriptions license, a a
of while acquired revenues $X.X EBITDA expect the on its We continue, and of technologies $XXX,XXX like contributed revenues. management into May in on of of with EBITDA this million service. of year business adjusted chronic third we $X.X products on million, results that the Xrd build to adjusted GRH $XXX,XXX to loss year-to-date lumpiness loss TruBridge care our quarter new integrate
large that deals into were produced the of XXXX XXXX. lumpy, GRH for see recurring an the million wide fairly loss with in quarter XXXX to something quarter is range that first $X.X pre-acquisition could in related the pipeline GRH fall depending year-to-date the outcomes number. million revenues or some on potential amounts from of fourth of of results, $XXX,XXX similar of and revenues we non of any double $X.X Inclusive could adjustments XXXX revenues, XXXX ASC-XXX. the has of prior to EBITDA and to range Because timing deal
slightly result, reasonably a negative contribution GRH's could year for to the full As be moderately positive. EBITDA
their increase slightly the for performance GRH timing pipeline. to of perform scenario Our current contribution the significantly opportunities towards expectation for XXXX to depending existing is negative and with EBITDA on more
such tuck-in for the partnership like in We Hospital May look opportunities to continue strategic that GRH made in system. Sunnybrook other advance Canada initiatives first acquisitions as and announced Health Center a to information Sciences create with our
booking to Turning performance.
in $XX.X sequential total to of related and As XX% XX% increase XX% segment. MUX bookings I quarter sequentially sales mentioned care strength add-on System the saw support million mostly EHR increased for our non third and earlier, bookings year-over-year due year-over-year. and bookings for acute XX%
or lessening of XX% time bookings, to past the net earnings somewhat, EHR on terms couple we've decision that of of In new increase sequential to seems mentioned in frames a bookings. impact leading elongated care be $XXX,XXX acute the the related calls
new that the significant the bookings TruBridge care XXX% million still above stellar resumption we marked bookings growth of comparatives million EHR bodes lagging sequentially the seeing second $XX.X quarter XXXX. are second the TruBridge roughly by certainly $XX.X or third headwinds of to only segment well quarter in against $X.X third bookings the of this highest XX%. prior year for XX% for with This the quarter million posted for the acute But bookings of of XXXX the in history net quarter from XXXX. segment's and increasing third
over average similar million to to weighted bookings, five with system and average and period revenue our bookings million sales contributing and $XXX,XXX in This is six sales, the the lag of period's bookings book represents trickle recorded our to XX-months, near support a years date $X.X traditional in million $X.X of GRH subscription between customers that average lag and $X.X of was $XX.X EHR non included $XXX,XXX next represents months. months. start bookings. revenue XX- the with base five with than revenues. performance of customer million be primarily Of roughly to subscription between non outside of from booking third over six next by to months install an our an a five installs into less subscription EHR record driven quarter in should sales the
revenues in during starting $X.X million bookings third million quarters. in down TruBridge Our $X.X million that from revenues one-year are and to work next comprised six $XX.X fourth would the AR remaining bookings over capture a recurring be bookings the of one-time four nearly expect to largely period The all months. include of of recorded to
As five for previous live product quarter and with metrics, Thrive compared key XXXX. the to customer sites six care in of six the quarter in non acute went third financial our
than the XXXX. The as XXXX. periods quarter in of XXXX implementations As compared or quarter for marked less shifted to of one the these of of customer go-lives one model mix, we have a quarter during live of quarter this driven to and five under none cloud delays third subscription third second go three had Thrive anticipated the during fourth licensing was one the
to we go LTAC hospital go X Thrive XXXX time, facilities cloud with expect with live include client environment. a to in this four a solution expected quarter These in implementations XX chain. cloud At of live fourth new the our
X,XXX, roughly Our employee as XXth June was XXth. decrease from roughly headcount a X% of September
accounts sequentially amounts. Turning XXXX. third quarter the drove for the revenues contributing the services results $X.X $XXX,XXX the increase million Strong TruBridge up results posted receivable quarters, over the were quarter for with period. our volumes during TruBridge second over increase GRH and X.X% sequential and XX% in to financial management that of of
our or revenue bookings services the and Excluding RCM strong X%. to quarter $XXX,XXX division performance revenues X% the $X.X resulted with year-over-year. GRH, million services while revenues X% increasing another strong our during third XX-months by the continued in solution XX%, XXXX, for accounts receivable Compared of increased sequentially trailing management showing our insurance or increased TruBridge TruBridge
revenues $XXX,XXX IT our managed hosting or to drove Demand XX% a for services increase. services
larger headwinds certain and trailing months volumes As the have some the lab closure related made we've the for of against our consequently related of $XXX,XXX TruBridge XX- a quarter. the on all revenues decisions our These seen were a for operational creating year, decisions primarily curtailment revenue and quarter. of decrease for locations, had highlighted underperforming their services operational by of that TruBridge negative to growth few customers impact patient
gross organic the would These will we customer have declines third posted headwinds, expect quarter the to and nearly fully of volume the during the the growth quarter related of during XX% XX% TruBridge comparative for results. same quarter to these margins so record XX% quarter's impact decisions expanded XXXX XX% to the these TruBridge XXXX. have headwinds second quarter Without on next XXXX. compared fourth of during third a third don't over and the quarter anniversary
As contributed the a third gross side impact TruBridge $XXX,XXX of quarter. margins GRH, the note, XX% absent were sales for GRH cost TruBridge of period, for the
$X.Xmillion previous compared million within the we on the MUX- implementation $X.X increased pressure this decreased right acute mix EHR despite decreasing opportunity. down $X.X to $X.X sales million as near quarters. care each contract lives period lower support and six and quarterly our revenues. end million value new average put were of sequentially Net Next, go revenues flat mostly add-on million acute system segment MUX increasing as eight licensed revenues over at $X.X revenues in $X.X average $X.X related million sales to Year-over-year the care million EHR to revenues non due non-recurring with remaining
of million increased of our third-party as from these $X.X in included and our cost non-GAAP decreased the audit. charges costs have improved payroll sales cost one-time recent or and X% income. Despite vendor non $XXX,XXX EBITDA Note sequentially not measure adjusted system year-over-year in support as a that X% cost charges software increased for initiatives content $XXX,XXX are third-party one-time and to charges due resulting one-time recurring Our software these net of for charges content, adjustment or efficiency. yielded and savings
XX% Absent pressured third at margins charges, the essentially in charges Year-over-year with second for to were gross margins these lower by been product XX% in one-time costs margins arriving costs sales would from system flat the deteriorating improvement margins and and resulting to system revenue of declines XX%. XX%. sequentially of largely and These costs. XXXX also quarter were for costs quarter. XX% gross support improved compared contract $XXX,XXX have offset development payroll one-time and efficiency sales GRH development Product year-over-year. development support outpaced
costs marketing commission, increase in than marketing costs marketing program offset as $XXX,XXX year-over-year $XXX,XXX sequentially and costs Sales and decreased payroll the and GRH. $XXX,XXX year-over-year decreased and from more sales
GRH General decreased the making up quarter's $X.X $XXX,XXX administrative costs only expenses. at with sequentially million
and charges Client As $XXX,XX in for of we $XXX,XXX resulting earnings we the mentioned while San only nearly third to Conference on May our behind cost previous severance user expense Bad second cost of non-recurring in call, compared in $X quarter. during decreased million hosted our quarter $XXX,XXX. debt improved Annual group decreased a National collectability, other Antonio such the
competitive activity benefits increased quarter. million cost, severe employee Despite and driven in largely containment the $XXX,XXX decrease third and design cost as third or health intended employee $X $X.X bad down costs have of Year-over-year These plan recurring the increase providing charges while combined a other and XX% to sequential during to by $X.X families. by activity. efforts severe the decreases to costs costs year by decreased the still claims from combined with due employees during debt in cost XXXX, million prior drive claims when than amounts other severance health severe changes non their year-to-date our decreased quarter health more was offset claims costs, million driven employee activity offset have
tax significant our statement, a XXXX. income from rate was tax quarter quarter the XX.X% the of the during during rate on second effective effective reduction Lastly the X%,
adjustments non-deductible these expect on GRH return XXXX provision shortfalls R&D of rate. tax Normalized acquisition rate X%. next for we return for our to rate and the period's nearly combined tax related tax the the associated to during an second items, effective rate benefited claimed increased effective federal effective XX% by the in to from for tax with tax XX% from based credits quarter swing XX-months. XX% stock The third which X% discrete effective quarter tax the benefited by costs Conversely compensation
presence, customer shareholders. In closing, quickening. of growing growing improving and both And are the the our bookings opportunities results delivering in international to profitable sources third base; our growth of nascent quarter are our cash opportunities pipeline our mix Between made within base, and and our beyond generation. structure about progress cross-sell that and of we've third and our our EHR market prospects our loyal diversifying. bookings strategically decision-making size customer and suggest expansion excited the TruBridge's The the we sticky quarter GRH for reflect cost in the our is pace
we'd questions. And open to that for like line up with the
